BSN 315 HESI
PHARMACOLOGY II EXAM
(3 Set Exams)
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
(3 Set Exams)
Format Set of Multiple~choice
questions with incorporating Next Generation NCLEX (NGN)
and Case scenarios questions
Expert~Verified Explanations & Solutions
,Table of Contents
BSN 315 HESI Pharmacology II Exam 1 ........................ 2
BSN 315 HESI Pharmacology II Exam 2 ........................... 56
BSN 315 HESI Pharmacology II Exam 3 ......................... 104
BSN 315 HESI Pharmacology II Exam 1
~~~
1. A female client with multiple sclerosis reports having less fatigue and
improved memory since she began using the herbal supplement, ginkgo biloba.
Which information is most important for the nurse to include in the teaching
plans for this client?
A. Aspirin and nonsteroidal anti~inflammatory drugs interact with ginkgo
B. nausea and diarrhea can occur when using this supplement
C. anxiety and headaches increased with use of ginkgo
D. ginkgo biloba use should be limited and not taken during pregnancy
Correct Answer: D. ginkgo biloba use should be limited and not taken during
pregnancy
Expert Rationale:
Providing safety information on the limitations of ginkgo biloba, especially
regarding pregnancy, is essential due to potential teratogenic effects and
,bleeding risks. While interactions with NSAIDs and aspirin are important, the
priority teaching addresses when use is contraindicated. Educating the client
about adverse effects should complement but not overshadow safety warnings.
## Question 2:
Patient Scenario:
A patient is receiving digoxin therapy for chronic heart failure. The nurse notes
the following vital signs and laboratory results:
~ Heart rate: 56 bpm
~ Serum digoxin level: 2.8 ng/mL (therapeutic range 0.8–2.0 ng/mL)
~ Serum potassium: 3.2 mEq/L (normal 3.5–5.0 mEq/L)
What is the nurse’s priority action?
A) Administer digoxin as ordered and observe the patient.
B) Hold the next dose of digoxin and notify the provider.
C) Administer potassium supplements and digoxin.
D) Prepare for immediate cardioversion.
Correct Answer: B) Hold the next dose of digoxin and notify the provider.
Expert Rationale:
The patient has signs of digoxin toxicity: bradycardia, elevated digoxin level,
and hypokalemia (which increases digoxin toxicity risk). The nurse should
withhold digoxin, notify the provider, and monitor closely. Immediate
cardioversion is not indicated unless arrhythmias develop.
, ~~~
3. In explaining the benefits of the combination anti~infective drug TMP~SMZ
(Bactrim) to a client receiving the medication for a urinary tract infection, what
rationale should the nurse provide?
A. Each drug could cause damage to the kidneys if taken separately
B. One drug reduces the risk of side effects caused by the drug
C. while one drug provide relief, the other fights the infection
D. the two drugs work together to reduce resistance of the bacterial infection of
symptoms
Correct Answer: D. the two drugs work together to reduce resistance of the
bacterial infection of symptoms
Expert Rationale:
TMP~SMZ combines two antibiotics with different mechanisms of action to
synergistically kill bacteria, which decreases the chance of resistance
development. The combined effect also broadens the antimicrobial spectrum.
Explaining synergy and resistance prevention helps client understanding of
multi~agent therapy advantages.
~~~
4. Client being treated with Haldol for schizophrenia is complaining of jaw
tightness and a stiff neck. Which interventions should the nurse implement?
PHARMACOLOGY II EXAM
(3 Set Exams)
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
(3 Set Exams)
Format Set of Multiple~choice
questions with incorporating Next Generation NCLEX (NGN)
and Case scenarios questions
Expert~Verified Explanations & Solutions
,Table of Contents
BSN 315 HESI Pharmacology II Exam 1 ........................ 2
BSN 315 HESI Pharmacology II Exam 2 ........................... 56
BSN 315 HESI Pharmacology II Exam 3 ......................... 104
BSN 315 HESI Pharmacology II Exam 1
~~~
1. A female client with multiple sclerosis reports having less fatigue and
improved memory since she began using the herbal supplement, ginkgo biloba.
Which information is most important for the nurse to include in the teaching
plans for this client?
A. Aspirin and nonsteroidal anti~inflammatory drugs interact with ginkgo
B. nausea and diarrhea can occur when using this supplement
C. anxiety and headaches increased with use of ginkgo
D. ginkgo biloba use should be limited and not taken during pregnancy
Correct Answer: D. ginkgo biloba use should be limited and not taken during
pregnancy
Expert Rationale:
Providing safety information on the limitations of ginkgo biloba, especially
regarding pregnancy, is essential due to potential teratogenic effects and
,bleeding risks. While interactions with NSAIDs and aspirin are important, the
priority teaching addresses when use is contraindicated. Educating the client
about adverse effects should complement but not overshadow safety warnings.
## Question 2:
Patient Scenario:
A patient is receiving digoxin therapy for chronic heart failure. The nurse notes
the following vital signs and laboratory results:
~ Heart rate: 56 bpm
~ Serum digoxin level: 2.8 ng/mL (therapeutic range 0.8–2.0 ng/mL)
~ Serum potassium: 3.2 mEq/L (normal 3.5–5.0 mEq/L)
What is the nurse’s priority action?
A) Administer digoxin as ordered and observe the patient.
B) Hold the next dose of digoxin and notify the provider.
C) Administer potassium supplements and digoxin.
D) Prepare for immediate cardioversion.
Correct Answer: B) Hold the next dose of digoxin and notify the provider.
Expert Rationale:
The patient has signs of digoxin toxicity: bradycardia, elevated digoxin level,
and hypokalemia (which increases digoxin toxicity risk). The nurse should
withhold digoxin, notify the provider, and monitor closely. Immediate
cardioversion is not indicated unless arrhythmias develop.
, ~~~
3. In explaining the benefits of the combination anti~infective drug TMP~SMZ
(Bactrim) to a client receiving the medication for a urinary tract infection, what
rationale should the nurse provide?
A. Each drug could cause damage to the kidneys if taken separately
B. One drug reduces the risk of side effects caused by the drug
C. while one drug provide relief, the other fights the infection
D. the two drugs work together to reduce resistance of the bacterial infection of
symptoms
Correct Answer: D. the two drugs work together to reduce resistance of the
bacterial infection of symptoms
Expert Rationale:
TMP~SMZ combines two antibiotics with different mechanisms of action to
synergistically kill bacteria, which decreases the chance of resistance
development. The combined effect also broadens the antimicrobial spectrum.
Explaining synergy and resistance prevention helps client understanding of
multi~agent therapy advantages.
~~~
4. Client being treated with Haldol for schizophrenia is complaining of jaw
tightness and a stiff neck. Which interventions should the nurse implement?
