BSN 315 HESI Pharmacology II Exam – Harvard university 2025–
2026 | Verified exam Review with Actual Questions and Answers
BSN 315 HESI Pharmacology II Exam – Harvard university 2025–
2026 | Verified exam Review with Actual Questions and Answers
1. nurse is administering furosemide (Lasix) to a client with congestive heart
failure. Which assessment finding is most important to check before giving the
dose?
A. Blood glucose
B. Serum potassium
C. Respiratory rate
D. Liver enzymes
CORRECT ANSWER ✅:B. Serum potassium
Rationale: Furosemide is a loop diuretic that can cause significant hypokalemia;
monitor K+ before and during therapy.
1. A client receiving warfarin is admitted with a major bleed. Which
medication will the nurse expect to be ordered immediately?
A. Vitamin B12
B. Protamine sulfate
C. Vitamin K (phytonadione)
D. Fresh frozen plasma (FFP) only
CORRECT ANSWER ✅:C. Vitamin K (phytonadione)
Rationale: Vitamin K reverses warfarin’s effects. In major bleeding, IV
vitamin K plus FFP or prothrombin complex concentrate may be used.
pg. 1
,BSN 315 HESI Pharmacology II Exam – Harvard university 2025–
2026 | Verified exam Review with Actual Questions and Answers
2. A patient on insulin glargine (Lantus) asks why they take it at night. The
nurse explains:
A. “It’s rapid-acting and controls after meals.”
B. “It’s long-acting and provides basal insulin for 24 hours.”
C. “It prevents hypoglycemia overnight only.”
D. “It only works if taken on an empty stomach.”
CORRECT ANSWER ✅:B. “It’s long-acting and provides basal
insulin for 24 hours.”
Rationale: Insulin glargine is long-acting (basal) insulin, typically given
once daily to provide steady insulin levels.
3. Which medication is most appropriate for immediate reversal of heparin
anticoagulation in a patient with active bleeding?
A. Vitamin K
B. Protamine sulfate
C. Idarucizumab
D. Tranexamic acid
CORRECT ANSWER ✅:B. Protamine sulfate
Rationale: Protamine sulfate neutralizes heparin. Idarucizumab reverses
dabigatran, not heparin.
4. A client who takes digoxin develops nausea, visual changes (yellow halos),
and bradycardia. The nurse recognizes this as:
A. Signs of hypokalemia
B. Normal side effects
C. Signs of digoxin toxicity
pg. 2
, BSN 315 HESI Pharmacology II Exam – Harvard university 2025–
2026 | Verified exam Review with Actual Questions and Answers
D. An allergic reaction
CORRECT ANSWER ✅:C. Signs of digoxin toxicity
Rationale: GI symptoms, visual disturbances, and bradycardia are classic
for digoxin toxicity; check serum levels and K+.
5. A client is prescribed metoprolol for hypertension. Which condition would
require caution or avoidance? A. Asthma exacerbation
B. Migraine headaches
C. Hyperthyroidism
D. Sinus bradycardia and heart block
CORRECT ANSWER ✅:D. Sinus bradycardia and heart block
Rationale: Beta-blockers lower HR and AV conduction; avoid in
bradycardia/AV block. Use caution with reactive airway disease but
cardioselective drugs are preferred.
6. A nurse teaching about nitroglycerin transdermal patches should include
which instruction?
A. “Apply to oily skin for better absorption.”
B. “Remove patch at night to reduce tolerance.”
C. “If headache occurs, remove the patch immediately.”
D. “Keep patches on continuously for best effect.”
CORRECT ANSWER ✅:B. “Remove patch at night to reduce
tolerance.”
Rationale: A nitrate-free interval (often at night) reduces tolerance.
Headaches are common but not an indication to remove unless severe.
pg. 3
2026 | Verified exam Review with Actual Questions and Answers
BSN 315 HESI Pharmacology II Exam – Harvard university 2025–
2026 | Verified exam Review with Actual Questions and Answers
1. nurse is administering furosemide (Lasix) to a client with congestive heart
failure. Which assessment finding is most important to check before giving the
dose?
A. Blood glucose
B. Serum potassium
C. Respiratory rate
D. Liver enzymes
CORRECT ANSWER ✅:B. Serum potassium
Rationale: Furosemide is a loop diuretic that can cause significant hypokalemia;
monitor K+ before and during therapy.
1. A client receiving warfarin is admitted with a major bleed. Which
medication will the nurse expect to be ordered immediately?
A. Vitamin B12
B. Protamine sulfate
C. Vitamin K (phytonadione)
D. Fresh frozen plasma (FFP) only
CORRECT ANSWER ✅:C. Vitamin K (phytonadione)
Rationale: Vitamin K reverses warfarin’s effects. In major bleeding, IV
vitamin K plus FFP or prothrombin complex concentrate may be used.
pg. 1
,BSN 315 HESI Pharmacology II Exam – Harvard university 2025–
2026 | Verified exam Review with Actual Questions and Answers
2. A patient on insulin glargine (Lantus) asks why they take it at night. The
nurse explains:
A. “It’s rapid-acting and controls after meals.”
B. “It’s long-acting and provides basal insulin for 24 hours.”
C. “It prevents hypoglycemia overnight only.”
D. “It only works if taken on an empty stomach.”
CORRECT ANSWER ✅:B. “It’s long-acting and provides basal
insulin for 24 hours.”
Rationale: Insulin glargine is long-acting (basal) insulin, typically given
once daily to provide steady insulin levels.
3. Which medication is most appropriate for immediate reversal of heparin
anticoagulation in a patient with active bleeding?
A. Vitamin K
B. Protamine sulfate
C. Idarucizumab
D. Tranexamic acid
CORRECT ANSWER ✅:B. Protamine sulfate
Rationale: Protamine sulfate neutralizes heparin. Idarucizumab reverses
dabigatran, not heparin.
4. A client who takes digoxin develops nausea, visual changes (yellow halos),
and bradycardia. The nurse recognizes this as:
A. Signs of hypokalemia
B. Normal side effects
C. Signs of digoxin toxicity
pg. 2
, BSN 315 HESI Pharmacology II Exam – Harvard university 2025–
2026 | Verified exam Review with Actual Questions and Answers
D. An allergic reaction
CORRECT ANSWER ✅:C. Signs of digoxin toxicity
Rationale: GI symptoms, visual disturbances, and bradycardia are classic
for digoxin toxicity; check serum levels and K+.
5. A client is prescribed metoprolol for hypertension. Which condition would
require caution or avoidance? A. Asthma exacerbation
B. Migraine headaches
C. Hyperthyroidism
D. Sinus bradycardia and heart block
CORRECT ANSWER ✅:D. Sinus bradycardia and heart block
Rationale: Beta-blockers lower HR and AV conduction; avoid in
bradycardia/AV block. Use caution with reactive airway disease but
cardioselective drugs are preferred.
6. A nurse teaching about nitroglycerin transdermal patches should include
which instruction?
A. “Apply to oily skin for better absorption.”
B. “Remove patch at night to reduce tolerance.”
C. “If headache occurs, remove the patch immediately.”
D. “Keep patches on continuously for best effect.”
CORRECT ANSWER ✅:B. “Remove patch at night to reduce
tolerance.”
Rationale: A nitrate-free interval (often at night) reduces tolerance.
Headaches are common but not an indication to remove unless severe.
pg. 3
