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BSN 315
BSN 315 HESI PHARMACOLOGY EXAM (2025/
2026 UPDATE) QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)
1. Which statement by a client warrants further instruction by
the nurse about the changing insulin needs of a diabetic client
during pregnancy?: I will increase my insulin dosage by 5 units each
month during the first trimester
2. A client who uses ipratropium reports having nausea,
blurred vision, headaches, and insomnia after using the inhaler.
Which action should the nurse implement first?: withhold
medication and report symptoms and vital signs to the healthcare
provider
3. A client is admitted for atrial fibrillation, and the healthcare
provider prescribes disopyramide. After explaining the action of
this antidysrhythmic agent, which complaint should the nurse
instruct the client to report?: daily weight gain of 2 pounds
BSN 315
,4. A client is taking cyclosporine for renal allograft rejection
prevention. After 9 months of drug therapy, the nurse reviews
laboratory data and notes that the blood urea nitrogen level is 36
mg/dl. What additional finding should the nurse identify?:
creatinine 2.8 mg/dl
5. The healthcare provider prescribes pyridostigmine bromide
tablets for a client with myasthenia gravis (MG). Which instruction
should the nurse provide this client?: that the medication is not a
cure but it does relieve symptoms 6. When prescribed for a client
with hepatic encephalopathy, which is the therapeutic action of
lactulose?: Lowers the pH of the colon
7. A client with Paget's disease is started on calcitonin 500 mcg
subcutaneously daily. During the initial treatment, which is the
priority nursing action?: Observe the client for signs of
hypersensitivity
8. A client is beginning therapy with montelukast PO 10 mg
once a day in the evening. The client asks the nurse, "When
,should I begin to feel better?" How should the nurse respond?:
peak is 3-4 hours with duration of 24 hours
9. A client is receiving fentanyl via an epidural infusion. Which
side effect should the nurse anticipate in the first 24 hours of
epidural analgesia?: urinary retention
10. The nurse is administering haloperidol 0.5 mg IM PRN to a
client for the first time. What side effects should the nurse assess
the client for during the initial dose?: dystonia
11. Which findings should the nurse identify in an adult client
with possible chronic salicylate intoxication?: tinnitus and hearing
loss
12. While reviewing the client's electronic medical record (EMR),
the nurse assesses a client who is at risk for a possible
interaction with an over-the-counter (OTC) decongestant. Which
client health history should the nurse report to the healthcare
provider concerning the OTC medication?
(Select all that apply).: chronic hypertension
, 13. A client with depression receives a prescription for
amitriptyline. Which instruction should the nurse include in the
client's teaching?: avoid the consumption of alcohol
14. The healthcare provider discontinues prednisone, a
glucocorticoid, for a client with chronic obstructive pulmonary
disease. Which instructions should the nurse give the client
about the regimen to follow?: the dose must be tapered of the
course of 7 to 10 days
15. Which is the effect of beta-blocking agents when used for the
treatment of glaucoma?: inhibiting aqueous humor production
16. A client with chronic gouty arthritis takes allopurinol and
experiences an acute attack of gouty arthritis. The healthcare
provider prescribes concurrent low-dose colchicine. Which
information should the nurse provide the client that best explains
the action of the colchicine?: Reduces inflammation at the affected
site
BSN 315
BSN 315 HESI PHARMACOLOGY EXAM (2025/
2026 UPDATE) QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)
1. Which statement by a client warrants further instruction by
the nurse about the changing insulin needs of a diabetic client
during pregnancy?: I will increase my insulin dosage by 5 units each
month during the first trimester
2. A client who uses ipratropium reports having nausea,
blurred vision, headaches, and insomnia after using the inhaler.
Which action should the nurse implement first?: withhold
medication and report symptoms and vital signs to the healthcare
provider
3. A client is admitted for atrial fibrillation, and the healthcare
provider prescribes disopyramide. After explaining the action of
this antidysrhythmic agent, which complaint should the nurse
instruct the client to report?: daily weight gain of 2 pounds
BSN 315
,4. A client is taking cyclosporine for renal allograft rejection
prevention. After 9 months of drug therapy, the nurse reviews
laboratory data and notes that the blood urea nitrogen level is 36
mg/dl. What additional finding should the nurse identify?:
creatinine 2.8 mg/dl
5. The healthcare provider prescribes pyridostigmine bromide
tablets for a client with myasthenia gravis (MG). Which instruction
should the nurse provide this client?: that the medication is not a
cure but it does relieve symptoms 6. When prescribed for a client
with hepatic encephalopathy, which is the therapeutic action of
lactulose?: Lowers the pH of the colon
7. A client with Paget's disease is started on calcitonin 500 mcg
subcutaneously daily. During the initial treatment, which is the
priority nursing action?: Observe the client for signs of
hypersensitivity
8. A client is beginning therapy with montelukast PO 10 mg
once a day in the evening. The client asks the nurse, "When
,should I begin to feel better?" How should the nurse respond?:
peak is 3-4 hours with duration of 24 hours
9. A client is receiving fentanyl via an epidural infusion. Which
side effect should the nurse anticipate in the first 24 hours of
epidural analgesia?: urinary retention
10. The nurse is administering haloperidol 0.5 mg IM PRN to a
client for the first time. What side effects should the nurse assess
the client for during the initial dose?: dystonia
11. Which findings should the nurse identify in an adult client
with possible chronic salicylate intoxication?: tinnitus and hearing
loss
12. While reviewing the client's electronic medical record (EMR),
the nurse assesses a client who is at risk for a possible
interaction with an over-the-counter (OTC) decongestant. Which
client health history should the nurse report to the healthcare
provider concerning the OTC medication?
(Select all that apply).: chronic hypertension
, 13. A client with depression receives a prescription for
amitriptyline. Which instruction should the nurse include in the
client's teaching?: avoid the consumption of alcohol
14. The healthcare provider discontinues prednisone, a
glucocorticoid, for a client with chronic obstructive pulmonary
disease. Which instructions should the nurse give the client
about the regimen to follow?: the dose must be tapered of the
course of 7 to 10 days
15. Which is the effect of beta-blocking agents when used for the
treatment of glaucoma?: inhibiting aqueous humor production
16. A client with chronic gouty arthritis takes allopurinol and
experiences an acute attack of gouty arthritis. The healthcare
provider prescribes concurrent low-dose colchicine. Which
information should the nurse provide the client that best explains
the action of the colchicine?: Reduces inflammation at the affected
site
