BSN 315 HESI PHARMACOLOGY EXAM NIGHTGALE
NEWEST 2026 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS
A client with osteoarthritis receives a new prescription for celecoxib orally for
symptom management. The nurse notes the client is allergic to sulfa. Which action
is most important for the nurse to implement prior to administering the first
dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs.
b) Notify the healthcare provider.
The nurse is making early morning rounds on a group of clients when a client
begins exhibiting symptoms of an acute asthma attack. The nurse administers a
PRN prescription for a Beta 2 receptor agonist agent. Which client response
should the nurse expect?
a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation
a) Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan has been achieved?
,a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg
d) Blood pressure reduced from 160/90 to 130/80 mmHg
x
When assessing an adolescent who recently overdosed on acetaminophen, it is
most important for the nurse to assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head
b) Abdomen
A client with heart failure is prescribed spironolactone. Which information is most
important for the nurse to provide to the client about diet modifications?
a) Do not add salt to foods during preparation.
b) Refrain from eating foods high in potassium.
c) Restrict fluid intake to 1000 ml per day.
d) Increase intake of milk and milk products.
b) Refrain from eating foods high in potassium.
Which method of medication administration provides the client with the greatest
first-pass effect?
a) Oral
b) Sublingual
c) Intravenous
d) Subcutaneous
, a) Oral
Which nursing diagnosis is important to include in the plan of care for a client
receiving the angiotensin-2 receptor antagonist irbesartan?
a) Fluid volume deficit
b) Risk for infection
c) Risk for injury
d) Impaired sleep patterns
c) Risk for injury
Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should the
nurse administer the prescribed medications? (Arrange from first to last.)
a) Prednisone orally
b) Gentamicin IM
c) Albuterol puffs
d) Salmeterol
c) Albuterol puffs
d) Salmeterol
a) Prednisone orally
b) Gentamicin IM
A client asks the nurse if glipizide is an oral insulin. Which response should the
nurse provide?
a) "Yes, it is an oral insulin and has the same actions and properties as
intermediate insulin."
b) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the
same manner as insulin."
c) "No, it is not an oral insulin and can be used only when some beta cell function
is present."
NEWEST 2026 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS
A client with osteoarthritis receives a new prescription for celecoxib orally for
symptom management. The nurse notes the client is allergic to sulfa. Which action
is most important for the nurse to implement prior to administering the first
dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs.
b) Notify the healthcare provider.
The nurse is making early morning rounds on a group of clients when a client
begins exhibiting symptoms of an acute asthma attack. The nurse administers a
PRN prescription for a Beta 2 receptor agonist agent. Which client response
should the nurse expect?
a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation
a) Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan has been achieved?
,a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg
d) Blood pressure reduced from 160/90 to 130/80 mmHg
x
When assessing an adolescent who recently overdosed on acetaminophen, it is
most important for the nurse to assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head
b) Abdomen
A client with heart failure is prescribed spironolactone. Which information is most
important for the nurse to provide to the client about diet modifications?
a) Do not add salt to foods during preparation.
b) Refrain from eating foods high in potassium.
c) Restrict fluid intake to 1000 ml per day.
d) Increase intake of milk and milk products.
b) Refrain from eating foods high in potassium.
Which method of medication administration provides the client with the greatest
first-pass effect?
a) Oral
b) Sublingual
c) Intravenous
d) Subcutaneous
, a) Oral
Which nursing diagnosis is important to include in the plan of care for a client
receiving the angiotensin-2 receptor antagonist irbesartan?
a) Fluid volume deficit
b) Risk for infection
c) Risk for injury
d) Impaired sleep patterns
c) Risk for injury
Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should the
nurse administer the prescribed medications? (Arrange from first to last.)
a) Prednisone orally
b) Gentamicin IM
c) Albuterol puffs
d) Salmeterol
c) Albuterol puffs
d) Salmeterol
a) Prednisone orally
b) Gentamicin IM
A client asks the nurse if glipizide is an oral insulin. Which response should the
nurse provide?
a) "Yes, it is an oral insulin and has the same actions and properties as
intermediate insulin."
b) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the
same manner as insulin."
c) "No, it is not an oral insulin and can be used only when some beta cell function
is present."
