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BSN 315 HESI RN Specialty
Pharmacology Exam V1 Actual Exam
2026/2027 | Nightingale | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 4-year-old child in the PICU weighs 18 kg and requires a dopamine
infusion at 5 mcg/kg/min for shock. The pharmacy supplies 200 mg dopamine in
100 mL D5W. Calculate the infusion rate in mL/hr.
Options:
A. 2.7 mL/hr
B. 4.5 mL/hr
C. 5.4 mL/hr
D. 9.0 mL/hr
ANSWER: B
Q002: A 68-year-old with NYHA class IV heart failure is started on
sacubitril/valsartan. Which lab value must be monitored within 1 week due to risk
of angioedema with this neprilysin inhibitor/ARB combo?
Options:
A. Serum glucose
B. Serum creatinine & potassium
C. ALT/AST
, 2
D. Serum albumin
ANSWER: B
Q003: A 32-year-old on risperidone long-acting injectable 50 mg q2wk presents
with galactorrhea. Which receptor blockade in the tuberoinfundibular pathway
causes hyperprolactinemia?
Options:
A. 5-HT2A
B. D2
C. α1
D. H1
ANSWER: B
Q004: A 5-year-old oncology patient (22 kg) is prescribed vincristine 1.5 mg/m²
for ALL. BSA = 0.85 m². Calculate the dose and select the maximum single dose to
avoid neurotoxicity.
Options:
A. 1.0 mg
B. 1.275 mg (round to 1.3 mg)
C. 2.0 mg
D. 2.5 mg
ANSWER: B
Q005: A 78-year-old in septic shock on norepinephrine 0.4 mcg/kg/min develops
peripheral necrosis. Which vasopressor can be added to allow norepinephrine dose
reduction while maintaining SVR?
Options:
A. Dopamine
B. Vasopressin 0.04 units/min
, 3
C. Dobutamine
D. Isoproterenol
ANSWER: B
Q006: A 25-year-old with cystic fibrosis (G551D) starts ivacaftor 150 mg BID.
Which transporter function is potentiated to increase chloride secretion?
Options:
A. ENaC
B. CFTR gating
C. NKCC1
D. ROMK
ANSWER: B
Q007: A 56-year-old post-STEMI patient on ticagrelor 90 mg BID needs CABG.
How many days should ticagrelor be held to normalize surgical bleeding time?
Options:
A. 2 days
B. 5 days
C. 7 days
D. 10 days
ANSWER: B
Q008: A 14-year-old with ADHD on atomoxetine 80 mg reports dark urine and
fatigue. Which lab abnormality indicates drug-induced hepatotoxicity?
Options:
A. Serum creatinine 1.5 mg/dL
B. ALT 450 U/L (upper limit 40)
C. TSH 6 mIU/L
BSN 315 HESI RN Specialty
Pharmacology Exam V1 Actual Exam
2026/2027 | Nightingale | Questions
with Verified Answers | 100% Correct |
Pass Guaranteed
Q001: A 4-year-old child in the PICU weighs 18 kg and requires a dopamine
infusion at 5 mcg/kg/min for shock. The pharmacy supplies 200 mg dopamine in
100 mL D5W. Calculate the infusion rate in mL/hr.
Options:
A. 2.7 mL/hr
B. 4.5 mL/hr
C. 5.4 mL/hr
D. 9.0 mL/hr
ANSWER: B
Q002: A 68-year-old with NYHA class IV heart failure is started on
sacubitril/valsartan. Which lab value must be monitored within 1 week due to risk
of angioedema with this neprilysin inhibitor/ARB combo?
Options:
A. Serum glucose
B. Serum creatinine & potassium
C. ALT/AST
, 2
D. Serum albumin
ANSWER: B
Q003: A 32-year-old on risperidone long-acting injectable 50 mg q2wk presents
with galactorrhea. Which receptor blockade in the tuberoinfundibular pathway
causes hyperprolactinemia?
Options:
A. 5-HT2A
B. D2
C. α1
D. H1
ANSWER: B
Q004: A 5-year-old oncology patient (22 kg) is prescribed vincristine 1.5 mg/m²
for ALL. BSA = 0.85 m². Calculate the dose and select the maximum single dose to
avoid neurotoxicity.
Options:
A. 1.0 mg
B. 1.275 mg (round to 1.3 mg)
C. 2.0 mg
D. 2.5 mg
ANSWER: B
Q005: A 78-year-old in septic shock on norepinephrine 0.4 mcg/kg/min develops
peripheral necrosis. Which vasopressor can be added to allow norepinephrine dose
reduction while maintaining SVR?
Options:
A. Dopamine
B. Vasopressin 0.04 units/min
, 3
C. Dobutamine
D. Isoproterenol
ANSWER: B
Q006: A 25-year-old with cystic fibrosis (G551D) starts ivacaftor 150 mg BID.
Which transporter function is potentiated to increase chloride secretion?
Options:
A. ENaC
B. CFTR gating
C. NKCC1
D. ROMK
ANSWER: B
Q007: A 56-year-old post-STEMI patient on ticagrelor 90 mg BID needs CABG.
How many days should ticagrelor be held to normalize surgical bleeding time?
Options:
A. 2 days
B. 5 days
C. 7 days
D. 10 days
ANSWER: B
Q008: A 14-year-old with ADHD on atomoxetine 80 mg reports dark urine and
fatigue. Which lab abnormality indicates drug-induced hepatotoxicity?
Options:
A. Serum creatinine 1.5 mg/dL
B. ALT 450 U/L (upper limit 40)
C. TSH 6 mIU/L
