PHARMACOLOGY HESI BSN 315 EXAM
LATEST 2025 /2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS/ALREADY GRADED A+
Rapid acting Insulin - ANSWER-Lispro is a rapid acting insulin ( 15 min.), so meals should be
readily available at time of administration. Patients who take this are at risk for hypoglycemic
reaction to occur shortly after administration.
Hyperthyroidism- medication administration - ANSWER-Propylthiouracil (PTU) blocks the
conversion of T4 to T3, which decreases hormone synthesis, and Lugol's solution (iodine,
potassium iodide, together with distilled water) provides iodine needed in the thyroid hormone
molecule. When an anti-thyroid drug & iodine should be administered at least 1 hour before the
PTU, which enhances the therapeutic effect of both drugs.
Spironolactone- Heart failure - ANSWER-Hyperaldosteronism, a disease in which the adrenal
glands make too much aldosterone, causing high blood pressure & low potassium levels, &
, spironolactone is used to spare potassium. The nurse should therefore instruct the client to limit
foods that are high in potassium.
Topical Antifungal - ANSWER-The nurse should instruct the client to obtain a prescription for an
antifungal medication to treat their toenail fungal infection.
Gout-medications - ANSWER-Uricosuric drugs promote the excretion of uric acid, & are used
primarily in the treatment of chronic gout.
Glaucoma miotics- side effects - ANSWER-Miotics cause pupillary constriction. This reduces the
eyes ability to dilate at night, & decreases night vision.
Bulk-Forming Laxative teaching - ANSWER-The nurse should inform the client that bulk-forming
laxatives should be mixed with a glass of water just prior to administration & follow with an
additional glass of water to prevent fecal impaction.
COPD- discharge medication - ANSWER-Guaifenesin is a mucolytic prescribed to liquefy
secretions. The nurse should review guaifenesin with the client to facilitate expectoration of thick
mucus associated with COPD.
Acetylcysteine evaluation - ANSWER-To determine if the medication is having the desired effect,
the nurse should ask the client about the amount of phlegm production, as acetylcysteine is a
mucolytic agent. The desired action is to liquify thick secretions, so they can be removed
through coughing or suctioning.
LATEST 2025 /2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS/ALREADY GRADED A+
Rapid acting Insulin - ANSWER-Lispro is a rapid acting insulin ( 15 min.), so meals should be
readily available at time of administration. Patients who take this are at risk for hypoglycemic
reaction to occur shortly after administration.
Hyperthyroidism- medication administration - ANSWER-Propylthiouracil (PTU) blocks the
conversion of T4 to T3, which decreases hormone synthesis, and Lugol's solution (iodine,
potassium iodide, together with distilled water) provides iodine needed in the thyroid hormone
molecule. When an anti-thyroid drug & iodine should be administered at least 1 hour before the
PTU, which enhances the therapeutic effect of both drugs.
Spironolactone- Heart failure - ANSWER-Hyperaldosteronism, a disease in which the adrenal
glands make too much aldosterone, causing high blood pressure & low potassium levels, &
, spironolactone is used to spare potassium. The nurse should therefore instruct the client to limit
foods that are high in potassium.
Topical Antifungal - ANSWER-The nurse should instruct the client to obtain a prescription for an
antifungal medication to treat their toenail fungal infection.
Gout-medications - ANSWER-Uricosuric drugs promote the excretion of uric acid, & are used
primarily in the treatment of chronic gout.
Glaucoma miotics- side effects - ANSWER-Miotics cause pupillary constriction. This reduces the
eyes ability to dilate at night, & decreases night vision.
Bulk-Forming Laxative teaching - ANSWER-The nurse should inform the client that bulk-forming
laxatives should be mixed with a glass of water just prior to administration & follow with an
additional glass of water to prevent fecal impaction.
COPD- discharge medication - ANSWER-Guaifenesin is a mucolytic prescribed to liquefy
secretions. The nurse should review guaifenesin with the client to facilitate expectoration of thick
mucus associated with COPD.
Acetylcysteine evaluation - ANSWER-To determine if the medication is having the desired effect,
the nurse should ask the client about the amount of phlegm production, as acetylcysteine is a
mucolytic agent. The desired action is to liquify thick secretions, so they can be removed
through coughing or suctioning.
