V3 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 V3 EXAM........................ 2
SET 1 ....................................................................... 2
HESI PHARMACOLOGY V3 EXAM...................... 44
SET 2 ..................................................................... 44
HESI PHARMACOLOGY V3 EXAM...................... 82
SET 3 ..................................................................... 82
HESI PHARMACOLOGY V3 EXAM
SET 1
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1) CASE STUDY (NGN-Style Question)
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Q1. A 54-year-old client with hypertension (HTN) and type 2 diabetes
mellitus (T2DM) is preparing to take the first dose of captopril. His
daily medications include spironolactone 25 mg/day, metformin 500
, mg twice a day, and insulin glargine 25 units daily. The nurse outlines
several instructions:
• Instruction 1: Increase the insulin glargine dose by 3 units on the morning
of the first dose.
• Instruction 2: Limit fluids for several days before the first dose.
• Instruction 3: Lie down if blood pressure drops quickly after the first dose.
• Instruction 4: Monitor blood pressure for several hours after the first dose.
• Instruction 5: Hold spironolactone for 3 days prior to the first dose.
Question: For each nursing instruction below, indicate if it is
Indicated (safe/appropriate) or Contraindicated (unsafe/inappropriate)
for a client starting captopril.
A. 1 and 2 are Indicated; 3, 4, 5 are Contraindicated
B. 1, 2, 5 are Contraindicated; 3, 4 are Indicated
C. 1, 4 are Indicated; 2, 3, 5 are Contraindicated
D. 3, 5 are Indicated; 1, 2, 4 are Contraindicated
Answer: B (Instructions #1, #2, #5 = Contraindicated; Instructions #3, #4 =
Indicated)
Verified Rationale:
• Instruction 1 (increasing insulin without proven need) is contraindicated.
• Instruction 2 (limiting fluids pre–first-dose ACE inhibitor) is
contraindicated: risk of dehydration and severe hypotension.