BSN 315 HESI PHARMACOLOGY ACTUAL EXAM –
LATEST 2025/2026 UPDATE WITH REAL QUESTIONS &
VERIFIED ANSWERS, COMPLETE EXAM MATERIAL
A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling
increasingly depressed. Which action should the nurse implement?
Notify the healthcare provider of the findings immediately.
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
Body mass index
A client who received a renal transplant three months ago is readmitted to the acute care
unit with signs of graft rejection. While taking the client's history the nurse determines that
the client has been self-administering St. John's wort an herbal preparation on the advice of
a friend. Which information is most significant about this finding?
St John's Wort can decrease plasma concentrations of cyclosporine
When preparing to apply a scheduled fentanyl transdermal patch the nurse notes that the
previously applied patch is intact on the client's upper back and the client denies pain.
Apply the new patch in a different location after removing the original patch.
, During a home visit the nurse assesses a client with Alzheimer's disease who recently
started a new prescription for rivastigmine. The caregiver reports that the client seems to
be thinking more clearly but is not sleeping well at night. Which action should the nurse
take?
Explain to the caregiver that insomnia is a common and temporary side effect when the
medication is first started.
Based on a client's serum digoxin level the client is diagnosed with digoxin toxicity. Which
action should the nurse expect to implement?
Begin cardioversion to stabilize heart rhythm.
The nurse administering IV fluconazole to client who has systemic candidiasis. After
reviewing the client's diagnostic studies the nurse identifies a rising trend in the liver
enzyme levels for aspartate aminotransferase (AST also called SGOT). Which action should
the nurse implement?
Hold the dose and notify the HCP of the changes in the laboratory studies.
A client with muscle spasticity receives a prescription for baclofen. Which information
provided by the client requires additional instruction by the nurse?
Discontinue when spasms cease.
A postoperative client has a prescription for ketorolac 30 mg IV every 6 hours. Which
intervention should the nurse implement to determine if the expected outcome of the
medication has been achieved?
Perform a pain assessment using a numeric scale.
LATEST 2025/2026 UPDATE WITH REAL QUESTIONS &
VERIFIED ANSWERS, COMPLETE EXAM MATERIAL
A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling
increasingly depressed. Which action should the nurse implement?
Notify the healthcare provider of the findings immediately.
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
Body mass index
A client who received a renal transplant three months ago is readmitted to the acute care
unit with signs of graft rejection. While taking the client's history the nurse determines that
the client has been self-administering St. John's wort an herbal preparation on the advice of
a friend. Which information is most significant about this finding?
St John's Wort can decrease plasma concentrations of cyclosporine
When preparing to apply a scheduled fentanyl transdermal patch the nurse notes that the
previously applied patch is intact on the client's upper back and the client denies pain.
Apply the new patch in a different location after removing the original patch.
, During a home visit the nurse assesses a client with Alzheimer's disease who recently
started a new prescription for rivastigmine. The caregiver reports that the client seems to
be thinking more clearly but is not sleeping well at night. Which action should the nurse
take?
Explain to the caregiver that insomnia is a common and temporary side effect when the
medication is first started.
Based on a client's serum digoxin level the client is diagnosed with digoxin toxicity. Which
action should the nurse expect to implement?
Begin cardioversion to stabilize heart rhythm.
The nurse administering IV fluconazole to client who has systemic candidiasis. After
reviewing the client's diagnostic studies the nurse identifies a rising trend in the liver
enzyme levels for aspartate aminotransferase (AST also called SGOT). Which action should
the nurse implement?
Hold the dose and notify the HCP of the changes in the laboratory studies.
A client with muscle spasticity receives a prescription for baclofen. Which information
provided by the client requires additional instruction by the nurse?
Discontinue when spasms cease.
A postoperative client has a prescription for ketorolac 30 mg IV every 6 hours. Which
intervention should the nurse implement to determine if the expected outcome of the
medication has been achieved?
Perform a pain assessment using a numeric scale.
