BSN 315 HESI
PHARMACOLOGY V1 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 V1 Exam 1 ............................ 2
BSN 315 HESI Pharmacology V1 Exam 2 .......................... 85
BSN 315 HESI Pharmacology V1 Exam 3 ........................ 124
BSN 315 HESI Pharmacology V1 Exam 1
### 1. The nurse provides discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for postherpetic
neuralgia. Which symptoms should the nurse tell the client to report to the
healthcare provider?
Answer Choices:
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
Correct Answer: B. Gastric irritation
Expert Rationale:
,Gastric irritation, though less common than neurologic side effects, can signal
intolerance or predispose to GI bleeding, especially in older adults or those on
other GI~risk medications. The nurse should instruct the client to report
persistent GI symptoms promptly.
### 2. A client with chronic lower back pain has been taking NSAID ibuprofen
orally twice a day for several months. Which assessment is most important for
the nurse to complete?
Answer Choices:
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
Correct Answer: C. Determine presence of abdominal pain
Expert Rationale:
Given chronic NSAID use, the most critical and potentially life~threatening
side effect is GI ulcer/bleed, often presenting as abdominal pain. Early
detection may prevent major complications such as perforation and
hemorrhage.
### 3. NGN ~ Complex Case
Patient Data:
, History: 36~year~old female, moderate persistent asthma. Rx:
fluticasone/salmeterol 250/50 mcg & albuterol 2 puffs q4~6h PRN.
Current status: Increased asthma symptoms over a week, FEV1 60~65% despite
frequent albuterol, dizziness, lightheadedness, palpitations. 99% O₂ sat. No
wheezes auscultated.
Answer Choices:
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
NGN Context:
The client presents with unexplained symptoms (dizziness, palpitations)
despite adequate O₂ sat. Changes in O₂ sat, abnormal response to beta~agonists,
and limited physical findings prompt consideration of atypical causes (e.g.,
methemoglobinemia).
Expert Rationale:
PHARMACOLOGY V1 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 V1 Exam 1 ............................ 2
BSN 315 HESI Pharmacology V1 Exam 2 .......................... 85
BSN 315 HESI Pharmacology V1 Exam 3 ........................ 124
BSN 315 HESI Pharmacology V1 Exam 1
### 1. The nurse provides discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for postherpetic
neuralgia. Which symptoms should the nurse tell the client to report to the
healthcare provider?
Answer Choices:
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
Correct Answer: B. Gastric irritation
Expert Rationale:
,Gastric irritation, though less common than neurologic side effects, can signal
intolerance or predispose to GI bleeding, especially in older adults or those on
other GI~risk medications. The nurse should instruct the client to report
persistent GI symptoms promptly.
### 2. A client with chronic lower back pain has been taking NSAID ibuprofen
orally twice a day for several months. Which assessment is most important for
the nurse to complete?
Answer Choices:
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
Correct Answer: C. Determine presence of abdominal pain
Expert Rationale:
Given chronic NSAID use, the most critical and potentially life~threatening
side effect is GI ulcer/bleed, often presenting as abdominal pain. Early
detection may prevent major complications such as perforation and
hemorrhage.
### 3. NGN ~ Complex Case
Patient Data:
, History: 36~year~old female, moderate persistent asthma. Rx:
fluticasone/salmeterol 250/50 mcg & albuterol 2 puffs q4~6h PRN.
Current status: Increased asthma symptoms over a week, FEV1 60~65% despite
frequent albuterol, dizziness, lightheadedness, palpitations. 99% O₂ sat. No
wheezes auscultated.
Answer Choices:
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
NGN Context:
The client presents with unexplained symptoms (dizziness, palpitations)
despite adequate O₂ sat. Changes in O₂ sat, abnormal response to beta~agonists,
and limited physical findings prompt consideration of atypical causes (e.g.,
methemoglobinemia).
Expert Rationale:
