5/25/25, 5:14 PM BSN315 Hesi Practice
BSN HESI 315 PHARMACOLOGY PRACTICE EXAM
\NEWEST VERSION 2025-2026 UPDATE \QUESTIONS AND
VERIFIED ANSWERS 100% \ALREADY GRADED A+
NIGHTINGALE
A 48-year-old client is Epinephrine.
experiencing a
severe anaphylactic reaction Rationale
to an injection of contrast Epinephrine is the drug of choice in treating hypotension and
media. Which circulatory failure
pharmacologic agent is of associated with anaphylaxis because it is a potent
greatest use in this vasoconstrictor. An anaphylactic reaction is an acute
situation? systemic hypersensitivity reaction that occurs within
minutes of antigen exposure (such as with contrast
1. Dopam material containing iodine) that can result in peripheral
ine. vascular collapse.
2.Lorata
dine.
3.Nitroprusside.
4.Epinephrine.
A client receives a new Renal artery stenosis.
prescription for an
angiotensin-converting Rationale
enzyme (ACE) Angiotensin-converting enzyme (ACE) inhibitors can
inhibitor. Which client history cause severe renal insufficiency in clients with bilateral
contraindicates its use? renal artery stenosis or stenosis in the artery to a single
remaining kidney.
1.Asthma.
2. Heart failure.
3. Renal artery stenosis.
4. Coronary artery disease.
/ 1/56
,5/25/25, 5:14 PM BSN315 Hesi Practice
Which route should the Oral
nurse clarify with the
healthcare provider prior Rationale
to administering a drug with The first-pass effect occurs when hepatic metabolism
a high first-pass effect? decreases the bioavailability of a drug. Oral forms of
medications are processed through the GI tract,
1.Oral absorbed
. through the small intestines, and undergo the first-pass
2. Bucc effect in the liver in which some of the active ingredients
al.
are removed from the drug before it reaches the
3. Subling
intended site of action.
ual.
4.Intrave
nous.
/ 2/56
,5/25/25, 5:14 PM BSN315 Hesi Practice
A client at 30 weeks Stimulates fetal surfactant production.
gestation is in preterm
labor. The healthcare Rationale
provider prescribes two Antenatal glucocorticoids, such as betamethasone,
12-mg doses of are given IM to the mother to stimulate surfactant
betamethasone production in the fetus and accelerate fetal lung
intramuscularly every 12 maturity, in the event the fetus is delivered prematurely
hours. The client asks the to minimize respiratory distress syndrome
associated with premature infants.
nurse why she is receiving
betamethasone. Which
information should the
nurse use to explain the
action of the medication?
1.Suppresses uterine
contractions.
2. Stimulates fetal surfactant
production.
3. Reduces maternal and
fetal tachycardia associated
with terbutaline
administration. 4.Maintains
adequate maternal
respiratory effort and
ventilation with
magnesium
administration.
A client with chronic Take the medication when consuming food.
pancreatitis receives a new
prescription for Rationale
pancrelipase. Which With the loss of exocrine function for a client with
instruction is most important chronic pancreatitis, the replacement of pancreatic
for the nurse to include in enzymes using pancrelipase becomes necessary.
this client's teaching? Diarrhea and steatorrhea (fatty stools) indicate
insufficient pancreatic enzymes are present to digest
1. Avoid prolonged dietary fats and other nutrients, so pancrelipase, a fat-
exposure to direct digesting enzyme, should be consumed with any
sunlight. type of food.
/ 3/56
, 5/25/25, 5:14 PM BSN315 Hesi Practice
2. Stay away from
products containing
alcohol.
3. Ingest 8 oz of grapefruit
juice with the
medication.
4. Take the medication
when consuming food.
A client is receiving fentanyl Urinary retention
via an epidural infusion.
Which side effect should the Rationale
nurse anticipate in the first Anticipated common side effects of epidural opioids
24 hours of epidural include nausea, itching, and urinary retention which
analgesia? may require urinary catheterization.
1. Heada
che.
2.Agitat
ion.
3.Urinary retention.
4.Abdominal cramping and
diarrhea.
