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 calls the clinic and talks with the nurse to inquire
about a possible reaction after taking amoxicillin for 5 days. She
reports having vaginal discomfort, itching, and white discharge. The
nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until finished until the symptoms subside.
C) Consult with a healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
Correct Answer: C) Consult with a healthcare provider about another
treatment for this effect.
Expert Rationale: Vaginal candidiasis is a common superinfection
associated with antibiotic use such as amoxicillin. The client should be
advised to complete the antibiotic as prescribed but contact the healthcare
provider for antifungal treatment to relieve symptoms. Discontinuing
antibiotics prematurely can lead to treatment failure, and OTC vaginal
washes may irritate mucosa.
---
2. The nurse is caring for a client who has taken atenolol for 2 years.
The healthcare provider recently changed the medication to Enalapril
to manage the client's BP. Which instruction should the nurse provide
the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
,D) Rise slowly when getting out of bed or chair
Correct Answer: D) Rise slowly when getting out of bed or chair
Expert Rationale: Enalapril, an ACE inhibitor, can cause orthostatic
hypotension, especially during the initial phase of therapy. Clients should be
instructed to rise slowly from sitting or lying positions to prevent dizziness
and falls. Unlike beta-blockers like atenolol, pulse monitoring is less critical.
Increased bruising is not a common side effect of enalapril, and the timing of
administration is flexible but often given in the morning.
Patient 5:
Name: Ms. Garcia
Age: 45
Diagnosis: Peptic ulcer disease
Vital signs: BP 118/76 mmHg, HR 80 bpm
Current Meds: Omeprazole 20 mg daily
Question 3 (Multiple Response):
Which nursing interventions apply when monitoring for side effects of
Omeprazole? Select all that apply.
A. Monitor for signs of Clostridium difficile infection
B. Assess for possible hypomagnesemia
C. Teach patient to avoid NSAIDs
D. Encourage high-fiber diet to prevent constipation
E. Monitor for signs of hyperkalemia
---
, Correct Answers: A, B, C, D
Expert Rationale:
Long-term PPI use can increase risk of C. difficile infection and
hypomagnesemia.
Avoid NSAIDs to prevent worsening ulcers.
Constipation may occur and a high-fiber diet helps.
PPIs are not associated with hyperkalemia.
3. The nurse is making early morning rounds on a group of clients
when a client begins exhibiting symptoms of an acute asthma attack.
The nurse administers a PRN prescription for a Beta 2 receptor agonist
agent. Which client response should the nurse expect? [Select all that
apply]
A) Tachycardia.
B) Increased blood pressure.
C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
E) Reduce fever airway inflammation.
Correct Answer: C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
Expert Rationale: Beta 2 agonists like albuterol cause bronchodilation
leading to rapid improvement in wheezing and oxygenation. While
tachycardia is a common side effect, it is not a therapeutic response and may
cause discomfort. Blood pressure elevation is less common. Beta 2 agonists
do not have antipyretic or anti-inflammatory effects to reduce fever.
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 calls the clinic and talks with the nurse to inquire
about a possible reaction after taking amoxicillin for 5 days. She
reports having vaginal discomfort, itching, and white discharge. The
nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until finished until the symptoms subside.
C) Consult with a healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
Correct Answer: C) Consult with a healthcare provider about another
treatment for this effect.
Expert Rationale: Vaginal candidiasis is a common superinfection
associated with antibiotic use such as amoxicillin. The client should be
advised to complete the antibiotic as prescribed but contact the healthcare
provider for antifungal treatment to relieve symptoms. Discontinuing
antibiotics prematurely can lead to treatment failure, and OTC vaginal
washes may irritate mucosa.
---
2. The nurse is caring for a client who has taken atenolol for 2 years.
The healthcare provider recently changed the medication to Enalapril
to manage the client's BP. Which instruction should the nurse provide
the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
,D) Rise slowly when getting out of bed or chair
Correct Answer: D) Rise slowly when getting out of bed or chair
Expert Rationale: Enalapril, an ACE inhibitor, can cause orthostatic
hypotension, especially during the initial phase of therapy. Clients should be
instructed to rise slowly from sitting or lying positions to prevent dizziness
and falls. Unlike beta-blockers like atenolol, pulse monitoring is less critical.
Increased bruising is not a common side effect of enalapril, and the timing of
administration is flexible but often given in the morning.
Patient 5:
Name: Ms. Garcia
Age: 45
Diagnosis: Peptic ulcer disease
Vital signs: BP 118/76 mmHg, HR 80 bpm
Current Meds: Omeprazole 20 mg daily
Question 3 (Multiple Response):
Which nursing interventions apply when monitoring for side effects of
Omeprazole? Select all that apply.
A. Monitor for signs of Clostridium difficile infection
B. Assess for possible hypomagnesemia
C. Teach patient to avoid NSAIDs
D. Encourage high-fiber diet to prevent constipation
E. Monitor for signs of hyperkalemia
---
, Correct Answers: A, B, C, D
Expert Rationale:
Long-term PPI use can increase risk of C. difficile infection and
hypomagnesemia.
Avoid NSAIDs to prevent worsening ulcers.
Constipation may occur and a high-fiber diet helps.
PPIs are not associated with hyperkalemia.
3. The nurse is making early morning rounds on a group of clients
when a client begins exhibiting symptoms of an acute asthma attack.
The nurse administers a PRN prescription for a Beta 2 receptor agonist
agent. Which client response should the nurse expect? [Select all that
apply]
A) Tachycardia.
B) Increased blood pressure.
C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
E) Reduce fever airway inflammation.
Correct Answer: C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
Expert Rationale: Beta 2 agonists like albuterol cause bronchodilation
leading to rapid improvement in wheezing and oxygenation. While
tachycardia is a common side effect, it is not a therapeutic response and may
cause discomfort. Blood pressure elevation is less common. Beta 2 agonists
do not have antipyretic or anti-inflammatory effects to reduce fever.
