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 with multiple sclerosis reports having less fatigue and improved memory since
she began using the herbal supplement, ginkgo biloba. Which information is most important for the
nurse to include in the teaching plans for this client?
A. Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
B. nausea and diarrhea can occur when using this supplement
C. anxiety and headaches increased with use of ginkgo
D. ginkgo biloba use should be limited and not taken during pregnancy
Correct Answer: D. ginkgo biloba use should be limited and not taken during pregnancy
Expert Rationale:
, Providing safety information on the limitations of ginkgo biloba, especially regarding pregnancy, is essential
due to potential teratogenic effects and bleeding risks. While interactions with NSAIDs and aspirin are
important, the priority teaching addresses when use is contraindicated. Educating the client about adverse
effects should complement but not overshadow safety warnings.
Patient Scenario:
2: A patient is receiving digoxin therapy for chronic heart failure. The nurse notes the following vital
signs and laboratory results:
- Heart rate: 56 bpm
- Serum digoxin level: 2.8 ng/mL (therapeutic range 0.8–2.0 ng/mL)
- Serum potassium: 3.2 mEq/L (normal 3.5–5.0 mEq/L)
What is the nurse’s priority action?
A) Administer digoxin as ordered and observe the patient.
B) Hold the next dose of digoxin and notify the provider.
C) Administer potassium supplements and digoxin.
D) Prepare for immediate cardioversion.
Correct Answer: B) Hold the next dose of digoxin and notify the provider.
Expert Rationale:
The patient has signs of digoxin toxicity: bradycardia, elevated digoxin level, and hypokalemia (which
increases digoxin toxicity risk). The nurse should withhold digoxin, notify the provider, and monitor closely.
Immediate cardioversion is not indicated unless arrhythmias develop.
---
3. In explaining the benefits of the combination anti-infective drug TMP-SMZ (Bactrim) to a client
receiving the medication for a urinary tract infection, what rationale should the nurse provide?
A. Each drug could cause damage to the kidneys if taken separately
B. One drug reduces the risk of side effects caused by the drug
C. while one drug provide relief, the other fights the infection
D. the two drugs work together to reduce resistance of the bacterial infection of symptoms
Correct Answer: D. the two drugs work together to reduce resistance of the bacterial infection of
symptoms
Expert Rationale:
TMP-SMZ combines two antibiotics with different mechanisms of action to synergistically kill bacteria,
which decreases the chance of resistance development. The combined effect also broadens the
antimicrobial spectrum. Explaining synergy and resistance prevention helps client understanding of multi-
agent therapy advantages.
---
4. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff
neck. Which interventions should the nurse implement?
A. give PRN dose of diphenhydramine Benadryl
B. assess client other sensory hallucinations
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 with multiple sclerosis reports having less fatigue and improved memory since
she began using the herbal supplement, ginkgo biloba. Which information is most important for the
nurse to include in the teaching plans for this client?
A. Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
B. nausea and diarrhea can occur when using this supplement
C. anxiety and headaches increased with use of ginkgo
D. ginkgo biloba use should be limited and not taken during pregnancy
Correct Answer: D. ginkgo biloba use should be limited and not taken during pregnancy
Expert Rationale:
, Providing safety information on the limitations of ginkgo biloba, especially regarding pregnancy, is essential
due to potential teratogenic effects and bleeding risks. While interactions with NSAIDs and aspirin are
important, the priority teaching addresses when use is contraindicated. Educating the client about adverse
effects should complement but not overshadow safety warnings.
Patient Scenario:
2: A patient is receiving digoxin therapy for chronic heart failure. The nurse notes the following vital
signs and laboratory results:
- Heart rate: 56 bpm
- Serum digoxin level: 2.8 ng/mL (therapeutic range 0.8–2.0 ng/mL)
- Serum potassium: 3.2 mEq/L (normal 3.5–5.0 mEq/L)
What is the nurse’s priority action?
A) Administer digoxin as ordered and observe the patient.
B) Hold the next dose of digoxin and notify the provider.
C) Administer potassium supplements and digoxin.
D) Prepare for immediate cardioversion.
Correct Answer: B) Hold the next dose of digoxin and notify the provider.
Expert Rationale:
The patient has signs of digoxin toxicity: bradycardia, elevated digoxin level, and hypokalemia (which
increases digoxin toxicity risk). The nurse should withhold digoxin, notify the provider, and monitor closely.
Immediate cardioversion is not indicated unless arrhythmias develop.
---
3. In explaining the benefits of the combination anti-infective drug TMP-SMZ (Bactrim) to a client
receiving the medication for a urinary tract infection, what rationale should the nurse provide?
A. Each drug could cause damage to the kidneys if taken separately
B. One drug reduces the risk of side effects caused by the drug
C. while one drug provide relief, the other fights the infection
D. the two drugs work together to reduce resistance of the bacterial infection of symptoms
Correct Answer: D. the two drugs work together to reduce resistance of the bacterial infection of
symptoms
Expert Rationale:
TMP-SMZ combines two antibiotics with different mechanisms of action to synergistically kill bacteria,
which decreases the chance of resistance development. The combined effect also broadens the
antimicrobial spectrum. Explaining synergy and resistance prevention helps client understanding of multi-
agent therapy advantages.
---
4. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff
neck. Which interventions should the nurse implement?
A. give PRN dose of diphenhydramine Benadryl
B. assess client other sensory hallucinations
