BSN 315 HESI
PHARMACOLOGY II 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 female client calls the clinic and talks with the nurse to inquire about a possible reaction after
taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and white discharge.
The nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until finished until the symptoms subside.
C) Consult with a healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
Correct Answer: C) Consult with a healthcare provider about another treatment for this effect.
, Expert Rationale: Vaginal candidiasis is a common superinfection associated with antibiotic use such as
amoxicillin. The client should be advised to complete the antibiotic as prescribed but contact the healthcare
provider for antifungal treatment to relieve symptoms. Discontinuing antibiotics prematurely can lead to
treatment failure, and OTC vaginal washes may irritate mucosa.
2. The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to Enalapril to manage the client's BP. Which instruction should
the nurse provide the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
D) Rise slowly when getting out of bed or chair
Correct Answer: D) Rise slowly when getting out of bed or chair
Expert Rationale: Enalapril, an ACE inhibitor, can cause orthostatic hypotension, especially during the
initial phase of therapy. Clients should be instructed to rise slowly from sitting or lying positions to prevent
dizziness and falls. Unlike beta-blockers like atenolol, pulse monitoring is less critical. Increased bruising is
not a common side effect of enalapril, and the timing of administration is flexible but often given in the
morning.
Patient 5:
Name: Ms. Garcia
Age: 45
Diagnosis: Peptic ulcer disease
Vital signs: BP 118/76 mmHg, HR 80 bpm
Current Meds: Omeprazole 20 mg daily
3 : Which nursing interventions apply when monitoring for side effects of Omeprazole? Select all
that apply.
A. Monitor for signs of Clostridium difficile infection
B. Assess for possible hypomagnesemia
C. Teach patient to avoid NSAIDs
D. Encourage high-fiber diet to prevent constipation
E. Monitor for signs of hyperkalemia
Correct Answers: A, B, C, D
Expert Rationale:
Long-term PPI use can increase risk of C. difficile infection and hypomagnesemia.
Avoid NSAIDs to prevent worsening ulcers.
Constipation may occur and a high-fiber diet helps.
PPIs are not associated with hyperkalemia.
4. The nurse is making early morning rounds on a group of clients when a client begins exhibiting
symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2
receptor agonist agent. Which client response should the nurse expect? [Select all that apply]
A) Tachycardia.
PHARMACOLOGY II 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 female client calls the clinic and talks with the nurse to inquire about a possible reaction after
taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and white discharge.
The nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until finished until the symptoms subside.
C) Consult with a healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
Correct Answer: C) Consult with a healthcare provider about another treatment for this effect.
, Expert Rationale: Vaginal candidiasis is a common superinfection associated with antibiotic use such as
amoxicillin. The client should be advised to complete the antibiotic as prescribed but contact the healthcare
provider for antifungal treatment to relieve symptoms. Discontinuing antibiotics prematurely can lead to
treatment failure, and OTC vaginal washes may irritate mucosa.
2. The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to Enalapril to manage the client's BP. Which instruction should
the nurse provide the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
D) Rise slowly when getting out of bed or chair
Correct Answer: D) Rise slowly when getting out of bed or chair
Expert Rationale: Enalapril, an ACE inhibitor, can cause orthostatic hypotension, especially during the
initial phase of therapy. Clients should be instructed to rise slowly from sitting or lying positions to prevent
dizziness and falls. Unlike beta-blockers like atenolol, pulse monitoring is less critical. Increased bruising is
not a common side effect of enalapril, and the timing of administration is flexible but often given in the
morning.
Patient 5:
Name: Ms. Garcia
Age: 45
Diagnosis: Peptic ulcer disease
Vital signs: BP 118/76 mmHg, HR 80 bpm
Current Meds: Omeprazole 20 mg daily
3 : Which nursing interventions apply when monitoring for side effects of Omeprazole? Select all
that apply.
A. Monitor for signs of Clostridium difficile infection
B. Assess for possible hypomagnesemia
C. Teach patient to avoid NSAIDs
D. Encourage high-fiber diet to prevent constipation
E. Monitor for signs of hyperkalemia
Correct Answers: A, B, C, D
Expert Rationale:
Long-term PPI use can increase risk of C. difficile infection and hypomagnesemia.
Avoid NSAIDs to prevent worsening ulcers.
Constipation may occur and a high-fiber diet helps.
PPIs are not associated with hyperkalemia.
4. The nurse is making early morning rounds on a group of clients when a client begins exhibiting
symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2
receptor agonist agent. Which client response should the nurse expect? [Select all that apply]
A) Tachycardia.
