RN HESI Pharmacology V3
Nursing Exam Comprehensive
Medication 2026/2027 | 100%
Verified Q&As with Detailed
Rationales| Guaranteed Pass
Graded A+
Question 1
A nurse is preparing to administer digoxin to a client with heart
failure. Which assessment finding should cause the nurse to
withhold the medication and notify the provider?
A. Blood pressure 128/78 mm Hg
B. Respiratory rate 18 breaths/min
C. Apical pulse 54 beats/min
D. Temperature 98.6°F (37°C)
Answer: C. Apical pulse 54 beats/min
Rationale: Digoxin can decrease heart rate. An apical pulse
below 60 beats/min in an adult may indicate increased risk for
digoxin toxicity and should be reported before administration.
,Question 2
A client taking warfarin asks the nurse which laboratory value is
most important to monitor. What is the best response?
A. Hemoglobin A1C
B. INR
C. Creatinine
D. Potassium
Answer: B. INR
Rationale: The International Normalized Ratio (INR) is used to
monitor the therapeutic effectiveness and safety of warfarin
therapy.
Question 3
Which instruction should the nurse include when teaching a
client about nitroglycerin sublingual tablets?
A. Swallow the tablet with water.
B. Take the tablet only at bedtime.
C. Place the tablet under the tongue at the onset of chest pain.
D. Chew the tablet before swallowing.
Answer: C. Place the tablet under the tongue at the onset of
chest pain.
Rationale: Sublingual nitroglycerin is designed for rapid
absorption through the mucous membranes under the tongue to
relieve angina quickly.
,Question 4
A client receiving insulin develops diaphoresis, tremors, and
confusion. Which action should the nurse take first?
A. Administer glucagon.
B. Check the client's blood glucose level.
C. Notify the healthcare provider.
D. Administer regular insulin.
Answer: B. Check the client's blood glucose level.
Rationale: These symptoms suggest hypoglycemia. Assessment
should be performed first to confirm the condition and guide
treatment.
Question 5
Which adverse effect should the nurse monitor for in a client
taking furosemide?
A. Hyperkalemia
B. Bradycardia
C. Hypokalemia
D. Hypercalcemia
Answer: C. Hypokalemia
Rationale: Furosemide is a loop diuretic that increases
potassium excretion, placing the client at risk for hypokalemia.
, Question 6
A client prescribed an ACE inhibitor should be instructed to
report which finding immediately?
A. Mild fatigue
B. Dry cough
C. Persistent facial swelling
D. Increased appetite
Answer: C. Persistent facial swelling
Rationale: Facial swelling may indicate angioedema, a
potentially life-threatening adverse effect associated with ACE
inhibitors.
Question 7
Which statement by a client taking tetracycline indicates a need
for further teaching?
A. "I will take this medication with a full glass of water."
B. "I will avoid excessive sun exposure."
C. "I will take this medication with milk."
D. "I will finish the entire prescription."
Answer: C. "I will take this medication with milk."
Rationale: Dairy products can reduce tetracycline absorption
and decrease the medication's effectiveness.
Nursing Exam Comprehensive
Medication 2026/2027 | 100%
Verified Q&As with Detailed
Rationales| Guaranteed Pass
Graded A+
Question 1
A nurse is preparing to administer digoxin to a client with heart
failure. Which assessment finding should cause the nurse to
withhold the medication and notify the provider?
A. Blood pressure 128/78 mm Hg
B. Respiratory rate 18 breaths/min
C. Apical pulse 54 beats/min
D. Temperature 98.6°F (37°C)
Answer: C. Apical pulse 54 beats/min
Rationale: Digoxin can decrease heart rate. An apical pulse
below 60 beats/min in an adult may indicate increased risk for
digoxin toxicity and should be reported before administration.
,Question 2
A client taking warfarin asks the nurse which laboratory value is
most important to monitor. What is the best response?
A. Hemoglobin A1C
B. INR
C. Creatinine
D. Potassium
Answer: B. INR
Rationale: The International Normalized Ratio (INR) is used to
monitor the therapeutic effectiveness and safety of warfarin
therapy.
Question 3
Which instruction should the nurse include when teaching a
client about nitroglycerin sublingual tablets?
A. Swallow the tablet with water.
B. Take the tablet only at bedtime.
C. Place the tablet under the tongue at the onset of chest pain.
D. Chew the tablet before swallowing.
Answer: C. Place the tablet under the tongue at the onset of
chest pain.
Rationale: Sublingual nitroglycerin is designed for rapid
absorption through the mucous membranes under the tongue to
relieve angina quickly.
,Question 4
A client receiving insulin develops diaphoresis, tremors, and
confusion. Which action should the nurse take first?
A. Administer glucagon.
B. Check the client's blood glucose level.
C. Notify the healthcare provider.
D. Administer regular insulin.
Answer: B. Check the client's blood glucose level.
Rationale: These symptoms suggest hypoglycemia. Assessment
should be performed first to confirm the condition and guide
treatment.
Question 5
Which adverse effect should the nurse monitor for in a client
taking furosemide?
A. Hyperkalemia
B. Bradycardia
C. Hypokalemia
D. Hypercalcemia
Answer: C. Hypokalemia
Rationale: Furosemide is a loop diuretic that increases
potassium excretion, placing the client at risk for hypokalemia.
, Question 6
A client prescribed an ACE inhibitor should be instructed to
report which finding immediately?
A. Mild fatigue
B. Dry cough
C. Persistent facial swelling
D. Increased appetite
Answer: C. Persistent facial swelling
Rationale: Facial swelling may indicate angioedema, a
potentially life-threatening adverse effect associated with ACE
inhibitors.
Question 7
Which statement by a client taking tetracycline indicates a need
for further teaching?
A. "I will take this medication with a full glass of water."
B. "I will avoid excessive sun exposure."
C. "I will take this medication with milk."
D. "I will finish the entire prescription."
Answer: C. "I will take this medication with milk."
Rationale: Dairy products can reduce tetracycline absorption
and decrease the medication's effectiveness.
