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. A client with a history of anaphylactic reaction to penicillin receives a prescription for
cephalexin 500 mg by mouth twice daily. Which action should the nurse take?
Answer Choices:
a. Give with prescribed antihistamine
, b. Administer the medication as prescribed
c. Contact the healthcare provider
d. Monitor the client for a rash or hives
Correct Answer: c. Contact the healthcare provider
Expert Rationale:
Given the serious penicillin allergy, prior authorization with the provider is essential before administration
due to risk of anaphylaxis.
2. A client who uses transdermal contraceptive calls to the clinic because she forgot to apply a
new patch three days ago. Which instruction should you provide to the client?
Answer Choices:
a. Wait until the last day of your next menstrual period to apply the patch
b. Apply the new patch today and use a backup method for 7 days
c. If a pregnancy test is negative, apply the next patch immediately
d. Wait until Sunday to apply the new patch and use the same site
Correct Answer: b. Apply the new patch today and use a backup method for 7 days
Expert Rationale:
Missing a patch for three days exceeds the safe window; immediate application plus backup contraceptive
protects against pregnancy.
3. A client with chronic kidney disease (CKD) is receiving calcium acetate 867 mg by mouth. A
decrease in which blood value indicates to the nurse that the medication is having the desired
affect?
Answer Choices:
a. pH
b. Potassium
c. Calcium
d. Phosphate
Correct Answer: d. Phosphate
Expert Rationale:
Calcium acetate acts as a phosphate binder to reduce hyperphosphatemia; a decrease in serum
phosphate, not calcium or potassium, signals therapeutic effect. pH changes are unrelated.
4. Before administering a laxative to a bedfast client, it is most important for the nurse to perform
which assessment?
Answer Choices:
a. Observe the skin integrity of the client's rectal and sacral areas
b. Assess the client's strength in moving and turning in the bed
c. Evaluate the client's ability to recognize the urge to defecate
d. Determine the frequency and consistency of bowel movements
Correct Answer: d. Determine the frequency and consistency of bowel movements
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. A client with a history of anaphylactic reaction to penicillin receives a prescription for
cephalexin 500 mg by mouth twice daily. Which action should the nurse take?
Answer Choices:
a. Give with prescribed antihistamine
, b. Administer the medication as prescribed
c. Contact the healthcare provider
d. Monitor the client for a rash or hives
Correct Answer: c. Contact the healthcare provider
Expert Rationale:
Given the serious penicillin allergy, prior authorization with the provider is essential before administration
due to risk of anaphylaxis.
2. A client who uses transdermal contraceptive calls to the clinic because she forgot to apply a
new patch three days ago. Which instruction should you provide to the client?
Answer Choices:
a. Wait until the last day of your next menstrual period to apply the patch
b. Apply the new patch today and use a backup method for 7 days
c. If a pregnancy test is negative, apply the next patch immediately
d. Wait until Sunday to apply the new patch and use the same site
Correct Answer: b. Apply the new patch today and use a backup method for 7 days
Expert Rationale:
Missing a patch for three days exceeds the safe window; immediate application plus backup contraceptive
protects against pregnancy.
3. A client with chronic kidney disease (CKD) is receiving calcium acetate 867 mg by mouth. A
decrease in which blood value indicates to the nurse that the medication is having the desired
affect?
Answer Choices:
a. pH
b. Potassium
c. Calcium
d. Phosphate
Correct Answer: d. Phosphate
Expert Rationale:
Calcium acetate acts as a phosphate binder to reduce hyperphosphatemia; a decrease in serum
phosphate, not calcium or potassium, signals therapeutic effect. pH changes are unrelated.
4. Before administering a laxative to a bedfast client, it is most important for the nurse to perform
which assessment?
Answer Choices:
a. Observe the skin integrity of the client's rectal and sacral areas
b. Assess the client's strength in moving and turning in the bed
c. Evaluate the client's ability to recognize the urge to defecate
d. Determine the frequency and consistency of bowel movements
Correct Answer: d. Determine the frequency and consistency of bowel movements
