HESI RN PHARMACOLOGY
V1 EXAM (3 Set Exams)
(NGN style Qs & Case studies)
Actual Qs & Ans to Pass the Exam
**This hesi test contains**
passing score Guarantee
Each Exam has 55 Ques and Ans
Format Set of Multiple-choice
, questions with incorporating Next
Generation NCLEX (NGN) and Case studies
questions
Expert-Verified Explanations &
Solutions
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─────────
Contents
HESI RN PHARMACOLOGY V1 EXAM............................................................................................................3
SET 1............................................................................................................................................................3
HESI RN PHARMACOLOGY V1 EXAM..........................................................................................................23
SET 2..........................................................................................................................................................23
HESI RN PHARMACOLOGY V1 EXAM..........................................................................................................43
SET 3..........................................................................................................................................................43
,HESI RN PHARMACOLOGY V1 EXAM
SET 1
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1) A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse
should assess the client for the onset of which problem?
A. Muscle tenderness
B. Nausea and vomiting
C. Excessive bruising
D. Peripheral edema
Correct Answer: A. Muscle tenderness
Expert-Verified Explanation:
• Statins (e.g., atorvastatin) can cause myopathy, which may progress to rhabdomyolysis in severe cases.
An elevated CK level often signifies muscle injury. Muscle tenderness, especially in large muscle groups, is
one of the earliest clinical signs of myopathy. If untreated, severe myopathy can become life-threatening.
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2) An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is
having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
Correct Answer: C. HDL (High-density lipoprotein)
Expert-Verified Explanation:
• Atorvastatin lowers LDL primarily but can also modestly raise HDL (“good cholesterol”). An increase in
HDL is protective and a sign that therapy is working. Therapeutic success can also include a decrease in
LDL.
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, 3) [NGN - Case Study]
Patient Data — History & Physical:
• 36-year-old female with moderate persistent asthma on fluticasone/salmeterol twice daily, albuterol as
needed
• Reports more severe symptoms, frequent albuterol use, FEV₁ of 60–65%
• Complaints: dizziness, palpitations, no wheezes, O₂ sat 99%
Tasks:
1) Identify the likely condition.
2) State two actions to take.
3) State two parameters to monitor.
Likely Condition: Methemoglobinemia
Actions to Take (two examples):
• Draw blood for a CBC
• Administer methylene blue
Parameters to Monitor (two examples):
• Methemoglobin level
• Heart rate and rhythm
Expert-Verified Explanation:
• Methemoglobin forms when hemoglobin is oxidized and cannot carry O₂ effectively. Patients can present
with dizziness, palpitations, and normal pulse oximetry readings despite feeling unwell. Methylene blue is
the antidote. Heart rate/rhythm should be monitored because hypoxia can affect cardiac status.
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─
4) A client prescribed gabapentin 300 mg by mouth three times a day for postherpetic neuralgia is being
discharged. Which symptoms should the nurse tell the client to report immediately to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
Correct Answer: B. Gastric irritation
Expert-Verified Explanation:
V1 EXAM (3 Set Exams)
(NGN style Qs & Case studies)
Actual Qs & Ans to Pass the Exam
**This hesi test contains**
passing score Guarantee
Each Exam has 55 Ques and Ans
Format Set of Multiple-choice
, questions with incorporating Next
Generation NCLEX (NGN) and Case studies
questions
Expert-Verified Explanations &
Solutions
───────────────────────────────────────────────
─────────
Contents
HESI RN PHARMACOLOGY V1 EXAM............................................................................................................3
SET 1............................................................................................................................................................3
HESI RN PHARMACOLOGY V1 EXAM..........................................................................................................23
SET 2..........................................................................................................................................................23
HESI RN PHARMACOLOGY V1 EXAM..........................................................................................................43
SET 3..........................................................................................................................................................43
,HESI RN PHARMACOLOGY V1 EXAM
SET 1
────────────────────────────────────────────
1) A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse
should assess the client for the onset of which problem?
A. Muscle tenderness
B. Nausea and vomiting
C. Excessive bruising
D. Peripheral edema
Correct Answer: A. Muscle tenderness
Expert-Verified Explanation:
• Statins (e.g., atorvastatin) can cause myopathy, which may progress to rhabdomyolysis in severe cases.
An elevated CK level often signifies muscle injury. Muscle tenderness, especially in large muscle groups, is
one of the earliest clinical signs of myopathy. If untreated, severe myopathy can become life-threatening.
───────────────────────────────────────────────────────
─
2) An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is
having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
Correct Answer: C. HDL (High-density lipoprotein)
Expert-Verified Explanation:
• Atorvastatin lowers LDL primarily but can also modestly raise HDL (“good cholesterol”). An increase in
HDL is protective and a sign that therapy is working. Therapeutic success can also include a decrease in
LDL.
───────────────────────────────────────────────────────
─
, 3) [NGN - Case Study]
Patient Data — History & Physical:
• 36-year-old female with moderate persistent asthma on fluticasone/salmeterol twice daily, albuterol as
needed
• Reports more severe symptoms, frequent albuterol use, FEV₁ of 60–65%
• Complaints: dizziness, palpitations, no wheezes, O₂ sat 99%
Tasks:
1) Identify the likely condition.
2) State two actions to take.
3) State two parameters to monitor.
Likely Condition: Methemoglobinemia
Actions to Take (two examples):
• Draw blood for a CBC
• Administer methylene blue
Parameters to Monitor (two examples):
• Methemoglobin level
• Heart rate and rhythm
Expert-Verified Explanation:
• Methemoglobin forms when hemoglobin is oxidized and cannot carry O₂ effectively. Patients can present
with dizziness, palpitations, and normal pulse oximetry readings despite feeling unwell. Methylene blue is
the antidote. Heart rate/rhythm should be monitored because hypoxia can affect cardiac status.
───────────────────────────────────────────────────────
─
4) A client prescribed gabapentin 300 mg by mouth three times a day for postherpetic neuralgia is being
discharged. Which symptoms should the nurse tell the client to report immediately to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
Correct Answer: B. Gastric irritation
Expert-Verified Explanation:
