1|Page
HESI PHARMACOLOGY CARDIOVASCULAR EXIT EXAM NEWEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
A client is taking enoxaparin (Lovenox) daily. Which client
statement requires additional monitoring?
a. "I take aspirin daily for headaches."
b. "I take ibuprofen (Motrin) at least once a week for joint pain."
c. "Whenever I have a fever, I take acetaminophen (Tylenol)."
d. "I take my medicine first thing in the morning." - ANSWER-a. "I
take aspirin daily for headaches."
A newly admitted client takes digoxin 0.25 mg/day. The nurse
knows that which is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - ANSWER-b. 0.5 to 2.0 ng/mL
,2|Page
The client's serum digoxin level is 3.0 ng/mL. What does the
nurse know about this serum digoxin level?
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range. - ANSWER-a. It is in the high
(elevated) range.
The nurse is assessing the client for possible evidence of digitalis
toxicity. The nurse acknowledges that which is included in the
signs and symptoms for digitalis toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate - ANSWER-d.
Pulse below 60 beats/min and irregular rate
,3|Page
The client is also taking a diuretic that decreases her potassium
level. The nurse expects that a low potassium level (hypokalemia)
could have what effect on the digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level -
ANSWER-a. Increase the serum digoxin sensitivity level
When a client first takes a nitrate, the nurse expects which
symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate - ANSWER-b. Headaches
, 4|Page
The nurse acknowledges that beta blockers are as effective as
antianginals because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility. -
ANSWER-c. Decrease heart rate and decrease myocardial
contractility.
The health care provider is planning to discontinue a client's beta
blocker. What instruction should the nurse give the client
regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another
cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose
should be tapered down.
c. The beta blocker dose should be maintained while taking
another antianginal drug.
HESI PHARMACOLOGY CARDIOVASCULAR EXIT EXAM NEWEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
A client is taking enoxaparin (Lovenox) daily. Which client
statement requires additional monitoring?
a. "I take aspirin daily for headaches."
b. "I take ibuprofen (Motrin) at least once a week for joint pain."
c. "Whenever I have a fever, I take acetaminophen (Tylenol)."
d. "I take my medicine first thing in the morning." - ANSWER-a. "I
take aspirin daily for headaches."
A newly admitted client takes digoxin 0.25 mg/day. The nurse
knows that which is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL - ANSWER-b. 0.5 to 2.0 ng/mL
,2|Page
The client's serum digoxin level is 3.0 ng/mL. What does the
nurse know about this serum digoxin level?
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range. - ANSWER-a. It is in the high
(elevated) range.
The nurse is assessing the client for possible evidence of digitalis
toxicity. The nurse acknowledges that which is included in the
signs and symptoms for digitalis toxicity?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate - ANSWER-d.
Pulse below 60 beats/min and irregular rate
,3|Page
The client is also taking a diuretic that decreases her potassium
level. The nurse expects that a low potassium level (hypokalemia)
could have what effect on the digoxin?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level -
ANSWER-a. Increase the serum digoxin sensitivity level
When a client first takes a nitrate, the nurse expects which
symptom that often occurs?
a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate - ANSWER-b. Headaches
, 4|Page
The nurse acknowledges that beta blockers are as effective as
antianginals because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility. -
ANSWER-c. Decrease heart rate and decrease myocardial
contractility.
The health care provider is planning to discontinue a client's beta
blocker. What instruction should the nurse give the client
regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another
cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose
should be tapered down.
c. The beta blocker dose should be maintained while taking
another antianginal drug.
