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BSN 315 HESI Pharmacology with NGN – Exam Prep 2025/2026

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Ace your BSN 315 HESI Pharmacology exam with this comprehensive study guide, featuring real exam-style questions, detailed rationales, and Next Generation NCLEX (NGN) practice to ensure you're fully prepared for both your HESI and future NCLEX-RN®. What’s Included? 100+ Pharmacology Practice Questions – Covering all major drug classes, including: Antibiotics & Antivirals Cardiovascular & Antihypertensives Psychotropics & CNS Medications Diabetes & Endocrine Drugs NGN-Style Clinical Judgment Questions – Master the new NCLEX format with: Case Studies & Unfolding Scenarios Bowtie & Trend Items Extended Multiple Response Priority & Delegation Challenges

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BSN 315 HESI PHARMACOLOGY WITH NGN
LATEST EXAM PREP QUESTIONS AND CORRECT
VERIFIED ANSWERS (NEW!!)


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?


Immediately.
Peak is 3-4 hours with duration of 24 hours.
In about 12 hours.
30 minutes to 1 hour. - ANSWER-Peak is 3-4 hours with duration of 24 hours.


A client who has Trichomonas vaginalis receives a prescription for metronidazole.
Which instruction should the nurse provide during client education?


Do not ingest with dairy products.
Notify the clinic if the urine changes color.
Obtain liver function tests every 3 months.
Avoid over-the-counter antitussives. - ANSWER-Avoid over-the-counter
antitussives.

,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?


Joint pain.
Dizziness or muscle weakness.
Daily weight gain of 2 pounds.
Dry mouth. - ANSWER-Daily weight gain of 2 pounds.


A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole. Which information is
most important for the nurse to obtain from the client before initiating treatment?


Sexual history.
Use of oral contraceptives.
Method of infant feeding.
Possibility of pregnancy. - ANSWER-Method of infant feeding.


What teaching should the nurse provide a client who has received a new
prescription for sildenafil? (Select all that apply.)


Frequent use can lead to the development of hypertension.
Most effective if taken after at least 6 hours of REM sleep.
Take within 30 to 60 minutes of sexual stimulation.
Report rebound priapism that occurs for 4 hours or more.




)

,Can cause facial flushing and headache. - ANSWER-Take within 30 to 60 minutes
of sexual stimulation.


Report rebound priapism that occurs for 4 hours or more.


Can cause facial flushing and headache.


A client with chronic schizophrenia illness is admitted after taking risperidone 10
mg/day for three months. The nurse implements a daily assessment using the
"Abnormal Involuntary Movement Scale" (AIMS). Which findings should the
nurse report to the healthcare provider?


Cogwheel rigidity.
Drowsiness and dizziness.
Tremors and muscle twitching.
Dry mouth, constipation, and blurred vision. - ANSWER-Tremors and muscle
twitching.


Miotic drug therapy for the treatment of glaucoma is based chiefly upon which
physiologic action?


Enhancing aqueous humor outflow.
Inhibiting aqueous humor production.
Maintaining intraocular pressure.
Preventing extraocular infection. - ANSWER-Enhancing aqueous humor outflow.




)

, A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching?


Do not ingest foods with tyramine.
Avoid the consumption of alcohol.
Obtain daily blood pressure readings.
Take with a glass of orange juice. - ANSWER-Avoid the consumption of alcohol.


A client receives a prescription for sulfamethoxazole-trimethoprim for a urinary
tract infection (UTI). Which instruction should the nurse provide the client?


Ingest food prior to taking the antibiotic.
Drink at least 8 glasses of water a day.
Take the medication with grapefruit juice.
Avoid prolonged exposure to sunlight. - ANSWER-Drink at least 8 glasses of
water a day.


The nurse reviews the new prescription, phenelzine, a monoamine oxidase
inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
information is most important for the nurse to assess?


Consumption of any alcohol or tyramine-rich foods.
Complaints of nausea or vomiting.
Therapeutic serum drug levels.




)

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