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.
## Question 2:
Patient Scenario:
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
C. massage neck until muscles begin to relax
D. obtain a 12 lead EKG
Correct Answer: A. give PRN dose of diphenhydramine Benadryl
Expert Rationale:
Jaw tightness and stiff neck can indicate extrapyramidal side effects (EPS),
specifically acute dystonia, a common adverse effect of Haldol (haloperidol).
Diphenhydramine (Benadryl) is an anticholinergic effective in resolving acute
dystonic reactions. Massaging the neck is inappropriate and potentially
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.
## Question 2:
Patient Scenario:
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
C. massage neck until muscles begin to relax
D. obtain a 12 lead EKG
Correct Answer: A. give PRN dose of diphenhydramine Benadryl
Expert Rationale:
Jaw tightness and stiff neck can indicate extrapyramidal side effects (EPS),
specifically acute dystonia, a common adverse effect of Haldol (haloperidol).
Diphenhydramine (Benadryl) is an anticholinergic effective in resolving acute
dystonic reactions. Massaging the neck is inappropriate and potentially
