2026–2027: 250 Practice Questions with NGN-Style
Case Studies, Answers & Detailed Rationales
Comprehensive Exam-Preparation Study Guide
2026–2027 Edition — Volume 2
Independent Educational Resource
This study guide is an independently created educational resource designed to assist
nursing students in preparing for the HESI Pharmacology examination. It is not affiliated
with, endorsed by, or representative of HESI, Elsevier, ATI, NCSBN, Pearson, or any other
examination board or educational institution.
DISCLAIMER
This study guide is provided for educational purposes only. It is intended to supplement,
not replace, formal nursing education, clinical instruction, and approved pharmacology
textbooks.
Important Notices:
• This guide contains original practice questions developed by nursing educators.
These questions are not actual HESI examination questions, nor are they claimed
to be.
, • No claim is made that use of this guide guarantees success on any licensure or
certification examination.
• Medication information, dosages, and clinical recommendations are provided for
study purposes only and should never be used as a basis for clinical decision-
making without verification against current, evidence-based clinical guidelines
and approved formularies.
• Drug names, classifications, and clinical information are based on standard
pharmacological references but may not reflect the most current updates. Always
consult current drug references and institutional policies.
• This guide does not constitute medical advice. Patient care decisions must be
made by qualified healthcare professionals based on individual patient
assessment and current standards of practice.
TABLE OF CONTENTS
Section Title Page
How to Use This Study Guide (Volume 2)
Part 1 Pharmacology Review — Advanced Concepts
1.1 Pharmacokinetics Review
1.2 Pharmacodynamics Review
1.3 Medication Safety & Error Prevention
1.4 Cardiovascular Medications — Advanced
1.5 Anticoagulants & Antiplatelets — Advanced
1.6 Lipid-Lowering Medications — Advanced
1.7 Respiratory Medications — Advanced
,Section Title Page
1.8 Antibiotics & Anti-Infectives — Advanced
1.9 Endocrine & Diabetes Medications — Advanced
1.10 Thyroid Medications — Advanced
1.11 CNS & Psychiatric Medications — Advanced
1.12 Analgesics & Pain Management — Advanced
1.13 Gastrointestinal Medications — Advanced
1.14 Corticosteroids — Advanced
1.15 Emergency Medications — Advanced
1.16 Special Populations — Advanced
1.17 Medication Calculations — Advanced
Part 2 Practice Questions (70 Questions)
Part 3 NGN-Style Case Studies (70 Case Studies)
Part 4 Answer Key
Part 5 Detailed Rationales
Part 6 High-Yield Exam Tips — Volume 2
Final Rapid Review — Volume 2
, HOW TO USE THIS STUDY GUIDE — VOLUME 2
This second volume provides additional practice and advanced content to
supplement your preparation for the HESI Pharmacology examination.
1. Begin with Part 1: Pharmacology Review — Advanced
Concepts
• This section builds upon foundational knowledge with advanced clinical
application.
• Focus on drug interactions, adverse effect recognition, and clinical decision-
making.
• Pay special attention to High-Yield Exam Points.
2. Progress to Part 2: Practice Questions
• Complete questions in timed blocks of 25–35 questions.
• This volume includes more SATA and priority questions to challenge clinical
reasoning.
3. Work Through Part 3: NGN-Style Case Studies
• These cases are more complex than Volume 1, with multiple evolving conditions.
• Practice prioritizing hypotheses and taking action based on clinical data.
4. Use Part 4 & Part 5 for Self-Correction
• Check answers and review rationales thoroughly.
• Identify weak areas and revisit Part 1 content.
5. Review Part 6: High-Yield Exam Tips — Volume 2
• Use this section in the final days before your exam.
• Focus on antidotes, therapeutic ranges, and common drug interactions.