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NGN HESI RN Pharmacology Real Exams (4 Versions) | 2025/2026 Latest | 370 Questions Real Exam-Based Questions and Verified Answers | 100% Accuracy | Paramedic Program Admission Prep | Graded A+ Introduction This expertly compiled exam set includes370 verifiedmultiple-choice questions and correct answersfrom theNGN HESI RN PharmacologyExams – 4 Full Versions, Latest 2025/2026 Cycle. Each question includes afullyelaborated rationalefor maximum learning and review efficiency. Topics cover drug classifications, safe medication administration, adverse effects, dosage calculations, and evidence-based pharmacological practice—fully aligned with the Next Generation NCLEX (NGN) and HESI RN Pharmacology blueprint. Answer Format All correct answers are clearly marked inbold andgreenfor efficient review and confident preparation. NGN HESI RN Pharmacology Exam | 2025/2026 Verified Q&A | Graded A+ | Launch Your Paramedic Career with Confidence Question 1 A patient is prescribed furosemide for heart failure.What should the nurse monitor? A) Blood glucose B)Electrolytes C) Liver enzymes D) White blood cell count Rationale: Furosemide, a loop diuretic, can causeelectrolyte imbalances (e.g., hypokalemia), requiring monitoring of potassium, sodium, and magnesium levels. Question 2 A patient receives morphine for pain. What is a prioritynursing intervention? A) Administer with food B)Monitor respiratory rate C) Check blood pressure D) Assess urine output 1 / 4
Rationale: Morphine, an opioid, can cause respiratory depression, making it a priority to monitor respiratory rate. Question 3 A patient is on warfarin. What food should the nurseadvise to avoid in excess? A) Bananas B)Leafy greens C) Apples D) Carrots Rationale: Leafy greens are high in vitamin K, whichcan reduce warfarin's effectiveness by counteracting its anticoagulant effects. Question 4 A patient is prescribed metformin for diabetes. Whatis a common side effect? A) Hypertension B)Gastrointestinal upset C) Bradycardia D) Insomnia Rationale: Metformin often causes gastrointestinalside effects like nausea, diarrhea, and abdominal discomfort. Question 5 A nurse administers penicillin to a patient. Whatshould be assessed first? A) Blood pressure B)Allergy history C) Heart rate D) Temperature Rationale: Assessing for penicillin allergy is criticalto prevent anaphylaxis, a potentially life-threatening reaction. Question 6 A patient on lithium for bipolar disorder reportsthirst. What should the nurse monitor? A) Blood glucose B)Lithium levels C) Liver function D) Hemoglobin Rationale: Thirst and polyuria can indicate lithiumtoxicity, necessitating monitoring of serum lithium levels. Question 7 A patient receives levothyroxine for hypothyroidism.What is a key teaching point? A) Take with meals B)Take on an empty stomach C) Avoid fluids D) Take at bedtime Rationale: Levothyroxine absorption is best on anempty stomach, typically 30-60 minutes before breakfast. 2 / 4
Question 8 A patient is prescribed albuterol for asthma. Whatshould the nurse watch for? A) Bradycardia B)Tachycardia C) Hypotension D) Hypoglycemia Rationale: Albuterol, a beta-2 agonist, can causetachycardia as a common side effect. Question 9 A patient on atorvastatin reports muscle pain. Whatshould the nurse do? A) Increase the dose B)Check CPK levels C) Administer acetaminophen D) Encourage exercise Rationale: Muscle pain may indicate rhabdomyolysis;checking creatine phosphokinase (CPK) levels is essential. Question 10 A patient receives heparin for DVT. What lab valueshould be monitored?
A) PT
B)aPTT
C) INR
D) Platelet count Rationale: Heparin's effect is monitored via activatedpartial thromboplastin time (aPTT) to ensure therapeutic anticoagulation. Question 11 A patient is on prednisone for rheumatoid arthritis.What is a concern? A) Hypoglycemia B)Osteoporosis C) Bradycardia D) Hypokalemia Rationale: Long-term corticosteroid use, like prednisone,increases the risk of osteoporosis due to bone density loss. Question 12 A nurse administers insulin to a diabetic patient.What should be assessed? A) Blood pressure B)Blood glucose C) Heart rate D) Respiratory rate Rationale: Monitoring blood glucose is critical toprevent hypoglycemia after insulin administration. Question 13 A patient on amiodarone for arrhythmias reports yellowingskin. What to do? A) Increase dose 3 / 4
B)Check liver function C) Administer fluids D) Monitor heart rate Rationale: Yellowing skin may indicate hepatotoxicity,requiring liver function tests. Question 14 A patient is prescribed enalapril for hypertension.What side effect to watch for? A) Bradycardia B)Dry cough C) Hyperglycemia D) Constipation Rationale: Enalapril, an ACE inhibitor, commonlycauses a dry, persistent cough due to bradykinin accumulation. Question 15 A patient receives vancomycin. What is a prioritynursing action? A) Monitor urine output B)Monitor for red man syndrome C) Check blood glucose D) Assess hearing Rationale: Red man syndrome, a hypersensitivity reaction,can occur with rapid vancomycin infusion. Question 16 A patient on clopidogrel after a stent reports bruising.What to assess? A) Blood pressure B)Platelet function C) Liver enzymes D) Hemoglobin Rationale: Clopidogrel, an antiplatelet drug, cancause bleeding tendencies, requiring platelet function assessment. Question 17 A patient is prescribed sertraline for depression.What to monitor? A) Blood pressure B)Suicidal ideation C) Heart rate D) Urine output Rationale: SSRIs like sertraline increase suicidalideation risk, especially in the initial treatment phase. Question 18 A nurse administers nitroglycerin for chest pain.What to teach? A) Sit or lie down B)Sit or lie down C) Stand upright D) Increase activity
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