BSN 315 HESI Pharmacology Actual Exam (New
2026/2027 Update) Questions and Answers | 100%
Correct | Graded A+ - Nightingale
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The
nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
,B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client states that she has had more severe asthma symptoms than usual in the past week.
Her forced expiratory volume has been 60-65% even with multiple doses of albuterol for several
days in a row. She came to the hospital feeling dizzy, lightheaded, and complaining of “heart
palpitations”. Upon assessment, no wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which condition the client is
most likely experiencing, two actions the nurse should take to address that condition, and two
parameters the nurse should monitor to assess the client’s progress.
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
The nurse provide discharge instructions to a client who has been prescribed gabapentin 300
mg by mouth three times a day for post herpetic neuralgia. Which symptoms should the nurse
tell the client to report to the healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
, C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID)
drug ibuprofen by mouth twice a day for several months. Which assessment is most important
for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
2026/2027 Update) Questions and Answers | 100%
Correct | Graded A+ - Nightingale
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The
nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
,B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client states that she has had more severe asthma symptoms than usual in the past week.
Her forced expiratory volume has been 60-65% even with multiple doses of albuterol for several
days in a row. She came to the hospital feeling dizzy, lightheaded, and complaining of “heart
palpitations”. Upon assessment, no wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which condition the client is
most likely experiencing, two actions the nurse should take to address that condition, and two
parameters the nurse should monitor to assess the client’s progress.
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
The nurse provide discharge instructions to a client who has been prescribed gabapentin 300
mg by mouth three times a day for post herpetic neuralgia. Which symptoms should the nurse
tell the client to report to the healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
, C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID)
drug ibuprofen by mouth twice a day for several months. Which assessment is most important
for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
