HESI + NGN PHARMACOLOGY PRACTICE EXAM —
VERSION 2 (100 QUESTIONS)
🟦 PART I — NGN-STYLE CASE STUDIES (25 QUESTIONS)
=============================
📘 CASE STUDY 1 — ACUTE MI + CARDIAC MEDS (5 QUESTIONS)
Patient: 67-year-old male admitted with STEMI.
Meds: IV nitroglycerin, metoprolol, aspirin, atorvastatin.
1. (Matrix: Match medication to primary therapeutic effect)
Nitroglycerin
Metoprolol
Aspirin
Atorvastatin
Effects:
↓ Myocardial oxygen demand
↓ Cholesterol
Vasodilation
Antiplatelet action
Answer:
,HESI + NGN PHARMACOLOGY PRACTICE EXAM —
VERSION 2 (100 QUESTIONS)
Nitroglycerin → Vasodilation
Metoprolol → ↓ myocardial O₂ demand
Aspirin → Antiplatelet action
Atorvastatin → ↓ cholesterol
Rationale: Each drug plays a different role in MI management.
2. (Multiple-response)
Which findings indicate nitroglycerin complication?
A. Severe headache
B. SBP 78 mmHg
C. Skin flushing
D. Chest pain improved
E. Unrelieved chest pain after 3 doses
Answer: B, E
Rationale: Hypotension + persistent chest pain = emergency.
3. (Cloze)
Before giving the next dose of metoprolol, the nurse must check the
patient’s _______.
,HESI + NGN PHARMACOLOGY PRACTICE EXAM —
VERSION 2 (100 QUESTIONS)
Answer: Heart rate
Rationale: Hold if HR < 60.
4.
Which combination increases bleeding risk?
A. Aspirin + ibuprofen
B. Atorvastatin + metoprolol
C. Nitroglycerin + vitamin D
D. Aspirin + lisinopril
Answer: A
5. (Priority)
Which new symptom requires immediate intervention?
A. Headache
B. Nausea
C. New S3 heart sound
, HESI + NGN PHARMACOLOGY PRACTICE EXAM —
VERSION 2 (100 QUESTIONS)
D. Flushed skin
Answer: C
Rationale: S3 = worsening HF after MI.
📘 CASE STUDY 2 — COPD EXACERBATION (5 QUESTIONS)
Patient: 74-year-old with COPD flare.
Meds: Albuterol nebulizer, IV methylprednisolone, tiotropium.
6. (Matrix: Expected vs Unexpected)
Findings:
HR 124
Blood glucose 256
White patches in mouth
Tremors
SpO₂ 92% on 2 L
Expected:
Unexpected:
Answer:
VERSION 2 (100 QUESTIONS)
🟦 PART I — NGN-STYLE CASE STUDIES (25 QUESTIONS)
=============================
📘 CASE STUDY 1 — ACUTE MI + CARDIAC MEDS (5 QUESTIONS)
Patient: 67-year-old male admitted with STEMI.
Meds: IV nitroglycerin, metoprolol, aspirin, atorvastatin.
1. (Matrix: Match medication to primary therapeutic effect)
Nitroglycerin
Metoprolol
Aspirin
Atorvastatin
Effects:
↓ Myocardial oxygen demand
↓ Cholesterol
Vasodilation
Antiplatelet action
Answer:
,HESI + NGN PHARMACOLOGY PRACTICE EXAM —
VERSION 2 (100 QUESTIONS)
Nitroglycerin → Vasodilation
Metoprolol → ↓ myocardial O₂ demand
Aspirin → Antiplatelet action
Atorvastatin → ↓ cholesterol
Rationale: Each drug plays a different role in MI management.
2. (Multiple-response)
Which findings indicate nitroglycerin complication?
A. Severe headache
B. SBP 78 mmHg
C. Skin flushing
D. Chest pain improved
E. Unrelieved chest pain after 3 doses
Answer: B, E
Rationale: Hypotension + persistent chest pain = emergency.
3. (Cloze)
Before giving the next dose of metoprolol, the nurse must check the
patient’s _______.
,HESI + NGN PHARMACOLOGY PRACTICE EXAM —
VERSION 2 (100 QUESTIONS)
Answer: Heart rate
Rationale: Hold if HR < 60.
4.
Which combination increases bleeding risk?
A. Aspirin + ibuprofen
B. Atorvastatin + metoprolol
C. Nitroglycerin + vitamin D
D. Aspirin + lisinopril
Answer: A
5. (Priority)
Which new symptom requires immediate intervention?
A. Headache
B. Nausea
C. New S3 heart sound
, HESI + NGN PHARMACOLOGY PRACTICE EXAM —
VERSION 2 (100 QUESTIONS)
D. Flushed skin
Answer: C
Rationale: S3 = worsening HF after MI.
📘 CASE STUDY 2 — COPD EXACERBATION (5 QUESTIONS)
Patient: 74-year-old with COPD flare.
Meds: Albuterol nebulizer, IV methylprednisolone, tiotropium.
6. (Matrix: Expected vs Unexpected)
Findings:
HR 124
Blood glucose 256
White patches in mouth
Tremors
SpO₂ 92% on 2 L
Expected:
Unexpected:
Answer:
