2024 HESI Pharmacology Nursing Exit
Exam – Version 1 (V1): Next-Gen
1. A nurse is administering a dose of warfarin to a
patient. The nurse notes that the patient’s
international normalized ratio (INR) is 6.0. What
should the nurse do?
A) Administer the warfarin dose as prescribed.
B) Hold the warfarin dose and notify the healthcare provider.
C) Reduce the warfarin dose by half.
D) Increase the warfarin dose to prevent clotting.
Answer: B) Hold the warfarin dose and notify the
healthcare provider.
2. A patient is prescribed an ACE inhibitor for
hypertension. Which of the following side effects
should the nurse monitor for?
A) Hypotension and dizziness
B) Hyperkalemia and dry cough
C) Bradycardia and fatigue
D) Weight loss and constipation
Answer: B) Hyperkalemia and dry cough
3. A nurse is caring for a patient who is taking a beta-
blocker. The patient’s heart rate is 50 beats per
minute. What is the nurse’s priority action?
A) Administer the medication as scheduled.
B) Hold the medication and notify the healthcare provider.
C) Increase the medication dose.
D) Ask the patient to take deep breaths and relax.
, 2024 HESI Pharmacology Nursing Exit
Exam – Version 1 (V1): Next-Gen
Answer: B) Hold the medication and notify the
healthcare provider.
4. The nurse is administering insulin to a diabetic
patient. Which of the following should be monitored
closely when the patient is receiving regular insulin?
A) Blood pressure
B) Serum potassium levels
C) Serum glucose levels
D) Respiratory rate
Answer: C) Serum glucose levels
5. A patient is receiving digoxin. Which of the
following findings would indicate potential digoxin
toxicity?
A) Increased appetite and weight gain
B) Nausea, vomiting, and visual disturbances
C) Dry mouth and constipation
D) Hyperkalemia and tachycardia
Answer: B) Nausea, vomiting, and visual disturbances
6. A nurse is preparing to administer an opioid
analgesic to a postoperative patient. What is the most
important assessment before administering the
medication?
A) Assessing the patient’s pain level
B) Checking the patient’s vital signs, especially respiratory
rate
Exam – Version 1 (V1): Next-Gen
1. A nurse is administering a dose of warfarin to a
patient. The nurse notes that the patient’s
international normalized ratio (INR) is 6.0. What
should the nurse do?
A) Administer the warfarin dose as prescribed.
B) Hold the warfarin dose and notify the healthcare provider.
C) Reduce the warfarin dose by half.
D) Increase the warfarin dose to prevent clotting.
Answer: B) Hold the warfarin dose and notify the
healthcare provider.
2. A patient is prescribed an ACE inhibitor for
hypertension. Which of the following side effects
should the nurse monitor for?
A) Hypotension and dizziness
B) Hyperkalemia and dry cough
C) Bradycardia and fatigue
D) Weight loss and constipation
Answer: B) Hyperkalemia and dry cough
3. A nurse is caring for a patient who is taking a beta-
blocker. The patient’s heart rate is 50 beats per
minute. What is the nurse’s priority action?
A) Administer the medication as scheduled.
B) Hold the medication and notify the healthcare provider.
C) Increase the medication dose.
D) Ask the patient to take deep breaths and relax.
, 2024 HESI Pharmacology Nursing Exit
Exam – Version 1 (V1): Next-Gen
Answer: B) Hold the medication and notify the
healthcare provider.
4. The nurse is administering insulin to a diabetic
patient. Which of the following should be monitored
closely when the patient is receiving regular insulin?
A) Blood pressure
B) Serum potassium levels
C) Serum glucose levels
D) Respiratory rate
Answer: C) Serum glucose levels
5. A patient is receiving digoxin. Which of the
following findings would indicate potential digoxin
toxicity?
A) Increased appetite and weight gain
B) Nausea, vomiting, and visual disturbances
C) Dry mouth and constipation
D) Hyperkalemia and tachycardia
Answer: B) Nausea, vomiting, and visual disturbances
6. A nurse is preparing to administer an opioid
analgesic to a postoperative patient. What is the most
important assessment before administering the
medication?
A) Assessing the patient’s pain level
B) Checking the patient’s vital signs, especially respiratory
rate
