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HESI RN Pharmacology Exam Bundle V1–V5
,Table of Contents
HESI RN Pharmacology V1 ................................ 2
HESI RN pharmacology v2 ........................... 104
HESI RN Pharmacology V3......................... 236
HESI RN Pharmacology V4 ............................ 359
HESI RN Pharmacology V5........................... 459
HESI RN Pharmacology V1
1. A nurse is caring for a client who has been prescribed Digoxin for
heart failure. The nurse notes the client’s serum potassium is 3.0
mEq/L. Which action is most appropriate?
a. Administer the digoxin as scheduled
b. Withhold the digoxin and notify the healthcare provider
c. Encourage the client to increase oral potassium intake and give
the digoxin
d. Decrease the digoxin dose and administer as scheduled
Correct Answer: b. Withhold the digoxin and notify the healthcare
provider
Rationale: Hypokalemia (K 3.0 mEq/L) increases risk of digoxin
toxicity; the medication should be withheld and the provider
notified.
DIF: Application
, OBJ: Monitor medications with narrow therapeutic windows
TOP: Cardiovascular / Inotropes
2. A client is to receive Warfarin for anticoagulation therapy. Which
statement by the client indicates correct understanding?
a. “I will avoid eating leafy green vegetables.”
b. “I should use the same brand of warfarin each time.”
c. “I will stop taking aspirin if I feel fine.”
d. “I’ll take the warfarin only when I remember.”
Correct Answer: b. “I should use the same brand of warfarin each
time.”
Rationale: Using the same brand helps maintain consistent
bioavailability; sudden changes in diet (especially vitamin K) or
stopping aspirin without provider direction may be unsafe.
DIF: Comprehension
OBJ: Educate clients on anticoagulant therapy
TOP: Hematologic / Anticoagulants
3. A client newly prescribed Metformin for type 2 diabetes mellitus
asks the nurse about alcohol use. What is the nurse’s best
response?
a. “You may drink occasionally as long as you monitor your blood
glucose.”
b. “You should avoid excessive alcohol because it can increase risk
of lactic acidosis.”
c. “Alcohol doesn’t affect this medication significantly.”
d. “Take half the dose if you plan to have alcohol.”
, Correct Answer: b. “You should avoid excessive alcohol because it
can increase risk of lactic acidosis.”
Rationale: Metformin may increase risk of lactic acidosis,
especially with heavy alcohol intake; safe practice is to avoid or
minimize alcohol.
DIF: Analysis
OBJ: Identify high‐risk drug interactions
TOP: Endocrine / Antidiabetics
4. A nurse is preparing to administer Furosemide (a loop diuretic) to
a client with heart failure. What assessment is most important
before giving the dose?
a. Serum sodium level
b. Urine output in the previous hour
c. Blood pressure
d. Lung sounds
Correct Answer: c. Blood pressure
Rationale: Furosemide can cause hypotension due to fluid
removal and vasodilation; checking BP is essential prior to
administration.
DIF: Application
OBJ: Perform medication administration assessments
TOP: Cardiovascular / Diuretics
5. A client taking Lithium asks when the best time to take the dose is.
What is the nurse’s correct teaching?
a. Take the dose early in the morning with food.