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. The nurse provides discharge instructions to a client who has
been prescribed gabapentin 300 mg by mouth three times a day for
postherpetic neuralgia. Which symptoms should the nurse tell the
client to report to the healthcare provider?
Answer Choices:
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
Correct Answer: B. Gastric irritation
Expert Rationale:
Gastric irritation, though less common than neurologic side effects, can
signal intolerance or predispose to GI bleeding, especially in older adults or
those on other GI-risk medications. The nurse should instruct the client to
report persistent GI symptoms promptly.
### 2. A client with chronic lower back pain has been taking NSAID
ibuprofen orally twice a day for several months. Which assessment is
most important for the nurse to complete?
Answer Choices:
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
,C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
Correct Answer: C. Determine presence of abdominal pain
Expert Rationale:
Given chronic NSAID use, the most critical and potentially life-threatening
side effect is GI ulcer/bleed, often presenting as abdominal pain. Early
detection may prevent major complications such as perforation and
hemorrhage.
### 3. NGN - Complex Case
Patient Data:
History: 36-year-old female, moderate persistent asthma. Rx:
fluticasone/salmeterol 250/50 mcg & albuterol 2 puffs q4-6h PRN.
Current status: Increased asthma symptoms over a week, FEV1 60-65%
despite frequent albuterol, dizziness, lightheadedness, palpitations.
99% O₂ sat. No wheezes auscultated.
Answer Choices:
Potential Condition:
- Methemoglobinemia
Actions to Take:
- 1. Draw blood for a complete blood count
- 2. Administer methylene blue
, Parameters to Monitor:
- 1. Methemoglobin level
- 2. Heart rate and rhythm
NGN Context:
The client presents with unexplained symptoms (dizziness, palpitations)
despite adequate O₂ sat. Changes in O₂ sat, abnormal response to beta-
agonists, and limited physical findings prompt consideration of atypical
causes (e.g., methemoglobinemia).
Expert Rationale:
Asthma should respond to albuterol; if not, and symptoms such as pallor,
dizziness, and palpitations occur, methemoglobinemia (seen with certain
drug exposures) can impair oxygen delivery despite normal O₂ readings.
Checking methemoglobin and CBC, with treatment and cardiac monitoring,
is essential for safety.
### 4. A client taking atorvastatin develops an increased serum
creatine phosphokinase (CK) level. The nurse should assess the client
for the onset of which problem?
Answer Choices:
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
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. The nurse provides discharge instructions to a client who has
been prescribed gabapentin 300 mg by mouth three times a day for
postherpetic neuralgia. Which symptoms should the nurse tell the
client to report to the healthcare provider?
Answer Choices:
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
Correct Answer: B. Gastric irritation
Expert Rationale:
Gastric irritation, though less common than neurologic side effects, can
signal intolerance or predispose to GI bleeding, especially in older adults or
those on other GI-risk medications. The nurse should instruct the client to
report persistent GI symptoms promptly.
### 2. A client with chronic lower back pain has been taking NSAID
ibuprofen orally twice a day for several months. Which assessment is
most important for the nurse to complete?
Answer Choices:
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
,C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
Correct Answer: C. Determine presence of abdominal pain
Expert Rationale:
Given chronic NSAID use, the most critical and potentially life-threatening
side effect is GI ulcer/bleed, often presenting as abdominal pain. Early
detection may prevent major complications such as perforation and
hemorrhage.
### 3. NGN - Complex Case
Patient Data:
History: 36-year-old female, moderate persistent asthma. Rx:
fluticasone/salmeterol 250/50 mcg & albuterol 2 puffs q4-6h PRN.
Current status: Increased asthma symptoms over a week, FEV1 60-65%
despite frequent albuterol, dizziness, lightheadedness, palpitations.
99% O₂ sat. No wheezes auscultated.
Answer Choices:
Potential Condition:
- Methemoglobinemia
Actions to Take:
- 1. Draw blood for a complete blood count
- 2. Administer methylene blue
, Parameters to Monitor:
- 1. Methemoglobin level
- 2. Heart rate and rhythm
NGN Context:
The client presents with unexplained symptoms (dizziness, palpitations)
despite adequate O₂ sat. Changes in O₂ sat, abnormal response to beta-
agonists, and limited physical findings prompt consideration of atypical
causes (e.g., methemoglobinemia).
Expert Rationale:
Asthma should respond to albuterol; if not, and symptoms such as pallor,
dizziness, and palpitations occur, methemoglobinemia (seen with certain
drug exposures) can impair oxygen delivery despite normal O₂ readings.
Checking methemoglobin and CBC, with treatment and cardiac monitoring,
is essential for safety.
### 4. A client taking atorvastatin develops an increased serum
creatine phosphokinase (CK) level. The nurse should assess the client
for the onset of which problem?
Answer Choices:
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
