HESI RN PHARMACOLOGY
V3 EXAM (3 Set Exams)
(NGN style Qs & Case studies)
Actual Qs & Ans to Pass the Exam
This hesi test contains:
passing score Guarantee
Each Exam has 55 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation
NCLEX (NGN) and Case studies questions
Expert-Verified Explanations & Solutions
,Contents
HESI RN PHARMACOLOGY V3 EXAM ........................ 2
SET 1 .................................................................................... 2
HESI RN PHARMACOLOGY V3 EXAM ......................52
SET 2 ................................................................................. 52
HESI RN PHARMACOLOGY V3 EXAM ......................98
SET 3 ................................................................................. 98
HESI RN PHARMACOLOGY V3 EXAM
SET 1
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1) CASE STUDY (NGN-Style Question)
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Q1. A 54-year-old client with hypertension (HTN) and type 2 diabetes mellitus (T2DM)
is preparing to take the first dose of captopril. His daily medications include
spironolactone 25 mg/day, metformin 500 mg twice a day, and insulin glargine 25
units daily. The nurse outlines several instructions:
• Instruction 1: Increase the insulin glargine dose by 3 units on the morning of the first
dose.
• Instruction 2: Limit fluids for several days before the first dose.
• Instruction 3: Lie down if blood pressure drops quickly after the first dose.
• Instruction 4: Monitor blood pressure for several hours after the first dose.
• Instruction 5: Hold spironolactone for 3 days prior to the first dose.
Question: For each nursing instruction below, indicate if it is Indicated
(safe/appropriate) or Contraindicated (unsafe/inappropriate) for a client starting
captopril.
A. 1 and 2 are Indicated; 3, 4, 5 are Contraindicated
B. 1, 2, 5 are Contraindicated; 3, 4 are Indicated
C. 1, 4 are Indicated; 2, 3, 5 are Contraindicated
D. 3, 5 are Indicated; 1, 2, 4 are Contraindicated
, Answer: B (Instructions #1, #2, #5 = Contraindicated; Instructions #3, #4 = Indicated)
Expert-Verified Explanation:
• Instruction 1 (increasing insulin without proven need) is contraindicated.
• Instruction 2 (limiting fluids pre–first-dose ACE inhibitor) is contraindicated: risk of
dehydration and severe hypotension.
• Instruction 3 (lie down if BP drops) is indicated for safety after first-dose hypotension.
• Instruction 4 (monitor BP for several hours) is indicated to assess first-dose
hypotension.
• Instruction 5 (hold spironolactone for 3 days) is not routinely required unless
hyperkalemia is an active concern.
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2)
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Q2. A client with major depression is receiving a new prescription for duloxetine.
Which information is MOST important for the nurse to obtain?
A. Family history of mental illness
V3 EXAM (3 Set Exams)
(NGN style Qs & Case studies)
Actual Qs & Ans to Pass the Exam
This hesi test contains:
passing score Guarantee
Each Exam has 55 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation
NCLEX (NGN) and Case studies questions
Expert-Verified Explanations & Solutions
,Contents
HESI RN PHARMACOLOGY V3 EXAM ........................ 2
SET 1 .................................................................................... 2
HESI RN PHARMACOLOGY V3 EXAM ......................52
SET 2 ................................................................................. 52
HESI RN PHARMACOLOGY V3 EXAM ......................98
SET 3 ................................................................................. 98
HESI RN PHARMACOLOGY V3 EXAM
SET 1
──────────────────────────────────────────────────────
1) CASE STUDY (NGN-Style Question)
,───────────────────────────────────────────────────────
─
Q1. A 54-year-old client with hypertension (HTN) and type 2 diabetes mellitus (T2DM)
is preparing to take the first dose of captopril. His daily medications include
spironolactone 25 mg/day, metformin 500 mg twice a day, and insulin glargine 25
units daily. The nurse outlines several instructions:
• Instruction 1: Increase the insulin glargine dose by 3 units on the morning of the first
dose.
• Instruction 2: Limit fluids for several days before the first dose.
• Instruction 3: Lie down if blood pressure drops quickly after the first dose.
• Instruction 4: Monitor blood pressure for several hours after the first dose.
• Instruction 5: Hold spironolactone for 3 days prior to the first dose.
Question: For each nursing instruction below, indicate if it is Indicated
(safe/appropriate) or Contraindicated (unsafe/inappropriate) for a client starting
captopril.
A. 1 and 2 are Indicated; 3, 4, 5 are Contraindicated
B. 1, 2, 5 are Contraindicated; 3, 4 are Indicated
C. 1, 4 are Indicated; 2, 3, 5 are Contraindicated
D. 3, 5 are Indicated; 1, 2, 4 are Contraindicated
, Answer: B (Instructions #1, #2, #5 = Contraindicated; Instructions #3, #4 = Indicated)
Expert-Verified Explanation:
• Instruction 1 (increasing insulin without proven need) is contraindicated.
• Instruction 2 (limiting fluids pre–first-dose ACE inhibitor) is contraindicated: risk of
dehydration and severe hypotension.
• Instruction 3 (lie down if BP drops) is indicated for safety after first-dose hypotension.
• Instruction 4 (monitor BP for several hours) is indicated to assess first-dose
hypotension.
• Instruction 5 (hold spironolactone for 3 days) is not routinely required unless
hyperkalemia is an active concern.
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2)
───────────────────────────────────────────────────────
─
Q2. A client with major depression is receiving a new prescription for duloxetine.
Which information is MOST important for the nurse to obtain?
A. Family history of mental illness
