1|Page
HESI PHARMACOLOGY CARDIOVASCULAR EXIT EXAM LATEST
2026-2027 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
A newly admitted client takes digoxin 0.25 mg/day. The nurse
knows that which is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - ANSWER-b. 0.5 to 2.0 ng/mL
The client's serum digoxin level is 3.0 ng/mL. What does the
nurse know about this serum digoxin level?
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range. - ANSWER-a. It is in the high
(elevated) range.
,2|Page
The nurse is assessing the client for possible evidence of digitalis
toxicity. The nurse acknowledges that which is included in the
signs and symptoms for digitalis toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate - ANSWER-d.
Pulse below 60 beats/min and irregular rate
The client is also taking a diuretic that decreases her potassium
level. The nurse expects that a low potassium level (hypokalemia)
could have what effect on the digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level -
ANSWER-a. Increase the serum digoxin sensitivity level
,3|Page
When a client first takes a nitrate, the nurse expects which
symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate - ANSWER-b. Headaches
The nurse acknowledges that beta blockers are as effective as
antianginals because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility. -
ANSWER-c. Decrease heart rate and decrease myocardial
contractility.
, 4|Page
The health care provider is planning to discontinue a client's beta
blocker. What instruction should the nurse give the client
regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another
cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose
should be tapered down.
c. The beta blocker dose should be maintained while taking
another antianginal drug.
d. Half the beta blocker dose should be taken for the next several
weeks. - ANSWER-b. The beta blocker should NOT be abruptly
stopped; the dose should be tapered down.
The beta blocker acebutolol (Sectral) is prescribed for
dysrhythmias. The nurse knows that what is the primary purpose
of the drug?
a. To increase the beta1 and beta2 receptors in the cardiac
tissues
HESI PHARMACOLOGY CARDIOVASCULAR EXIT EXAM LATEST
2026-2027 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
A newly admitted client takes digoxin 0.25 mg/day. The nurse
knows that which is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - ANSWER-b. 0.5 to 2.0 ng/mL
The client's serum digoxin level is 3.0 ng/mL. What does the
nurse know about this serum digoxin level?
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range. - ANSWER-a. It is in the high
(elevated) range.
,2|Page
The nurse is assessing the client for possible evidence of digitalis
toxicity. The nurse acknowledges that which is included in the
signs and symptoms for digitalis toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate - ANSWER-d.
Pulse below 60 beats/min and irregular rate
The client is also taking a diuretic that decreases her potassium
level. The nurse expects that a low potassium level (hypokalemia)
could have what effect on the digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level -
ANSWER-a. Increase the serum digoxin sensitivity level
,3|Page
When a client first takes a nitrate, the nurse expects which
symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate - ANSWER-b. Headaches
The nurse acknowledges that beta blockers are as effective as
antianginals because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility. -
ANSWER-c. Decrease heart rate and decrease myocardial
contractility.
, 4|Page
The health care provider is planning to discontinue a client's beta
blocker. What instruction should the nurse give the client
regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another
cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose
should be tapered down.
c. The beta blocker dose should be maintained while taking
another antianginal drug.
d. Half the beta blocker dose should be taken for the next several
weeks. - ANSWER-b. The beta blocker should NOT be abruptly
stopped; the dose should be tapered down.
The beta blocker acebutolol (Sectral) is prescribed for
dysrhythmias. The nurse knows that what is the primary purpose
of the drug?
a. To increase the beta1 and beta2 receptors in the cardiac
tissues
