Nightingale College
Pharmacology II
HESI Practice Exam: Pharmacology II (BSN 315)
Pages Total Marks Section Questions
16
Section 1 Multiple Choice 35 questions 70 total marks
Section 2 Short Answer 5 questions 20 total marks
Section 3 Long Answer 2 questions 10 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
Section 70 total marks
Multiple Choice
Select the best answer for each question. Each question is worth 2 marks.
Question 1 70 total marks
Downloaded by harun mburu ()
,A 68-year-old client from a culture that emphasizes traditional healing is admitted for management
of Stage IV heart failure. The client expresses reluctance to begin a new regimen of Digoxin and
Spironolactone, stating they prefer to use a specific herbal tea brought from home. The client's
current potassium level is mEq/L.
A In providing culturally competent care for this client, which nursing action is most appropriate
regarding the herbal tea?
A Allow the tea if it makes the client feel better, regardless of chemical composition.
B Consult with the pharmacist to identify potential drug-herb interactions with Spironolactone
and Digoxin.
C Document the client as non-compliant and proceed with the prescribed medications.
D Instruct the client to immediately stop the tea as it interferes with Digoxin.
B The client is prescribed a loading dose of Digoxin. Which pharmacological concept explains why
this is necessary for a client with complex needs?
A To rapidly reach a therapeutic steady-state plasma concentration.
B To increase the half-life of the drug in elderly patients.
C To prevent the drug from crossing the blood-brain barrier.
D To decrease the risk of toxicity by bypassing liver metabolism.
C Which safety practice must the nurse prioritize before administering the first dose of Spirono -
lactone to this client?
A Administer the medication with a high-potassium snack.
B Verify two client identifiers and check the potassium lab value.
C Assess the client's apical pulse for a full minute.
D Verify the client's blood pressure while standing and sitting.
D Given the client's diagnosis of Stage IV heart failure and hypokalemia, what is the primary risk if
Digoxin is administered?
A Increased risk of Digoxin toxicity.
B Immediate renal failure.
C Increased therapeutic window.
D Rapid development of hypernatremia.
Downloaded by harun mburu ()
, E Using the nursing process, which assessment finding is the priority to report to the provider
before the next dose of Digoxin?
A A report of yellow halos around lights.
B A respiratory rate of 18 breaths per minute.
C Client request for the traditional herbal tea.
D Mild pedal edema ( ).
F To ensure evidence-based practice, the nurse reviews current clinical guidelines for heart failure
management. Which medication class is now considered a first-line treatment alongside ACE
inhibitors for reducing mortality?
A Glucocorticoids
B Loop diuretics
C Beta-blockers
D Calcium channel blockers
G The nurse notes the client's BUN and Creatinine levels are elevated. Using clinical reasoning, what
adjustment should the nurse anticipate?
A Increase the dosage of all renally excreted drugs.
B Switch to oral administration for faster clearance.
C Decrease the dose or increase the interval of renally excreted drugs.
D Discontinue all diuretics immediately.
Downloaded by harun mburu ()
Pharmacology II
HESI Practice Exam: Pharmacology II (BSN 315)
Pages Total Marks Section Questions
16
Section 1 Multiple Choice 35 questions 70 total marks
Section 2 Short Answer 5 questions 20 total marks
Section 3 Long Answer 2 questions 10 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
Section 70 total marks
Multiple Choice
Select the best answer for each question. Each question is worth 2 marks.
Question 1 70 total marks
Downloaded by harun mburu ()
,A 68-year-old client from a culture that emphasizes traditional healing is admitted for management
of Stage IV heart failure. The client expresses reluctance to begin a new regimen of Digoxin and
Spironolactone, stating they prefer to use a specific herbal tea brought from home. The client's
current potassium level is mEq/L.
A In providing culturally competent care for this client, which nursing action is most appropriate
regarding the herbal tea?
A Allow the tea if it makes the client feel better, regardless of chemical composition.
B Consult with the pharmacist to identify potential drug-herb interactions with Spironolactone
and Digoxin.
C Document the client as non-compliant and proceed with the prescribed medications.
D Instruct the client to immediately stop the tea as it interferes with Digoxin.
B The client is prescribed a loading dose of Digoxin. Which pharmacological concept explains why
this is necessary for a client with complex needs?
A To rapidly reach a therapeutic steady-state plasma concentration.
B To increase the half-life of the drug in elderly patients.
C To prevent the drug from crossing the blood-brain barrier.
D To decrease the risk of toxicity by bypassing liver metabolism.
C Which safety practice must the nurse prioritize before administering the first dose of Spirono -
lactone to this client?
A Administer the medication with a high-potassium snack.
B Verify two client identifiers and check the potassium lab value.
C Assess the client's apical pulse for a full minute.
D Verify the client's blood pressure while standing and sitting.
D Given the client's diagnosis of Stage IV heart failure and hypokalemia, what is the primary risk if
Digoxin is administered?
A Increased risk of Digoxin toxicity.
B Immediate renal failure.
C Increased therapeutic window.
D Rapid development of hypernatremia.
Downloaded by harun mburu ()
, E Using the nursing process, which assessment finding is the priority to report to the provider
before the next dose of Digoxin?
A A report of yellow halos around lights.
B A respiratory rate of 18 breaths per minute.
C Client request for the traditional herbal tea.
D Mild pedal edema ( ).
F To ensure evidence-based practice, the nurse reviews current clinical guidelines for heart failure
management. Which medication class is now considered a first-line treatment alongside ACE
inhibitors for reducing mortality?
A Glucocorticoids
B Loop diuretics
C Beta-blockers
D Calcium channel blockers
G The nurse notes the client's BUN and Creatinine levels are elevated. Using clinical reasoning, what
adjustment should the nurse anticipate?
A Increase the dosage of all renally excreted drugs.
B Switch to oral administration for faster clearance.
C Decrease the dose or increase the interval of renally excreted drugs.
D Discontinue all diuretics immediately.
Downloaded by harun mburu ()
