HESI PN EXAM / PN HESI PHARMACOLOGY EXAM
COMPLETE ACCURATE EXAM 2026/2027 ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |JUST RELEASED |STUDY GUIDE
INCLUDED
1. A client with heart failure is prescribed digoxin. Which finding indicates a
therapeutic response to the medication?
A. Decreased blood pressure
B. Increased urinary output
C. Increased heart rate
D. Decreased pedal edema
CORRECT ANSWER: B. Increased urinary output
Rationale: A therapeutic response to digoxin includes increased cardiac output,
which leads to improved renal perfusion and increased urinary output.
2. A client is prescribed furosemide. Which laboratory value should the nurse
monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum glucose
D. Serum calcium
CORRECT ANSWER: B. Serum potassium
,Rationale: Furosemide is a loop diuretic that can cause significant potassium
loss, leading to hypokalemia.
3. The nurse is administering albuterol to a client with asthma. Which side effect is
commonly associated with this medication?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Sedation
CORRECT ANSWER: B. Tachycardia
Rationale: Albuterol is a beta-2 adrenergic agonist that can also stimulate beta-1
receptors, leading to tachycardia and palpitations.
4. A client prescribed metformin reports nausea and diarrhea. Which
recommendation should the nurse provide?
A. Take the medication with food.
B. Discontinue the medication immediately.
C. Take the medication on an empty stomach.
D. Increase fluid intake to 3 liters per day.
CORRECT ANSWER: A. Take the medication with food.
Rationale: Taking metformin with meals can help reduce gastrointestinal side
effects such as nausea and diarrhea.
5. The nurse is teaching a client about warfarin. Which statement by the client
indicates a need for further teaching?
,A. "I will avoid eating large amounts of leafy green vegetables."
B. "I will report any unusual bleeding to my healthcare provider."
C. "I will take ibuprofen for my headaches."
D. "I will use a soft-bristled toothbrush."
CORRECT ANSWER: C. "I will take ibuprofen for my headaches."
Rationale: Ibuprofen and other NSAIDs increase the risk of bleeding when
taken with warfarin.
6. A client is receiving morphine sulfate for pain. The nurse should monitor for
which primary side effect?
A. Hypertension
B. Tachycardia
C. Respiratory depression
D. Hyperthermia
CORRECT ANSWER: C. Respiratory depression
Rationale: Morphine is an opioid analgesic that can cause respiratory
depression by depressing the medullary respiratory center.
7. The healthcare provider prescribes 0.9% normal saline at 125 mL/hr. The drop
factor is 15 gtt/mL. What is the drip rate in gtt/min?
A. 12 gtt/min
B. 21 gtt/min
C. 31 gtt/min
D. 41 gtt/min
, CORRECT ANSWER: C. 31 gtt/min
Rationale: The formula is (125 mL / 60 min) × 15 = 31.25, rounded to 31
gtt/min.
8. A client is prescribed a beta-blocker for hypertension. Which finding indicates
the medication is effective?
A. Heart rate 88 bpm
B. Blood pressure 142/90 mmHg
C. Blood pressure 118/76 mmHg
D. Respiratory rate 22/min
CORRECT ANSWER: C. Blood pressure 118/76 mmHg
Rationale: A therapeutic response to a beta-blocker for hypertension is a
reduction in blood pressure to within normal limits.
9. The nurse is preparing to administer digoxin. Which pulse rate would require the
nurse to hold the medication?
A. 72 bpm
B. 68 bpm
C. 58 bpm
D. 80 bpm
CORRECT ANSWER: C. 58 bpm
Rationale: Digoxin should be held if the apical pulse is less than 60 bpm in
adults.
10. A client is prescribed enoxaparin. Which route of administration is correct?
COMPLETE ACCURATE EXAM 2026/2027 ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |JUST RELEASED |STUDY GUIDE
INCLUDED
1. A client with heart failure is prescribed digoxin. Which finding indicates a
therapeutic response to the medication?
A. Decreased blood pressure
B. Increased urinary output
C. Increased heart rate
D. Decreased pedal edema
CORRECT ANSWER: B. Increased urinary output
Rationale: A therapeutic response to digoxin includes increased cardiac output,
which leads to improved renal perfusion and increased urinary output.
2. A client is prescribed furosemide. Which laboratory value should the nurse
monitor most closely?
A. Serum sodium
B. Serum potassium
C. Serum glucose
D. Serum calcium
CORRECT ANSWER: B. Serum potassium
,Rationale: Furosemide is a loop diuretic that can cause significant potassium
loss, leading to hypokalemia.
3. The nurse is administering albuterol to a client with asthma. Which side effect is
commonly associated with this medication?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Sedation
CORRECT ANSWER: B. Tachycardia
Rationale: Albuterol is a beta-2 adrenergic agonist that can also stimulate beta-1
receptors, leading to tachycardia and palpitations.
4. A client prescribed metformin reports nausea and diarrhea. Which
recommendation should the nurse provide?
A. Take the medication with food.
B. Discontinue the medication immediately.
C. Take the medication on an empty stomach.
D. Increase fluid intake to 3 liters per day.
CORRECT ANSWER: A. Take the medication with food.
Rationale: Taking metformin with meals can help reduce gastrointestinal side
effects such as nausea and diarrhea.
5. The nurse is teaching a client about warfarin. Which statement by the client
indicates a need for further teaching?
,A. "I will avoid eating large amounts of leafy green vegetables."
B. "I will report any unusual bleeding to my healthcare provider."
C. "I will take ibuprofen for my headaches."
D. "I will use a soft-bristled toothbrush."
CORRECT ANSWER: C. "I will take ibuprofen for my headaches."
Rationale: Ibuprofen and other NSAIDs increase the risk of bleeding when
taken with warfarin.
6. A client is receiving morphine sulfate for pain. The nurse should monitor for
which primary side effect?
A. Hypertension
B. Tachycardia
C. Respiratory depression
D. Hyperthermia
CORRECT ANSWER: C. Respiratory depression
Rationale: Morphine is an opioid analgesic that can cause respiratory
depression by depressing the medullary respiratory center.
7. The healthcare provider prescribes 0.9% normal saline at 125 mL/hr. The drop
factor is 15 gtt/mL. What is the drip rate in gtt/min?
A. 12 gtt/min
B. 21 gtt/min
C. 31 gtt/min
D. 41 gtt/min
, CORRECT ANSWER: C. 31 gtt/min
Rationale: The formula is (125 mL / 60 min) × 15 = 31.25, rounded to 31
gtt/min.
8. A client is prescribed a beta-blocker for hypertension. Which finding indicates
the medication is effective?
A. Heart rate 88 bpm
B. Blood pressure 142/90 mmHg
C. Blood pressure 118/76 mmHg
D. Respiratory rate 22/min
CORRECT ANSWER: C. Blood pressure 118/76 mmHg
Rationale: A therapeutic response to a beta-blocker for hypertension is a
reduction in blood pressure to within normal limits.
9. The nurse is preparing to administer digoxin. Which pulse rate would require the
nurse to hold the medication?
A. 72 bpm
B. 68 bpm
C. 58 bpm
D. 80 bpm
CORRECT ANSWER: C. 58 bpm
Rationale: Digoxin should be held if the apical pulse is less than 60 bpm in
adults.
10. A client is prescribed enoxaparin. Which route of administration is correct?
