HESI PN PHARMACOLOGY NGN EXAM QUESTIONS
AND ANSWERS 2024 UPDATE
Question 1
Which outcome would the nurse expect a client to have who is receiving cyclobenzaprine
(Flexeril)?
A) Improved range of motion during physical therapy exercises
B) Worsening pain during physical therapy exercises
C) Increased muscle stiffness during physical therapy exercises
D) Complete inability to participate in physical therapy exercises
Correct Answer: A) Improved range of motion during physical therapy exercises
Question 2
Case 1
Samanta is a four-year-old girl who attends play school. She is very sociable and likes to play with
other children. Her friend Mary has had bilateral bacterial conjunctivitis for the past three days and
has been off school for the last two days. Today Samanta comes to school with purulent discharge
in both eyes. She also has a sore throat. When you assess Samanta, you note that her eyes are red
and sticky, and she feels rather febrile. At lunchtime Samanta’s temperature is 38.5 degrees
centigrade. Samanta’s mother has been advised to come and collect her daughter from school. She
is to take her to the GP that evening
I. Name some common pathogens that are responsible for causing infective conjunctivitis.
Bacterial pathogens
Viral pathogens
Other pathogens
II. What advice would you give her mother?
Seek Medical Attention
III. How is this condition treated?
Antibiotic Eye Drops or Ointment
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Question 3
A 78-year-old client with congestive heart failure is taking furosemide (Lasix) 40 mg PO twice
daily. The nurse plans to monitor this client for development of which complication? (Select all
that apply.)
A) Monitor the Client's Blood Pressure
B) Clear breath sounds bilaterally
C) Hypokalemia
D) Muscle cramps
E) Hypertension
F) Lethargy
G) Oliguria
Correct Answers: C) Hypokalemia, D) Muscle cramps, F) Lethargy, G) Oliguria
Question 4
The nurse is caring for a client who was newly prescribed NovoLog (Aspart) 7 units
subcutaneously prior to each meal. Which nursing intervention has the highest priority when
planning this client's care?
A) Administer NovoLog (Aspart) immediately after the meal.
B) Administer NovoLog (Aspart) 15 minutes prior to the meal.
C) Administer NovoLog (Aspart) only if the client is experiencing high blood sugar.
D) Administer NovoLog (Aspart) once a day at bedtime.
Correct Answer: B) Administer NovoLog (Aspart) 15 minutes prior to the meal.
Question 5
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A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which
observation by the practical nurse (PN) warrants immediate intervention?
A) Apical heart rate of 60 beats/min
B) Apical pulse rate of 50 beats/min
C) Apical heart rate of 59 beats/min
D) Apical heart rate of 300 beats/min
Correct Answer: B) Apical pulse rate of 50 beats/min
Question 6
A client receiving clonidine (Catapres) 0.1 mg/24 hour via transdermal patch. Which assessment
finding indicates that the desired effect of the medication is achieved?
A) Blood pressure change from 180/120 to 140/70 mm Hg
B) Increased heart rate from 60 to 100 beats per minute
C) Severe headache persisting despite medication
D) No change in blood pressure after medication administration
Correct Answer: A) Blood pressure change from 180/120 to 140/70 mm Hg
Question 7
A healthcare provider prescribes cefadroxil (Duricef) for a client with a postoperative infection. It
is most important for the practical nurse (PN) to consider that a cross allergy is possible with what
drug allergy?
A) Cephalosporins
B) Tetracyclines
C) Penicillins
D) Aminoglycosides
Correct Answer: C) Penicillins
Question 8
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