/ 4/56
BSN HESI 315 PHARMACOLOGY PRACTICE EXAM
\NEWEST VERSION 2025-2026 UPDATE \QUESTIONS AND
VERIFIED ANSWERS 100% \ALREADY GRADED A+
NIGHTINGALE
A 48-year-old client is Epinephrine.
experiencing a
severe anaphylactic reaction Rationale
to an injection of contrast Epinephrine is the drug of choice in treating hypotension and
media. Which circulatory failure
pharmacologic agent is of associated with anaphylaxis because it is a potent
greatest use in this vasoconstrictor. An anaphylactic reaction is an acute
situation? systemic hypersensitivity reaction that occurs within
minutes of antigen exposure (such as with contrast
1. Dopam material containing iodine) that can result in peripheral
ine. vascular collapse.
2.Lorata
dine.
3.Nitroprusside.
4.Epinephrine.
A client receives a new Renal artery stenosis.
prescription for an
angiotensin-converting Rationale
enzyme (ACE) Angiotensin-converting enzyme (ACE) inhibitors can
inhibitor. Which client history cause severe renal insufficiency in clients with bilateral
contraindicates its use? renal artery stenosis or stenosis in the artery to a single
remaining kidney.
1.Asthma.
2. Heart failure.
3. Renal artery stenosis.
4. Coronary artery disease.
/ 1/56
,5/25/25, 5:14 PM BSN315 Hesi Practice
Which route should the Oral
nurse clarify with the
healthcare provider prior Rationale
to administering a drug with The first-pass effect occurs when hepatic metabolism
a high first-pass effect? decreases the bioavailability of a drug. Oral forms of
medications are processed through the GI tract,
1.Oral absorbed
. through the small intestines, and undergo the first-pass
2. Bucc effect in the liver in which some of the active ingredients
al.
are removed from the drug before it reaches the
3. Subling
intended site of action.
ual.
4.Intrave
nous.
/ 2/56
,5/25/25, 5:14 PM BSN315 Hesi Practice
A client at 30 weeks Stimulates fetal surfactant production.
gestation is in preterm
labor. The healthcare Rationale
provider prescribes two Antenatal glucocorticoids, such as betamethasone,
12-mg doses of are given IM to the mother to stimulate surfactant
betamethasone production in the fetus and accelerate fetal lung
intramuscularly every 12 maturity, in the event the fetus is delivered prematurely
hours. The client asks the to minimize respiratory distress syndrome
associated with premature infants.
nurse why she is receiving
betamethasone. Which
information should the
nurse use to explain the
action of the medication?
1.Suppresses uterine
contractions.
2. Stimulates fetal surfactant
production.
3. Reduces maternal and
fetal tachycardia associated
with terbutaline
administration. 4.Maintains
adequate maternal
respiratory effort and
ventilation with
magnesium
administration.
A client with chronic Take the medication when consuming food.
pancreatitis receives a new
prescription for Rationale
pancrelipase. Which With the loss of exocrine function for a client with
instruction is most important chronic pancreatitis, the replacement of pancreatic
for the nurse to include in enzymes using pancrelipase becomes necessary.
this client's teaching? Diarrhea and steatorrhea (fatty stools) indicate
insufficient pancreatic enzymes are present to digest
1. Avoid prolonged dietary fats and other nutrients, so pancrelipase, a fat-
exposure to direct digesting enzyme, should be consumed with any
sunlight. type of food.
/ 3/56
, 5/25/25, 5:14 PM BSN315 Hesi Practice
2. Stay away from
products containing
alcohol.
3. Ingest 8 oz of grapefruit
juice with the
medication.
4. Take the medication
when consuming food.
A client is receiving fentanyl Urinary retention
via an epidural infusion.
Which side effect should the Rationale
nurse anticipate in the first Anticipated common side effects of epidural opioids
24 hours of epidural include nausea, itching, and urinary retention which
analgesia? may require urinary catheterization.
1. Heada
che.
2.Agitat
ion.
3.Urinary retention.
4.Abdominal cramping and
diarrhea.
/ 4/56
