PHARMACOLOGY HESI PN ACTUAL
EXAM WITH NGN FORMAT QUESTION
AND CORRECT ANSWERS LATEST
VERSION 2025-2026.
/A client with gastroesophageal reflux disease ( GERD ) is having symptoms of reflux
despite taking omeprazole ( Prilosec ) 20 mg daily . What action should the practical
nurse ( PN ) Implement ? - Answer-Notify the healthcare provider about the symptoms .
/.The practical nurse ( PN ) administers isoproterenol (Isupel ) to a client with heart
block . The PN should evaluate the client for which physiological response ? - Answer-
Increased heart rate .
/.A client who is comatose is admitted after an overdose of baclofen ( Lioresal ) . What
nursing action should the practical nurse ( PN ) implement ? - Answer-Monitor for signs
of respiratory arrest
/.A client with Attention - Deficit Hyperactivity Disorder ( ADHD ) is prescribed
amphetamine ( Adderall ) . Which side effect should the practical nurse ( PN) explain is
commonly experienced ? - Answer-Difficulty sleeping
/.The practical nurse ( PN ) discusses antihypertensive drug therapy with several clients
diagnosed with high blood pressure . To improve client understanding , the PN should
emphasize that which medication preserves renal function in a client with diabetes ? -
Answer-Captopril ( Capoten )
/.The practical nurse ( PN ) should recommend that oral contraceptives be avoided in
which group of women ? - Answer-Women who smoke
/.A female client with recurring headaches tells the practical nurse ( PN ) that she has
been taking at least 4 grams of acetaminophen a day . Which laboratory studies should
the PN review for this client ? - Answer-Hepatic enzymes
/.The healthcare provider prescribes cycloplegic and mydriatic ophthalmic drops for a
client who is having a cataract removal . What explanation about the drug actions
should the practical nurse ( PN ) provide the client ? - Answer-Dilates the pupil
/.The practical nurse ( PN ) observes a thick white - coating a client who takes
fluphenazine ( Prolixin ) . What instructions should the PN reinforce with the client about
this medication ? - Answer-Brush your teeth and tongue , floss , gargle , and notify the
healthcare provider .
, /.An older client who takes risperidone ( Risperdal ) , an antipsychotic , is complaining of
constipation . Which dietary changes should the practical nurse ( PN ) recommend ? -
Answer-Increase daily green vegetables and bran
/.A 35 - week gestation primigravida who takes lithium ( Eskalith ) tells the practical
nurse ( PN ) that she would like to breastfeed her infant . What information should the
PN provide to the client ? - Answer-The drug is excreted in breast milk so use formula to
feed the infant .
/.The practical nurse ( PN ) is unable to arouse a client who is receiving meperidine (
Demerol ) for postoperative pain . The client is stuporous , has constricted pupils , and a
respiratory rate of 8 breaths / minute . Which PRN prescription should the PN give the
client ? - Answer-Naloxone ( Narcan )
/.A client who returns from surgery for bowel resection complains of severe pain around
the incision . Which assessment is most important for the practical nurse ( PN ) to
obtain prior to the administration of morphine sulfate ? - Answer-Rate of respirations
/.A client receives a prescription for an oral opioid analgesic for post - operative pain .
Which adverse effect should the practical nurse ( PN ) monitor for In the client ? -
Answer-Constipation
/.The healthcare provider prescribes celecoxib ( Celebrex ) , a nonsteroidal
antiinflammatory drug ( NSAID ) , for a client with osteoarthritis . Which finding In the
client's history should the practical nurse ( PN ) report ? - Answer-Peptic - ulcer disease
/.The healthcare provider prescribes an antibiotic for a male adolescent with an upper
respiratory tract infection , who asks the practical nurse ( PN ) how long the prescribed
antibiotics should be taken . What information should the PN provide ? - Answer-
Continue the medication until all of the prescription is taken
/.The practical nurse asks a male client who came to the clinic with an upper respiratory
infection if he has any drug allergies . The client cannot remember if he does or if he
ever received penicillin . After administering the injection of penicillinthe, PN tells the
client to stay for 30 minutes of observation . Which finding should the PN identify that is
indicative of a reaction to the medication ? - Answer-Rash , itching , and hives
/.A client's tissue culture results indicate the wound is infected with methicillin - resistant
Staphylococcus aureus ( MRSA ) . What action should the practical nurse ( PN )
Implement first ? - Answer-Implement contact isolation precautions
/.A client who has been taking phenazopyridine ( Pyridium ) for symptoms of urethritis
and cystitis comes to the clinic because her urine is reddish- orange . Which question
should the practical nurse ask to determine if the medication has been effective ? -
Answer-Have you had any relief from urinary pain , burning , or urgency
EXAM WITH NGN FORMAT QUESTION
AND CORRECT ANSWERS LATEST
VERSION 2025-2026.
