HESI PHARMACOLOGY NIGHTINGALE
COLLEGE EXAM 2025/2026 BANK \
NCLEX NGN STYLE QUESTIONS WITH
WELL RESEARCHED 100% CORRECT
ANSWERS AND STUDY GUIDE |EXPERT
VERIFIED |LATEST UPDATE /A+ GRADE
ASSURED
A client is taking hydromorphone (Dilaudid) PO every 4
hours at home. Following surgery, Dilaudid IV every 4
hours PRN and butorphanol tartrate (Stadol) IV every 4
hours PRN are prescribed for pain. The client received a
dose of the Dilaudid IV four hours ago, and is again
requesting pain medication. Which intervention should
the nurse implement?
A. Alternate the two medications every 4 hours PRN for
pain.
B. Alternate the two medications every 2 hours PRN for
pain.
1
, Administer only the Dilaudid every 4 hours PRN for
pain.
D. Administer only the Stadol every 4 hours PRN for
pain. - ....ANSWER...C. Administer only the Dilaudid
every 4 hours PRN for pain.
Which change in data indicates to the nurse that the
desired effect of the angiotensin II receptor antagonist
valsartan has been achieved?
A. Dependent edema reduced from +3 to +1.
B. Serum HDL increased from 35 to 55 mg/dL.
C. Pulse rate reduced from 150 to 90 beats/minute.
D. Blood pressure reduced from 160/90 mmHg to 130/80
mmHg. - ....ANSWER...D. Blood pressure reduced from
160/90 mmHg to 130/80 mmHg.
A client with coronary artery disease who is taking digoxin
(Lanoxin) receives a new prescription for atorvastatin
(Lipitor). Two weeks after initiation of the Lipitor
prescription, the nurse assesses the client. Which finding
requires the most immediate intervention?
2
,A. Heartburn.
B. Headache.
C. Constipation.
D. - ....ANSWER...D. Vomiting.
The nitrate isosorbide dinitrate is prescribed for a client
with angina. Which instruction should the nurse include in
this client's discharge teaching plan?
A. Quit taking the medication if dizziness occurs.
Do not get up quickly. Always rise slowly.
C. Take the medication with food only.
D. Increase your intake of potassium-rich foods. -
....ANSWER...B. Do not get up quickly. Always rise
slowly.
The nurse is reviewing admission prescriptions for a client
with myxedema. The nurse should clarify with the
healthcare provider which prescription for the client?
3
, A. Liothyronine to replace iodine.
B. Furosemid for relief of fluid retention.
Pentobarbital sodium for sleep.
D. Nitroglycerin for angina pain. - ....ANSWER...C.
Pentobarbital sodium for sleep.
The nurse is providing care for a client prescribed
propranolol. Which symptoms should the nurse report to
the healthcare provider immediately?
A. Headache, hypertension, and blurred vision.
Wheezing, hypotension, and AV block.
C. Vomiting, dilated pupils, and papilledema.
D. Tinnitus, muscle weakness, and tachypnea. -
....ANSWER...B. Wheezing, hypotension, and AV block.
A client asks the nurse if glipizide (Glucotrol) is an oral
insulin. Which response should the nurse provide?
A. "Yes, it is an oral insulin and has the same actions and
properties as intermediate insulin."
B. "Yes, it is an oral insulin and is distributed,
4
COLLEGE EXAM 2025/2026 BANK \
NCLEX NGN STYLE QUESTIONS WITH
WELL RESEARCHED 100% CORRECT
ANSWERS AND STUDY GUIDE |EXPERT
VERIFIED |LATEST UPDATE /A+ GRADE
ASSURED
A client is taking hydromorphone (Dilaudid) PO every 4
hours at home. Following surgery, Dilaudid IV every 4
hours PRN and butorphanol tartrate (Stadol) IV every 4
hours PRN are prescribed for pain. The client received a
dose of the Dilaudid IV four hours ago, and is again
requesting pain medication. Which intervention should
the nurse implement?
A. Alternate the two medications every 4 hours PRN for
pain.
B. Alternate the two medications every 2 hours PRN for
pain.
1
, Administer only the Dilaudid every 4 hours PRN for
pain.
D. Administer only the Stadol every 4 hours PRN for
pain. - ....ANSWER...C. Administer only the Dilaudid
every 4 hours PRN for pain.
Which change in data indicates to the nurse that the
desired effect of the angiotensin II receptor antagonist
valsartan has been achieved?
A. Dependent edema reduced from +3 to +1.
B. Serum HDL increased from 35 to 55 mg/dL.
C. Pulse rate reduced from 150 to 90 beats/minute.
D. Blood pressure reduced from 160/90 mmHg to 130/80
mmHg. - ....ANSWER...D. Blood pressure reduced from
160/90 mmHg to 130/80 mmHg.
A client with coronary artery disease who is taking digoxin
(Lanoxin) receives a new prescription for atorvastatin
(Lipitor). Two weeks after initiation of the Lipitor
prescription, the nurse assesses the client. Which finding
requires the most immediate intervention?
2
,A. Heartburn.
B. Headache.
C. Constipation.
D. - ....ANSWER...D. Vomiting.
The nitrate isosorbide dinitrate is prescribed for a client
with angina. Which instruction should the nurse include in
this client's discharge teaching plan?
A. Quit taking the medication if dizziness occurs.
Do not get up quickly. Always rise slowly.
C. Take the medication with food only.
D. Increase your intake of potassium-rich foods. -
....ANSWER...B. Do not get up quickly. Always rise
slowly.
The nurse is reviewing admission prescriptions for a client
with myxedema. The nurse should clarify with the
healthcare provider which prescription for the client?
3
, A. Liothyronine to replace iodine.
B. Furosemid for relief of fluid retention.
Pentobarbital sodium for sleep.
D. Nitroglycerin for angina pain. - ....ANSWER...C.
Pentobarbital sodium for sleep.
The nurse is providing care for a client prescribed
propranolol. Which symptoms should the nurse report to
the healthcare provider immediately?
A. Headache, hypertension, and blurred vision.
Wheezing, hypotension, and AV block.
C. Vomiting, dilated pupils, and papilledema.
D. Tinnitus, muscle weakness, and tachypnea. -
....ANSWER...B. Wheezing, hypotension, and AV block.
A client asks the nurse if glipizide (Glucotrol) is an oral
insulin. Which response should the nurse provide?
A. "Yes, it is an oral insulin and has the same actions and
properties as intermediate insulin."
B. "Yes, it is an oral insulin and is distributed,
4
