BSN 315 HESI RN PHARMACOLOGY EXAM 2026 – V1/V2/V3 STUDY
BUNDLE | VERIFIED AND 100% CORRECT QUESTIONS &
ANSWERS ,ALREADY GRADED A+
1.
A patient taking digoxin reports nausea, vomiting, and blurred vision with yellow
halos. Which lab value is most concerning?
A. Potassium 2.9 mEq/L
B. Sodium 145 mEq/L
C. Calcium 9.4 mg/dL
D. Magnesium 2.0 mEq/L
Answer: A. Potassium 2.9 mEq/L
Rationale: Hypokalemia increases risk of digoxin toxicity by enhancing drug
binding to cardiac tissue.
2.
A client prescribed warfarin should be instructed to:
A. Avoid foods high in vitamin K
B. Increase intake of leafy greens
C. Limit water intake
D. Take aspirin for pain
Answer: A. Avoid foods high in vitamin K
Rationale: Vitamin K reduces warfarin effectiveness by promoting clotting factor
synthesis.
3.
Which adverse effect is most concerning for a patient on an ACE inhibitor like
lisinopril?
,A. Constipation
B. Dry cough
C. Angioedema
D. Fatigue
Answer: C. Angioedema
Rationale: Angioedema is rare but life-threatening due to airway obstruction risk.
4.
A nurse should monitor which lab for a patient taking gentamicin?
A. Liver enzymes
B. Serum creatinine
C. Blood glucose
D. Hematocrit
Answer: B. Serum creatinine
Rationale: Aminoglycosides are nephrotoxic; renal function must be monitored.
5.
A patient taking spironolactone should avoid which food?
A. Apples
B. Bananas
C. Rice
D. Bread
Answer: B. Bananas
Rationale: Spironolactone is potassium-sparing; extra potassium can cause
hyperkalemia.
6.
Which drug is contraindicated in children with viral infections due to risk of
Reye’s syndrome?
,A. Aspirin
B. Acetaminophen
C. Ibuprofen
D. Naproxen
Answer: A. Aspirin
Rationale: Aspirin can trigger life-threatening Reye’s syndrome in children with
viral illness.
7.
Which adverse effect should be closely monitored in patients taking opioids?
A. Hypertension
B. Respiratory depression
C. Tachycardia
D. Polyuria
Answer: B. Respiratory depression
Rationale: Opioids depress the CNS and can suppress the respiratory drive.
8.
Which teaching is essential for a patient prescribed levothyroxine?
A. Take with food for better absorption
B. Take in the morning on an empty stomach
C. Take at bedtime with a snack
D. Alternate dosing with iron supplements
Answer: B. Take in the morning on an empty stomach
Rationale: Absorption of levothyroxine is best on an empty stomach before
breakfast.
9.
Which antidote is used for opioid overdose?
, A. Protamine sulfate
B. Naloxone
C. Flumazenil
D. Atropine
Answer: B. Naloxone
Rationale: Naloxone is a pure opioid antagonist used to reverse opioid-induced
respiratory depression.
10.
Which adverse effect is associated with long-term corticosteroid therapy?
A. Hypoglycemia
B. Osteoporosis
C. Weight loss
D. Hypotension
Answer: B. Osteoporosis
Rationale: Corticosteroids increase bone resorption, leading to osteoporosis.
11.
Which drug class is first-line therapy for high cholesterol?
A. Statins
B. Fibrates
C. Bile acid sequestrants
D. Niacin
Answer: A. Statins
Rationale: Statins lower LDL and reduce cardiovascular risk, making them first-
line therapy.
12.
Which symptom suggests lithium toxicity?
BUNDLE | VERIFIED AND 100% CORRECT QUESTIONS &
ANSWERS ,ALREADY GRADED A+
1.
A patient taking digoxin reports nausea, vomiting, and blurred vision with yellow
halos. Which lab value is most concerning?
A. Potassium 2.9 mEq/L
B. Sodium 145 mEq/L
C. Calcium 9.4 mg/dL
D. Magnesium 2.0 mEq/L
Answer: A. Potassium 2.9 mEq/L
Rationale: Hypokalemia increases risk of digoxin toxicity by enhancing drug
binding to cardiac tissue.
2.
A client prescribed warfarin should be instructed to:
A. Avoid foods high in vitamin K
B. Increase intake of leafy greens
C. Limit water intake
D. Take aspirin for pain
Answer: A. Avoid foods high in vitamin K
Rationale: Vitamin K reduces warfarin effectiveness by promoting clotting factor
synthesis.
3.
Which adverse effect is most concerning for a patient on an ACE inhibitor like
lisinopril?
,A. Constipation
B. Dry cough
C. Angioedema
D. Fatigue
Answer: C. Angioedema
Rationale: Angioedema is rare but life-threatening due to airway obstruction risk.
4.
A nurse should monitor which lab for a patient taking gentamicin?
A. Liver enzymes
B. Serum creatinine
C. Blood glucose
D. Hematocrit
Answer: B. Serum creatinine
Rationale: Aminoglycosides are nephrotoxic; renal function must be monitored.
5.
A patient taking spironolactone should avoid which food?
A. Apples
B. Bananas
C. Rice
D. Bread
Answer: B. Bananas
Rationale: Spironolactone is potassium-sparing; extra potassium can cause
hyperkalemia.
6.
Which drug is contraindicated in children with viral infections due to risk of
Reye’s syndrome?
,A. Aspirin
B. Acetaminophen
C. Ibuprofen
D. Naproxen
Answer: A. Aspirin
Rationale: Aspirin can trigger life-threatening Reye’s syndrome in children with
viral illness.
7.
Which adverse effect should be closely monitored in patients taking opioids?
A. Hypertension
B. Respiratory depression
C. Tachycardia
D. Polyuria
Answer: B. Respiratory depression
Rationale: Opioids depress the CNS and can suppress the respiratory drive.
8.
Which teaching is essential for a patient prescribed levothyroxine?
A. Take with food for better absorption
B. Take in the morning on an empty stomach
C. Take at bedtime with a snack
D. Alternate dosing with iron supplements
Answer: B. Take in the morning on an empty stomach
Rationale: Absorption of levothyroxine is best on an empty stomach before
breakfast.
9.
Which antidote is used for opioid overdose?
, A. Protamine sulfate
B. Naloxone
C. Flumazenil
D. Atropine
Answer: B. Naloxone
Rationale: Naloxone is a pure opioid antagonist used to reverse opioid-induced
respiratory depression.
10.
Which adverse effect is associated with long-term corticosteroid therapy?
A. Hypoglycemia
B. Osteoporosis
C. Weight loss
D. Hypotension
Answer: B. Osteoporosis
Rationale: Corticosteroids increase bone resorption, leading to osteoporosis.
11.
Which drug class is first-line therapy for high cholesterol?
A. Statins
B. Fibrates
C. Bile acid sequestrants
D. Niacin
Answer: A. Statins
Rationale: Statins lower LDL and reduce cardiovascular risk, making them first-
line therapy.
12.
Which symptom suggests lithium toxicity?