/A client with gastroesophageal reflux disease ( GERD ) is having symptoms of reflux
despite taking omeprazole ( Prilosec ) 20 mg daily . What action should the practical
nurse ( PN ) Implement ? - Answer-Notify the healthcare provider about the symptoms .
/.The practical nurse ( PN ) administers isoproterenol (Isupel ) to a client with heart
block . The PN should evaluate the client for which physiological response ? - Answer-
Increased heart rate .
/.A client who is comatose is admitted after an overdose of baclofen ( Lioresal ) . What
nursing action should the practical nurse ( PN ) implement ? - Answer-Monitor for signs
of respiratory arrest
/.A client with Attention - Deficit Hyperactivity Disorder ( ADHD ) is prescribed
amphetamine ( Adderall ) . Which side effect should the practical nurse ( PN) explain is
commonly experienced ? - Answer-Difficulty sleeping
/.The practical nurse ( PN ) discusses antihypertensive drug therapy with several clients
diagnosed with high blood pressure . To improve client understanding , the PN should
emphasize that which medication preserves renal function in a client with diabetes ? -
Answer-Captopril ( Capoten )
/.The practical nurse ( PN ) should recommend that oral contraceptives be avoided in
which group of women ? - Answer-Women who smoke
/.A female client with recurring headaches tells the practical nurse ( PN ) that she has
been taking at least 4 grams of acetaminophen a day . Which laboratory studies should
the PN review for this client ? - Answer-Hepatic enzymes
/.The healthcare provider prescribes cycloplegic and mydriatic ophthalmic drops for a
client who is having a cataract removal . What explanation about the drug actions
should the practical nurse ( PN ) provide the client ? - Answer-Dilates the pupil
/.The practical nurse ( PN ) observes a thick white - coating a client who takes
fluphenazine ( Prolixin ) . What instructions should the PN reinforce with the client about
this medication ? - Answer-Brush your teeth and tongue , floss , gargle , and notify the
healthcare provider .
, /.An older client who takes risperidone ( Risperdal ) , an antipsychotic , is complaining of
constipation . Which dietary changes should the practical nurse ( PN ) recommend ? -
Answer-Increase daily green vegetables and bran
/.A 35 - week gestation primigravida who takes lithium ( Eskalith ) tells the practical
nurse ( PN ) that she would like to breastfeed her infant . What information should the
PN provide to the client ? - Answer-The drug is excreted in breast milk so use formula to
feed the infant .
/.The practical nurse ( PN ) is unable to arouse a client who is receiving meperidine (
Demerol ) for postoperative pain . The client is stuporous , has constricted pupils , and a
respiratory rate of 8 breaths / minute . Which PRN prescription should the PN give the
client ? - Answer-Naloxone ( Narcan )
/.A client who returns from surgery for bowel resection complains of severe pain around
the incision . Which assessment is most important for the practical nurse ( PN ) to
obtain prior to the administration of morphine sulfate ? - Answer-Rate of respirations
/.A client receives a prescription for an oral opioid analgesic for post - operative pain .
Which adverse effect should the practical nurse ( PN ) monitor for In the client ? -
Answer-Constipation
/.The healthcare provider prescribes celecoxib ( Celebrex ) , a nonsteroidal
antiinflammatory drug ( NSAID ) , for a client with osteoarthritis . Which finding In the
client's history should the practical nurse ( PN ) report ? - Answer-Peptic - ulcer disease
/.The healthcare provider prescribes an antibiotic for a male adolescent with an upper
respiratory tract infection , who asks the practical nurse ( PN ) how long the prescribed
antibiotics should be taken . What information should the PN provide ? - Answer-
Continue the medication until all of the prescription is taken
/.The practical nurse asks a male client who came to the clinic with an upper respiratory
infection if he has any drug allergies . The client cannot remember if he does or if he
ever received penicillin . After administering the injection of penicillinthe, PN tells the
client to stay for 30 minutes of observation . Which finding should the PN identify that is
indicative of a reaction to the medication ? - Answer-Rash , itching , and hives
/.A client's tissue culture results indicate the wound is infected with methicillin - resistant
Staphylococcus aureus ( MRSA ) . What action should the practical nurse ( PN )
Implement first ? - Answer-Implement contact isolation precautions
/.A client who has been taking phenazopyridine ( Pyridium ) for symptoms of urethritis
and cystitis comes to the clinic because her urine is reddish- orange . Which question
should the practical nurse ask to determine if the medication has been effective ? -
Answer-Have you had any relief from urinary pain , burning , or urgency
