2026 NGN HESI RN PHARMACOLOGY EAL
EXAMS B (4 VERSIONS) WITH ALL 370
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT ANSWERS) RN
HESI PHARMACOLOGY WITH NGN LATEST 4
VERSIONS 2024/2025 ALREADY GRADED
A+(NEWEST!!)
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's
serum calcium level is 13 mg/dL. Which medication should the nurse prepare to
administer as prescribed to the client? 1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
A+ TEST BANK 1
,4. Large doses of vitamin D –
Correct Answer :3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia.
Calcium gluconate and calcium chloride are medications used for the treatment of tetany, which
occurs as a result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be
avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
2.) Oral iron supplements are prescribed for a 6 year old child with iron deficiency anemia. The
nurse instructs the mother to administer the iron with which best food item? 1. Milk
2. Water
3. Apple juice
4. Orange juice –
Correct Answer :4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to
administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of the iron. Water will not assist in absorption. Orange juice contains a greater
amount of vitamin C than apple juice.
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the
client, knowing that which of the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
A+ TEST BANK 2
,3. Constipation
4. Decreased respirations –
Correct Answer :1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result.
Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation
and diarrhea are not associated with salicylism.
4.) The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens are most effective when
applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun –
Correct Answer :4. At least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before exposure to the sun so
that they can penetrate the skin. All sunscreens should be reapplied after swimming or
sweating.
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying
the medication, the client complains of local discomfort and burning. Which of the following is
the most appropriate nursing action?
1. Notifying the registered nurse
A+ TEST BANK 3
, 2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site –
Correct Answer :3. Informing the client that this is normal
Rationale:
Mafenide acetate is bacteriostatic for gram negative and gram positive organisms and is used to
treat burns to reduce bacteria present in avascular tissues. The client should be informed that
the medication will cause local discomfort and burning and that this is a normal reaction;
therefore options 1, 2, and 4 are incorrect
6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the
site of injury. The nurse monitors the client, knowing that which of the following indicates that
a systemic effect has occurred? 1.Hyperventilation
2.Elevated blood pressure
3.Local pain at the burn site
4.Local rash at the burn site –
Correct Answer :1.Hyperventilation
Rationale:
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid,
thereby causing acidosis. Clients receiving this treatment should be monitored for signs of an
acid base imbalance (hyperventilation). If this occurs, the medication should be discontinued for
1 to 2 days. Options 3 and 4 describe local rather than systemic effects. An elevated blood
pressure may be expected from the pain that occurs with a burn injury.
7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed?
A+ TEST BANK 4
EXAMS B (4 VERSIONS) WITH ALL 370
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT ANSWERS) RN
HESI PHARMACOLOGY WITH NGN LATEST 4
VERSIONS 2024/2025 ALREADY GRADED
A+(NEWEST!!)
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's
serum calcium level is 13 mg/dL. Which medication should the nurse prepare to
administer as prescribed to the client? 1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
A+ TEST BANK 1
,4. Large doses of vitamin D –
Correct Answer :3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia.
Calcium gluconate and calcium chloride are medications used for the treatment of tetany, which
occurs as a result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be
avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
2.) Oral iron supplements are prescribed for a 6 year old child with iron deficiency anemia. The
nurse instructs the mother to administer the iron with which best food item? 1. Milk
2. Water
3. Apple juice
4. Orange juice –
Correct Answer :4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to
administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of the iron. Water will not assist in absorption. Orange juice contains a greater
amount of vitamin C than apple juice.
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the
client, knowing that which of the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
A+ TEST BANK 2
,3. Constipation
4. Decreased respirations –
Correct Answer :1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result.
Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation
and diarrhea are not associated with salicylism.
4.) The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens are most effective when
applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun –
Correct Answer :4. At least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before exposure to the sun so
that they can penetrate the skin. All sunscreens should be reapplied after swimming or
sweating.
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying
the medication, the client complains of local discomfort and burning. Which of the following is
the most appropriate nursing action?
1. Notifying the registered nurse
A+ TEST BANK 3
, 2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site –
Correct Answer :3. Informing the client that this is normal
Rationale:
Mafenide acetate is bacteriostatic for gram negative and gram positive organisms and is used to
treat burns to reduce bacteria present in avascular tissues. The client should be informed that
the medication will cause local discomfort and burning and that this is a normal reaction;
therefore options 1, 2, and 4 are incorrect
6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the
site of injury. The nurse monitors the client, knowing that which of the following indicates that
a systemic effect has occurred? 1.Hyperventilation
2.Elevated blood pressure
3.Local pain at the burn site
4.Local rash at the burn site –
Correct Answer :1.Hyperventilation
Rationale:
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid,
thereby causing acidosis. Clients receiving this treatment should be monitored for signs of an
acid base imbalance (hyperventilation). If this occurs, the medication should be discontinued for
1 to 2 days. Options 3 and 4 describe local rather than systemic effects. An elevated blood
pressure may be expected from the pain that occurs with a burn injury.
7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed?
A+ TEST BANK 4
