PHARMACOLOGY RN HESI EXIT EXAM 2026
VERSION 3 /HESI RN PHARMACOLOGY EXIT EXAM
VERSION 3 COMPLETE ALL 55 QUESTIONS AND
CORRECT DETAILED CORRECT ANSWER WITH
RATIONALES (VERIFIED CORRECT ANSWER)
|ALREADY GRADED A+
A patient receives a new prescription for nitroglycerin (Nitrostat)
tablets. Which instruction should the nurseinclude in this patient's
teaching?
Take the medication at least an hour before every meal.
Monitor your pulse for 60 seconds before administration.
Place under the tongue as needed every 5 minutes up to 3times.
Resume normal activities after chest pain relief is obtained. -
...CORRECT ANS:->>>...Place under the tongue as needed every 5minutes
up to 3 times.
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal
patch to a patient with chronic pain.When monitoring the patient an hour later,
which assessmentis most important for the nurse to obtain?
Level of consciousness.
Moistness of mucosa.
,Bowel sound activity.
Numeric pain scale. - ...CORRECT ANS:->>>...Numeric pain scale.
A patient is beginning therapy with montelukast (Singulair) PO 10 mg once a
day in the evening. The patient asks the nurse, "When should I begin to feel
better?" How should thenurse respond?
Immediately.
Within 24 hours.
In about 12 hours.
30 minutes to 1 hour. - ...CORRECT ANS:->>>...Within 24 hours.
What is the expected outcome of esomeprazole (Nexium)when prescribed
for a patient with gastroesophageal refluxdisease (GERD)?
Promotion of rapid tissue healing.
Increased gastric emptying.
Improved esophageal peristalsis.
Neutralization of gastric secretions. -
...CORRECT ANS:->>>...Promotion of rapid tissue healing.
A patient at 30-weeks gestation is in preterm labor. The healthcare provider
,prescribes two 12-mg doses of betamethasone (Celestone) intramuscularly
every 12 hours. The patient asks the nurse why she is receiving the Celestone.
What information should the nurse use to explain the action of the medication?
Suppresses uterine contractions.
Stimulates fetal surfactant production.
Reduces maternal and fetal tachycardia associated withterbutaline
(Brethine) administration.
Maintains adequate maternal respiratory effort andventilation with
magnesium administration. -
...CORRECT ANS:->>>...Stimulates fetal surfactant production.
Which drug of choice is indicated for acute ventriculardysrhythmias
associated with myocardial infarction?
Diltiazem.
VT dysBretylium.
Amiodarone.
Adenosine. - ...CORRECT ANS:->>>...Amiodarone.
A school-aged child is taking methylphenidate hydrochloride (Ritalin,
Biphentin) for the treatment of attention-deficit hyperactivity disorder (ADHD).
The mothertells the nurse that she gives the medication at bedtime so it is
, "working" during school the next morning. What modification to the
administration plan should the nurse recommend to this mother?
Continue administering the medication dose at bedtime.
Give the medication when the child arrives at school.
Take the medication with meals.
Administer at least six hours before bedtime. -
...CORRECT ANS:->>>...Administer at least six hours before bedtime.
A patient is taking sulfisoxazole (Gantrisin) for a urinary tractinfection (UTI)
and complains of nausea and gastric upset since starting the medication. Which
additional adverse reaction should the nurse instruct the patient to report?
Rash.
Diarrhea.
Hematuria.
Muscle cramping. - ...CORRECT ANS:->>>...Rash.
What is the effect of beta-blocking agents when used fortreatment of
glaucoma?
Inhibiting aqueous humor production.Enhancing
aqueous humor outflow.
VERSION 3 /HESI RN PHARMACOLOGY EXIT EXAM
VERSION 3 COMPLETE ALL 55 QUESTIONS AND
CORRECT DETAILED CORRECT ANSWER WITH
RATIONALES (VERIFIED CORRECT ANSWER)
|ALREADY GRADED A+
A patient receives a new prescription for nitroglycerin (Nitrostat)
tablets. Which instruction should the nurseinclude in this patient's
teaching?
Take the medication at least an hour before every meal.
Monitor your pulse for 60 seconds before administration.
Place under the tongue as needed every 5 minutes up to 3times.
Resume normal activities after chest pain relief is obtained. -
...CORRECT ANS:->>>...Place under the tongue as needed every 5minutes
up to 3 times.
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal
patch to a patient with chronic pain.When monitoring the patient an hour later,
which assessmentis most important for the nurse to obtain?
Level of consciousness.
Moistness of mucosa.
,Bowel sound activity.
Numeric pain scale. - ...CORRECT ANS:->>>...Numeric pain scale.
A patient is beginning therapy with montelukast (Singulair) PO 10 mg once a
day in the evening. The patient asks the nurse, "When should I begin to feel
better?" How should thenurse respond?
Immediately.
Within 24 hours.
In about 12 hours.
30 minutes to 1 hour. - ...CORRECT ANS:->>>...Within 24 hours.
What is the expected outcome of esomeprazole (Nexium)when prescribed
for a patient with gastroesophageal refluxdisease (GERD)?
Promotion of rapid tissue healing.
Increased gastric emptying.
Improved esophageal peristalsis.
Neutralization of gastric secretions. -
...CORRECT ANS:->>>...Promotion of rapid tissue healing.
A patient at 30-weeks gestation is in preterm labor. The healthcare provider
,prescribes two 12-mg doses of betamethasone (Celestone) intramuscularly
every 12 hours. The patient asks the nurse why she is receiving the Celestone.
What information should the nurse use to explain the action of the medication?
Suppresses uterine contractions.
Stimulates fetal surfactant production.
Reduces maternal and fetal tachycardia associated withterbutaline
(Brethine) administration.
Maintains adequate maternal respiratory effort andventilation with
magnesium administration. -
...CORRECT ANS:->>>...Stimulates fetal surfactant production.
Which drug of choice is indicated for acute ventriculardysrhythmias
associated with myocardial infarction?
Diltiazem.
VT dysBretylium.
Amiodarone.
Adenosine. - ...CORRECT ANS:->>>...Amiodarone.
A school-aged child is taking methylphenidate hydrochloride (Ritalin,
Biphentin) for the treatment of attention-deficit hyperactivity disorder (ADHD).
The mothertells the nurse that she gives the medication at bedtime so it is
, "working" during school the next morning. What modification to the
administration plan should the nurse recommend to this mother?
Continue administering the medication dose at bedtime.
Give the medication when the child arrives at school.
Take the medication with meals.
Administer at least six hours before bedtime. -
...CORRECT ANS:->>>...Administer at least six hours before bedtime.
A patient is taking sulfisoxazole (Gantrisin) for a urinary tractinfection (UTI)
and complains of nausea and gastric upset since starting the medication. Which
additional adverse reaction should the nurse instruct the patient to report?
Rash.
Diarrhea.
Hematuria.
Muscle cramping. - ...CORRECT ANS:->>>...Rash.
What is the effect of beta-blocking agents when used fortreatment of
glaucoma?
Inhibiting aqueous humor production.Enhancing
aqueous humor outflow.
