NIGHTINGALE COLLEGE
BSN 315 HESI Pharmacology II Exam 2025-2026
, BSN 315 HESI Pharmacology II Exam –2025–2026 | Verified Exam
Review with Actual Questions and Answers
1. A nurse is administering furosemide (Lasix) to a client with
congestive heart failure. Which assessment finding is most
important to check before giving the dose?
A. Blood glucose
B. Serum potassium
C. Respiratory rate
D. Liver enzymes
Answer: B. Serum potassium
Rationale: Furosemide is a loop diuretic that can cause significant
hypokalemia; monitor K+ before and during therapy.
2. A client receiving warfarin is admitted with a major bleed. Which
medication will the nurse expect to be ordered immediately?
A. Vitamin B12
B. Protamine sulfate
C. Vitamin K (phytonadione)
D. Fresh frozen plasma (FFP) only
Answer: C. Vitamin K (phytonadione)
Rationale: Vitamin K reverses warfarin’s effects. In major bleeding, IV
vitamin K plus FFP or prothrombin complex concentrate may be used.
3. A patient on insulin glargine (Lantus) asks why they take it at
night. The nurse explains:
A. “It’s rapid-acting and controls after meals.”
B. “It’s long-acting and provides basal insulin for 24 hours.”
C. “It prevents hypoglycemia overnight only.”
D. “It only works if taken on an empty stomach.”
Answer: B. “It’s long-acting and provides basal insulin for 24
hours.”
Rationale: Insulin glargine is long-acting (basal) insulin, typically given once
daily to provide steady insulin levels.
4. Which medication is most appropriate for immediate reversal of
heparin anticoagulation in a patient with active bleeding?
A. Vitamin K
B. Protamine sulfate
C. Idarucizumab
D. Tranexamic acid
Answer: B. Protamine sulfate
BSN 315 HESI Pharmacology II Exam 2025-2026
, BSN 315 HESI Pharmacology II Exam –2025–2026 | Verified Exam
Review with Actual Questions and Answers
1. A nurse is administering furosemide (Lasix) to a client with
congestive heart failure. Which assessment finding is most
important to check before giving the dose?
A. Blood glucose
B. Serum potassium
C. Respiratory rate
D. Liver enzymes
Answer: B. Serum potassium
Rationale: Furosemide is a loop diuretic that can cause significant
hypokalemia; monitor K+ before and during therapy.
2. A client receiving warfarin is admitted with a major bleed. Which
medication will the nurse expect to be ordered immediately?
A. Vitamin B12
B. Protamine sulfate
C. Vitamin K (phytonadione)
D. Fresh frozen plasma (FFP) only
Answer: C. Vitamin K (phytonadione)
Rationale: Vitamin K reverses warfarin’s effects. In major bleeding, IV
vitamin K plus FFP or prothrombin complex concentrate may be used.
3. A patient on insulin glargine (Lantus) asks why they take it at
night. The nurse explains:
A. “It’s rapid-acting and controls after meals.”
B. “It’s long-acting and provides basal insulin for 24 hours.”
C. “It prevents hypoglycemia overnight only.”
D. “It only works if taken on an empty stomach.”
Answer: B. “It’s long-acting and provides basal insulin for 24
hours.”
Rationale: Insulin glargine is long-acting (basal) insulin, typically given once
daily to provide steady insulin levels.
4. Which medication is most appropriate for immediate reversal of
heparin anticoagulation in a patient with active bleeding?
A. Vitamin K
B. Protamine sulfate
C. Idarucizumab
D. Tranexamic acid
Answer: B. Protamine sulfate
