V1 EXAM (3 Full Set Exams)
NCLEX (NGN), & Case-based Scenarios
Actual Qs & Ans to Pass the Exam
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Each Exam has 55 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation
NCLEX (NGN) and Case studies questions
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Contents
HESI PHARMACOLOGY V1 EXAM............................................................. 2
SET 1 ............................................................................................................. 2
HESI PHARMACOLOGY V1 EXAM........................................................... 31
SET 2 ........................................................................................................... 31
HESI PHARMACOLOGY V1 EXAM........................................................... 57
SET 3 ........................................................................................................... 57
HESI 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
, Verified Rationale:
• 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)
Verified Rationale:
• 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%