NIGHTINGALE BSN 315 PHARMACOLOGY II – HESI EXAM
3|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1–10
1. A patient on digoxin reports nausea, blurred vision, and yellow halos. Priority action?
A. Hold digoxin and notify provider
B. Give next dose
C. Increase dose
D. Give potassium
Answer: A
Rationale: Classic digoxin toxicity symptoms require immediate holding of medication.
2. Digoxin toxicity is most commonly caused by:
A. Hypokalemia
B. Hypernatremia
C. Hyperglycemia
D. Hypercalcemia
Answer: A
Rationale: Low potassium increases digoxin binding to the heart.
3. Antidote for digoxin toxicity is:
A. Digoxin immune Fab
B. Vitamin K
C. Naloxone
D. Protamine sulfate
Answer: A
Rationale: Binds and neutralizes digoxin.
4. ACE inhibitors commonly cause:
A. Dry cough
B. Hypoglycemia
C. Hair loss
,D. Infection
Answer: A
Rationale: Increased bradykinin causes cough.
5. ARBs are used when patient develops:
A. ACE cough
B. Fever
C. Rash
D. Infection
Answer: A
Rationale: ARBs avoid bradykinin buildup.
6. Beta blockers should not be stopped abruptly due to:
A. Rebound hypertension
B. Hypoglycemia
C. Infection
D. Rash
Answer: A
Rationale: Sudden sympathetic overactivity.
7. Calcium channel blockers commonly cause:
A. Peripheral edema
B. Hypoglycemia
C. Infection
D. Hair loss
Answer: A
Rationale: Vasodilation causes fluid leakage.
8. Nitroglycerin is used for:
A. Angina
B. Infection
C. Diabetes
D. Fever
, Answer: A
Rationale: Improves coronary blood flow.
9. Main side effect of nitroglycerin:
A. Headache
B. Rash
C. Infection
D. Hypoglycemia
Answer: A
Rationale: Cerebral vasodilation causes headache.
10. Statins require monitoring of:
A. Liver enzymes
B. INR
C. Platelets
D. Glucose
Answer: A
Rationale: Risk of hepatotoxicity.
11–20
11. Statin adverse effect includes:
A. Muscle pain
B. Rash
C. Infection
D. Fever
Answer: A
Rationale: Risk of rhabdomyolysis.
12. First-line drug for chest pain in MI:
A. Nitroglycerin
B. Insulin
C. Digoxin
D. Warfarin
3|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1–10
1. A patient on digoxin reports nausea, blurred vision, and yellow halos. Priority action?
A. Hold digoxin and notify provider
B. Give next dose
C. Increase dose
D. Give potassium
Answer: A
Rationale: Classic digoxin toxicity symptoms require immediate holding of medication.
2. Digoxin toxicity is most commonly caused by:
A. Hypokalemia
B. Hypernatremia
C. Hyperglycemia
D. Hypercalcemia
Answer: A
Rationale: Low potassium increases digoxin binding to the heart.
3. Antidote for digoxin toxicity is:
A. Digoxin immune Fab
B. Vitamin K
C. Naloxone
D. Protamine sulfate
Answer: A
Rationale: Binds and neutralizes digoxin.
4. ACE inhibitors commonly cause:
A. Dry cough
B. Hypoglycemia
C. Hair loss
,D. Infection
Answer: A
Rationale: Increased bradykinin causes cough.
5. ARBs are used when patient develops:
A. ACE cough
B. Fever
C. Rash
D. Infection
Answer: A
Rationale: ARBs avoid bradykinin buildup.
6. Beta blockers should not be stopped abruptly due to:
A. Rebound hypertension
B. Hypoglycemia
C. Infection
D. Rash
Answer: A
Rationale: Sudden sympathetic overactivity.
7. Calcium channel blockers commonly cause:
A. Peripheral edema
B. Hypoglycemia
C. Infection
D. Hair loss
Answer: A
Rationale: Vasodilation causes fluid leakage.
8. Nitroglycerin is used for:
A. Angina
B. Infection
C. Diabetes
D. Fever
, Answer: A
Rationale: Improves coronary blood flow.
9. Main side effect of nitroglycerin:
A. Headache
B. Rash
C. Infection
D. Hypoglycemia
Answer: A
Rationale: Cerebral vasodilation causes headache.
10. Statins require monitoring of:
A. Liver enzymes
B. INR
C. Platelets
D. Glucose
Answer: A
Rationale: Risk of hepatotoxicity.
11–20
11. Statin adverse effect includes:
A. Muscle pain
B. Rash
C. Infection
D. Fever
Answer: A
Rationale: Risk of rhabdomyolysis.
12. First-line drug for chest pain in MI:
A. Nitroglycerin
B. Insulin
C. Digoxin
D. Warfarin
