BSN 315 HESI
PHARMACOLOGY V1 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 a history of anaphylactic reaction to penicillin receives a
prescription for cephalexin 500 mg by mouth twice daily. Which
action should the nurse take?
Answer Choices:
a. Give with prescribed antihistamine
b. Administer the medication as prescribed
c. Contact the healthcare provider
d. Monitor the client for a rash or hives
Correct Answer: c. Contact the healthcare provider
Expert Rationale:
Given the serious penicillin allergy, prior authorization with the provider is
essential before administration due to risk of anaphylaxis.
### 2.
A client who uses transdermal contraceptive calls to the clinic because
she forgot to apply a new patch three days ago. Which instruction
should you provide to the client?
Answer Choices:
a. Wait until the last day of your next menstrual period to apply the patch
b. Apply the new patch today and use a backup method for 7 days
c. If a pregnancy test is negative, apply the next patch immediately
,d. Wait until Sunday to apply the new patch and use the same site
Correct Answer: b. Apply the new patch today and use a backup method
for 7 days
Expert Rationale:
Missing a patch for three days exceeds the safe window; immediate
application plus backup contraceptive protects against pregnancy.
### 3.
A client with chronic kidney disease (CKD) is receiving calcium acetate
867 mg by mouth. A decrease in which blood value indicates to the
nurse that the medication is having the desired affect?
Answer Choices:
a. pH
b. Potassium
c. Calcium
d. Phosphate
Correct Answer: d. Phosphate
Expert Rationale:
Calcium acetate acts as a phosphate binder to reduce hyperphosphatemia;
a decrease in serum phosphate, not calcium or potassium, signals
therapeutic effect. pH changes are unrelated.
, ### 4.
Before administering a laxative to a bedfast client, it is most
important for the nurse to perform which assessment?
Answer Choices:
a. Observe the skin integrity of the client's rectal and sacral areas
b. Assess the client's strength in moving and turning in the bed
c. Evaluate the client's ability to recognize the urge to defecate
d. Determine the frequency and consistency of bowel movements
Correct Answer: d. Determine the frequency and consistency of bowel
movements
Expert Rationale:
Frequency and consistency directly guide laxative use. Other factors are
secondary to ensuring bowel motility needs management.
### 5.
A client has a prescription for clopidogrel bisulfate 75 mg by mouth
daily at 0900. In which situation should the nurse hold this
medication?
Answer Choices:
a. Elective surgery is scheduled in two hours
b. The client's platelet level is high
c. An abdominal sonogram is scheduled
PHARMACOLOGY V1 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 a history of anaphylactic reaction to penicillin receives a
prescription for cephalexin 500 mg by mouth twice daily. Which
action should the nurse take?
Answer Choices:
a. Give with prescribed antihistamine
b. Administer the medication as prescribed
c. Contact the healthcare provider
d. Monitor the client for a rash or hives
Correct Answer: c. Contact the healthcare provider
Expert Rationale:
Given the serious penicillin allergy, prior authorization with the provider is
essential before administration due to risk of anaphylaxis.
### 2.
A client who uses transdermal contraceptive calls to the clinic because
she forgot to apply a new patch three days ago. Which instruction
should you provide to the client?
Answer Choices:
a. Wait until the last day of your next menstrual period to apply the patch
b. Apply the new patch today and use a backup method for 7 days
c. If a pregnancy test is negative, apply the next patch immediately
,d. Wait until Sunday to apply the new patch and use the same site
Correct Answer: b. Apply the new patch today and use a backup method
for 7 days
Expert Rationale:
Missing a patch for three days exceeds the safe window; immediate
application plus backup contraceptive protects against pregnancy.
### 3.
A client with chronic kidney disease (CKD) is receiving calcium acetate
867 mg by mouth. A decrease in which blood value indicates to the
nurse that the medication is having the desired affect?
Answer Choices:
a. pH
b. Potassium
c. Calcium
d. Phosphate
Correct Answer: d. Phosphate
Expert Rationale:
Calcium acetate acts as a phosphate binder to reduce hyperphosphatemia;
a decrease in serum phosphate, not calcium or potassium, signals
therapeutic effect. pH changes are unrelated.
, ### 4.
Before administering a laxative to a bedfast client, it is most
important for the nurse to perform which assessment?
Answer Choices:
a. Observe the skin integrity of the client's rectal and sacral areas
b. Assess the client's strength in moving and turning in the bed
c. Evaluate the client's ability to recognize the urge to defecate
d. Determine the frequency and consistency of bowel movements
Correct Answer: d. Determine the frequency and consistency of bowel
movements
Expert Rationale:
Frequency and consistency directly guide laxative use. Other factors are
secondary to ensuring bowel motility needs management.
### 5.
A client has a prescription for clopidogrel bisulfate 75 mg by mouth
daily at 0900. In which situation should the nurse hold this
medication?
Answer Choices:
a. Elective surgery is scheduled in two hours
b. The client's platelet level is high
c. An abdominal sonogram is scheduled
