BSN 315 HESI
PHARMACOLOGY V1 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
,This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and Case
scenarios questions
Expert-Verified Explanations & Solutions
1. The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine
solution, for a client with hyperthyroidism. How should the nurse schedule the administration of
these medications?
Answer Choices:
A. Give parenteral dose once every 24 hours.
, B. Offer both drugs together with a meal.
C. Schedule both medications at bedtime.
D. Administer iodine one hour before PTU.
Correct Answer: B
Expert Rationale:
Both PTU and Lugol's iodine solution should be taken with meals to decrease gastrointestinal upset and
optimize absorption. There is no clinical advantage to staggering their administration by one hour.
2. A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
Answer Choices:
A. Depression screening.
B. Body mass index (BMI).
C. Daily calorie count.
D. Serum protein levels.
Correct Answer: B
Expert Rationale:
Orlistat works by inhibiting fat absorption, leading to weight loss. Monitoring BMI allows objective evaluation
of the drug’s effectiveness in weight management. Depression screening, calorie count, and serum protein
levels are supportive but not direct measures of orlistat effectiveness.
3. A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam.
Which statement provided by the client requires additional instruction by the nurse?
Answer Choices:
A. Use relaxation techniques to reduce excessive anxiety.
B. Move slowly from a sitting position to a standing position.
C. Avoid alcohol and other sedatives while taking the medication.
D. Stop taking the medication if intended effect is not immediate.
Correct Answer: D
Expert Rationale:
Lorazepam may take time to achieve full therapeutic effect; abrupt discontinuation or premature cessation
can cause withdrawal and symptom relapse. Clients must be advised to adhere to the prescribed regimen
and communicate concerns to the provider.
4. The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI).
Which laboratory finding indicates that the medication has been effective?
Reference Range:
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
Ammonia [10 to 80 µg/dL (6 to 47 µmol/L)]
Answer Choices:
PHARMACOLOGY V1 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
,This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and Case
scenarios questions
Expert-Verified Explanations & Solutions
1. The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine
solution, for a client with hyperthyroidism. How should the nurse schedule the administration of
these medications?
Answer Choices:
A. Give parenteral dose once every 24 hours.
, B. Offer both drugs together with a meal.
C. Schedule both medications at bedtime.
D. Administer iodine one hour before PTU.
Correct Answer: B
Expert Rationale:
Both PTU and Lugol's iodine solution should be taken with meals to decrease gastrointestinal upset and
optimize absorption. There is no clinical advantage to staggering their administration by one hour.
2. A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
Answer Choices:
A. Depression screening.
B. Body mass index (BMI).
C. Daily calorie count.
D. Serum protein levels.
Correct Answer: B
Expert Rationale:
Orlistat works by inhibiting fat absorption, leading to weight loss. Monitoring BMI allows objective evaluation
of the drug’s effectiveness in weight management. Depression screening, calorie count, and serum protein
levels are supportive but not direct measures of orlistat effectiveness.
3. A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam.
Which statement provided by the client requires additional instruction by the nurse?
Answer Choices:
A. Use relaxation techniques to reduce excessive anxiety.
B. Move slowly from a sitting position to a standing position.
C. Avoid alcohol and other sedatives while taking the medication.
D. Stop taking the medication if intended effect is not immediate.
Correct Answer: D
Expert Rationale:
Lorazepam may take time to achieve full therapeutic effect; abrupt discontinuation or premature cessation
can cause withdrawal and symptom relapse. Clients must be advised to adhere to the prescribed regimen
and communicate concerns to the provider.
4. The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI).
Which laboratory finding indicates that the medication has been effective?
Reference Range:
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
Ammonia [10 to 80 µg/dL (6 to 47 µmol/L)]
Answer Choices:
