HESI RN PHARMACOLOGY V2 EXAM 2026
COMPREHENSIVE EXAM FULL QUESTIONS
AND SOLVED SOLUTIONS GUARANTEED TO
PASS
◉ A client has a new prescription for brimonidine ophthalmic, one
drop three times a day. He tells the nurse he also wears soft contact
lenses and wants to know whether he can put the drops in his eyes
with the lenses in place. Which of the following should the nurse tell
this client?
A. "Go ahead and put the drops in your eye with the contact lens in
place."
B. "Take the contact lens out of your eye, then instill the eye drop,
and immediately reinsert the contact lens."
C. "Take the contact lens out of your eye, then instill the eye drop,
and wait at least 15 minutes before putting the contact lens back in
place."
D. "You will need to discontinue the use of contact lenses while using
brimonidine eye drops." Answer: ANS: C
The client can continue to wear his contacts. He should instill the
medication and wait at least 15 mins.
Contact lenses absorb brimonidine.
,◉ A nurse in the emergency unit is reviewing the medical record of a
client who is being evaluated for angle-closure glaucoma. Which of
the following findings are indicative of this condition?
A. Insidious onset of painless loss of vision
B. Gradual reduction in peripheral vision
C. Report of seeing halos around lights
D. An intraocular pressure (IOP) of 12 mm Hg. Answer: ANS: C
Halos around lights occurs in the presence of angle-closure
glaucoma.
Acute-angle glaucoma is painful and has a sudden onset. Gradual
loss of vision occurs in the presence of primary open-angle
glaucoma. An IOP of 12 mm Hg is within the expected reference
range. An elevated IOP is an expected finding in the presence of
angle-closure glaucoma.
◉ A nurse in a provider's office is instructing a parent how to
administer ear drops. Which of the following instructions should the
nurse include? (Select all that apply.)
A. "Place the child on his unaffected side when you are ready to
administer the medication."
B. "Warm the medication by gently rolling it between your hands for
a few minutes."
C. "Gently shake the medication that is in suspension form."
,D. "Keep the child on his side for 5 minutes after instillation of the
ear drops."
E. "Tightly pack the ear with cotton after instillation of ear drops."
Answer: ANS: A, B, C, D
Positioning on unaffected side allows access to affected ear and to
promote drainage by gravity. Administering cold medication can
cause dizziness. Gently shaking medication that is in suspension
form to evenly disperse medication.
◉ A nurse is caring for a client who received a bolus dose of
succinylcholine IV before an endoscopy procedure. During the
procedure, the client suddenly develops rigidity, and his body
temperature begins to rise. The nurse should anticipate a
prescription for which of the following medications?
A. A second dose of succinylcholine
B. Naloxone as an antagonist at receptor sites
C. Dantrolene to slow metabolic activity of muscles
D. Vecuronium as an adjunct to muscle relaxation Answer: ANS: C
Muscle rigidity and a sudden rise in temperature is an indication of
malignant hyperthermia. Dantrolene acts on skeletal muscles to
reduce metabolic activity.
Vercuronium is an intermediate-acting nondepolarizing
neuromuscular blocker, but it is not useful in treating malignant
hyperthermia.
, ◉ A nurse is caring for a client during surgery. The client has been
administered dantrolene to treat malignant hyperthermia, and the
administration of succinylcholine and other anesthetics has been
discontinued. Which of the following additional actions should the
nurse take? (Select all that apply.)
A. Place a cooling blanket on the client.
B. Administer oxygen at 100%
C. Administer iced 0.9% sodium chloride
D. Administer potassium chloride IV.
E. Monitor core body temperature. Answer: ANS: A, B, C, E
The nurse should apply a cooling blanket and apply ice to the axilla
and groin. the nurse should administer oxygen at 100% to treat
client's decreased oxygen saturation. The nurse should take action
to decrease the client's body temperature by administering iced IV
fluids.
◉ A nurse is teaching a client who has begun taking oral baclofen
three times daily to treat muscle spasms caused by a spinal cord
injury. Which of the following statements by the client indicates a
need for further teaching?
A. "I will stop taking this medication right away if I develop
dizziness."
B. "I know the doctor will gradually increase my dose of this
medication for a while."
