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.
Correct Answer: B. Hold the digoxin dose and report toxicity signs to the
provider immediately.
Expert Rationale:
Serum digoxin level above 2.0 ng/mL, along with symptoms of nausea,
blurred vision, and fatigue, indicate digoxin toxicity. The medication should
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.
Correct Answer: B. Hold the digoxin dose and report toxicity signs to the
provider immediately.
Expert Rationale:
Serum digoxin level above 2.0 ng/mL, along with symptoms of nausea,
blurred vision, and fatigue, indicate digoxin toxicity. The medication should
