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 client with peptic ulcer disease receives a new
prescription for cimetidine. Which statement provided by
the client requires additional instruction by the nurse?
A. Notify the healthcare provider of lethargy.
B. Monitor for any signs of sexual dysfunction.
C. Decrease cigarette use to a pack per day.
D. Take the medication an hour after antacids.
Correct Answer: A
Expert Rationale:
Lethargy is not a common or expected side effect of cimetidine
and warrants further evaluation for possible CNS reactions or
other causes, demanding patient education. Sexual dysfunction
can occur due to cimetidine’s antiandrogen effects and should be
monitored. Smoking aggravates ulcer disease and decreasing use
is recommended. Antacids interfere with cimetidine absorption, so
spacing administration by one hour is appropriate.
2.
A client with a history of chronic obstructive pulmonary
disease (COPD) receives a new prescription for an
ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
A. Primes the inhaler with 7 pumps.
B. Attaches the spacer device to the inhaler.
,C. Rinses the mouth after each use.
D. Stores the medication at room temperature.
Correct Answer: A
Expert Rationale:
Ipratropium inhalers typically require only 2 to 3 initial test sprays
to prime the device—not 7. Overpriming can lead to unnecessary
medication loss and confusion around dosing. Using a spacer is
appropriate to improve drug delivery in COPD, and rinsing the
mouth helps reduce dry mouth or irritation. Storing at room
temperature is standard for preservative-containing inhalers.
Therefore, priming with 7 pumps indicates misunderstanding
requiring further teaching.
---
3.
A client with heart failure (HF) develops
hyperaldosteronism and spironolactone is prescribed.
Which instruction should the nurse include in this client's
plan of care?
A. Cover your skin before going outside.
B. Limit intake of high-potassium foods.
C. Replace salt with a salt substitute.
D. Monitor skin for excessive bruising.
Correct Answer: B
, Expert Rationale:
Spironolactone is a potassium-sparing diuretic, increasing the risk
of hyperkalemia. Patients should avoid excess potassium intake to
prevent potentially fatal cardiac dysrhythmias. Salt substitutes
often contain potassium chloride and should be avoided. Skin
protection and bruising monitoring are unrelated direct concerns
for spironolactone therapy in this context.
---
### Question 4:
Patient Scenario:
A 72-year-old patient with atrial fibrillation is prescribed
digoxin. The latest blood work shows a digoxin level of 2.5
ng/mL (therapeutic range: 0.8–2.0 ng/mL). The patient
reports nausea, blurred vision, and fatigue.
Nurse Note: What is the nurse’s best response?
Options:
A. Administer the digoxin as ordered and monitor vitals closely.
B. Hold the digoxin dose and report toxicity signs to the provider
immediately.
C. Encourage patient to take digoxin with food to reduce GI upset.
D. Check potassium levels and remind patient to avoid potassium-
rich foods.
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 client with peptic ulcer disease receives a new
prescription for cimetidine. Which statement provided by
the client requires additional instruction by the nurse?
A. Notify the healthcare provider of lethargy.
B. Monitor for any signs of sexual dysfunction.
C. Decrease cigarette use to a pack per day.
D. Take the medication an hour after antacids.
Correct Answer: A
Expert Rationale:
Lethargy is not a common or expected side effect of cimetidine
and warrants further evaluation for possible CNS reactions or
other causes, demanding patient education. Sexual dysfunction
can occur due to cimetidine’s antiandrogen effects and should be
monitored. Smoking aggravates ulcer disease and decreasing use
is recommended. Antacids interfere with cimetidine absorption, so
spacing administration by one hour is appropriate.
2.
A client with a history of chronic obstructive pulmonary
disease (COPD) receives a new prescription for an
ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
A. Primes the inhaler with 7 pumps.
B. Attaches the spacer device to the inhaler.
,C. Rinses the mouth after each use.
D. Stores the medication at room temperature.
Correct Answer: A
Expert Rationale:
Ipratropium inhalers typically require only 2 to 3 initial test sprays
to prime the device—not 7. Overpriming can lead to unnecessary
medication loss and confusion around dosing. Using a spacer is
appropriate to improve drug delivery in COPD, and rinsing the
mouth helps reduce dry mouth or irritation. Storing at room
temperature is standard for preservative-containing inhalers.
Therefore, priming with 7 pumps indicates misunderstanding
requiring further teaching.
---
3.
A client with heart failure (HF) develops
hyperaldosteronism and spironolactone is prescribed.
Which instruction should the nurse include in this client's
plan of care?
A. Cover your skin before going outside.
B. Limit intake of high-potassium foods.
C. Replace salt with a salt substitute.
D. Monitor skin for excessive bruising.
Correct Answer: B
, Expert Rationale:
Spironolactone is a potassium-sparing diuretic, increasing the risk
of hyperkalemia. Patients should avoid excess potassium intake to
prevent potentially fatal cardiac dysrhythmias. Salt substitutes
often contain potassium chloride and should be avoided. Skin
protection and bruising monitoring are unrelated direct concerns
for spironolactone therapy in this context.
---
### Question 4:
Patient Scenario:
A 72-year-old patient with atrial fibrillation is prescribed
digoxin. The latest blood work shows a digoxin level of 2.5
ng/mL (therapeutic range: 0.8–2.0 ng/mL). The patient
reports nausea, blurred vision, and fatigue.
Nurse Note: What is the nurse’s best response?
Options:
A. Administer the digoxin as ordered and monitor vitals closely.
B. Hold the digoxin dose and report toxicity signs to the provider
immediately.
C. Encourage patient to take digoxin with food to reduce GI upset.
D. Check potassium levels and remind patient to avoid potassium-
rich foods.