COMPREHENSIVE EXAM FULL QUESTIONS
AND SOLVED SOLUTIONS GUARANTEED TO
PASS
◉ A client has a new prescription for brimonidine ophthalmic, one
drop three times a day. He tells the nurse he also wears soft contact
lenses and wants to know whether he can put the drops in his eyes
with the lenses in place. Which of the following should the nurse tell
this client?
A. "Go ahead and put the drops in your eye with the contact lens in
place."
B. "Take the contact lens out of your eye, then instill the eye drop,
and immediately reinsert the contact lens."
C. "Take the contact lens out of your eye, then instill the eye drop,
and wait at least 15 minutes before putting the contact lens back in
place."
D. "You will need to discontinue the use of contact lenses while using
brimonidine eye drops." Answer: ANS: C
The client can continue to wear his contacts. He should instill the
medication and wait at least 15 mins.
Contact lenses absorb brimonidine.
,◉ A nurse in the emergency unit is reviewing the medical record of a
client who is being evaluated for angle-closure glaucoma. Which of
the following findings are indicative of this condition?
A. Insidious onset of painless loss of vision
B. Gradual reduction in peripheral vision
C. Report of seeing halos around lights
D. An intraocular pressure (IOP) of 12 mm Hg. Answer: ANS: C
Halos around lights occurs in the presence of angle-closure
glaucoma.
Acute-angle glaucoma is painful and has a sudden onset. Gradual
loss of vision occurs in the presence of primary open-angle
glaucoma. An IOP of 12 mm Hg is within the expected reference
range. An elevated IOP is an expected finding in the presence of
angle-closure glaucoma.
◉ A nurse in a provider's office is instructing a parent how to
administer ear drops. Which of the following instructions should the
nurse include? (Select all that apply.)
A. "Place the child on his unaffected side when you are ready to
administer the medication."
B. "Warm the medication by gently rolling it between your hands for
a few minutes."
C. "Gently shake the medication that is in suspension form."
,D. "Keep the child on his side for 5 minutes after instillation of the
ear drops."
E. "Tightly pack the ear with cotton after instillation of ear drops."
Answer: ANS: A, B, C, D
Positioning on unaffected side allows access to affected ear and to
promote drainage by gravity. Administering cold medication can
cause dizziness. Gently shaking medication that is in suspension
form to evenly disperse medication.
◉ A nurse is caring for a client who received a bolus dose of
succinylcholine IV before an endoscopy procedure. During the
procedure, the client suddenly develops rigidity, and his body
temperature begins to rise. The nurse should anticipate a
prescription for which of the following medications?
A. A second dose of succinylcholine
B. Naloxone as an antagonist at receptor sites
C. Dantrolene to slow metabolic activity of muscles
D. Vecuronium as an adjunct to muscle relaxation Answer: ANS: C
Muscle rigidity and a sudden rise in temperature is an indication of
malignant hyperthermia. Dantrolene acts on skeletal muscles to
reduce metabolic activity.
Vercuronium is an intermediate-acting nondepolarizing
neuromuscular blocker, but it is not useful in treating malignant
hyperthermia.
, ◉ A nurse is caring for a client during surgery. The client has been
administered dantrolene to treat malignant hyperthermia, and the
administration of succinylcholine and other anesthetics has been
discontinued. Which of the following additional actions should the
nurse take? (Select all that apply.)
A. Place a cooling blanket on the client.
B. Administer oxygen at 100%
C. Administer iced 0.9% sodium chloride
D. Administer potassium chloride IV.
E. Monitor core body temperature. Answer: ANS: A, B, C, E
The nurse should apply a cooling blanket and apply ice to the axilla
and groin. the nurse should administer oxygen at 100% to treat
client's decreased oxygen saturation. The nurse should take action
to decrease the client's body temperature by administering iced IV
fluids.
◉ A nurse is teaching a client who has begun taking oral baclofen
three times daily to treat muscle spasms caused by a spinal cord
injury. Which of the following statements by the client indicates a
need for further teaching?
A. "I will stop taking this medication right away if I develop
dizziness."
B. "I know the doctor will gradually increase my dose of this
medication for a while."
