1|Page
BSN 315 HESI Pharmacology Exam Nightingale 2025
– Updated Study Guide, Practice Test, and
Comprehensive Review for Nursing Students
Get ready for the BSN 315 HESI Pharmacology Exam Nightingale 2025 with the latest study
materials, practice questions, and rationales designed for nursing students. This
comprehensive guide covers drug classifications, dosage calculations, side effects, and HESI-
style questions to help you succeed in your Nightingale College pharmacology course and
prepare for the HESI RN exam. Boost your confidence and improve your pharmacology
mastery today!
BSN 315 HESI pharmacology exam Nightingale,
BSN 315 Nightingale pharmacology test,
HESI pharmacology exam 2025 Nightingale,
BSN 315 pharmacology study guide,
A nurse administered a second dose of an opioid containing codeine and acetaminophen to a client
fifteen minutes after a first dose was administered by another nurse, because the first dose was not
documented in the medication record. Which intervention is most important for the nurse to
implement? - ANSWER-Evaluate the client's vital signs.
Azithromycin is prescribed to a client with Chlamydia trachomatis. In providing client teaching about the
medication, the nurse should emphasize the importance of reporting the onset of which symptom to the
healthcare provider? - ANSWER-Flatulence and nausea.
Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail
infection, which assessment finding is most important for the nurse to address? - ANSWER-Reported
history of alcoholism.
,2|Page
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later,
nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation
of 75%, and is unable to be aroused. Which action should the nurse implement? - ANSWER-Initiate
cardiopulmonary resuscitation (CPR).
An older adult client with restless legs syndrome begins taking melatonin at bedtime. When evaluating
the effectiveness of the herb, which client assessment should the nurse complete? - ANSWER-
Determine sleep patterns.
A older male client is being discharged after a myocardial infarction (MI) and receives a new prescription
for atenolol. Which instruction is most important for
the nurse to include in her clients teaching plan? - ANSWER-Standing slowly when getting up from bed.
The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with methicillin-
resistant staphylococcus aureus (MRSA). Review of the client's laboratory values shows that serum peak
and trough levels are within the desired therapeutic range and the serum creatinine level is 4.5 mg/dL.
Which action should the nurse implement? - ANSWER-Withhold the next scheduled dose and contact
the healthcare provider.
After taking orlistat for one week, a female client tells the home health nurse that she is experiencing
increasingly frequent oily stools and flatus. Which action should the nurse take? - ANSWER-Ask the
client to describe her dietary intake history for the last several days..
A client receiving a heparin sodium infusion develops hemoptysis. The nurse reviews the client's
laboratory values to include hemoglobin 8 g/dL and platelet count of 50,000/mm3. Vital signs are:
oxygen saturation 92% on 50% venturi mask, heart rate 130 beats/minute, respiration 32
breaths/minute, and blood pressure
76/50mmHg. Which intervention should the nurse implement first? - ANSWER-Stop the heparin sodium
infusion.
The nurse is teaching a client with coronary artery disease about a newly prescribed medication,
atorvastatin. The client plans to take the medication in the morning with breakfast. Which food choices
are best for the nurse to recommend that the client should include with the meal? (select all that apply)
- ANSWER-Oatmeal
Whole banana
,3|Page
A client received succinylcholine, a depolarizing neuromuscular blocking agent during surgery. Which
assessment finding is most important for the nurse to report to the surgeon? - ANSWER-Ventricular
tachycardia
A client, who has a myocardial infarction last year, has a daily prescription for aspirin 325 mg by mouth.
Which assessment finding should alert the nurse to withhold the medication? - ANSWER-Low platelet
count.
A client who is newly diagnosed with erosive esophagitis secondary to GERD reports to the home health
nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one
full week. Which action should the nurse take? - ANSWER-Confirm that the client is taking the
medication one hour after meals.
A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and
sucralfate PO Before breakfast at 0730. The client reports experiencing heartburn when the
nurse brings to schedule medications. What action should the nurse take? - ANSWER-Administer both of
the medications before breakfast as scheduled
An older adult is receiving vancomycin for a hospital-acquired infection. which intervention is most
important for the nurse to implement? - ANSWER-Obtain a white blood cell count daily to determine
response of infection.
When conducting drug education about an oral preparation for cyclosporine. Which juice should the
nurse instruct the client? - ANSWER-Grapefruit
A client is using the nasal spray hormone calcitonin (miacalan) to reduce bone loss from osteoporosis. To
reduce rhinitis associated with administration of the nasal spray, the nurse should provide the client
with which instruction? - ANSWER-Alternate the use of each nostril when administering the nasal spray
each day.
A client receives a new prescription for zafirlukast. Prior to administering the medication, the nurse
should review the electronic medical record for which condition? - ANSWER-Status Asthmaticus
, 4|Page
A client with schizophrenia receives a prescription for fluphenazine. which instruction is most
important for the nurse to include when teaching the client about this drug? - ANSWER-Notify your
healthcare provider immediately if involuntary movements develop.
Which action should the nurse take to assess for analgesic tolerance in a client who is unable to
communicate? - ANSWER-Observe the client for presence of pain behaviors before the next analgesic
dose is due.
A client with cystitis receives a prescription for phenazopyridine. which information should the nurse
explain to the client about it's therapeutic effect? - ANSWER-Provides an analgesic effect for irritated
bladder mucosa.
Before administering the initial dose of sumatriptan succinate (imitrex) to a client with a migraine
headache, it is most important to determine if the client's history includes which problem? - ANSWER-
Coronary artery disease.
A client diagnosed with chronic hepatitis c is receiving ribavirin in combination with alpha-interferon
reports the onset of extreme fatigue and dyspnea on exertion. i tis most important for the nurse to
monitor which serum laboratory value? - ANSWER-Glucose
A young adult female client who is planning to become pregnant asks the nurse if she can continue
taking isotretinoin for cystic acne . Which information is most important for the nurse to provide this
client? - ANSWER-Discontinue this medication one month before attempting to conceive.
A client recently diagnosed with Parkinson's Disease receives a new prescription for carbidopa levodopa,
a dopaminergic drug. To reduce the client's risk for injury, which instruction should the nurse provide? -
ANSWER-Ambulate using a four-point cane or a walker with wheels.
A client diagnosed with myasthenia gravis receives a prescription for the anticholinesterase medication,
pyridostigmine. Which intervention should the nurse implement when preparing to administer this
medication? - ANSWER-Administer the medication thirty minutes prior to meals.
BSN 315 HESI Pharmacology Exam Nightingale 2025
– Updated Study Guide, Practice Test, and
Comprehensive Review for Nursing Students
Get ready for the BSN 315 HESI Pharmacology Exam Nightingale 2025 with the latest study
materials, practice questions, and rationales designed for nursing students. This
comprehensive guide covers drug classifications, dosage calculations, side effects, and HESI-
style questions to help you succeed in your Nightingale College pharmacology course and
prepare for the HESI RN exam. Boost your confidence and improve your pharmacology
mastery today!
BSN 315 HESI pharmacology exam Nightingale,
BSN 315 Nightingale pharmacology test,
HESI pharmacology exam 2025 Nightingale,
BSN 315 pharmacology study guide,
A nurse administered a second dose of an opioid containing codeine and acetaminophen to a client
fifteen minutes after a first dose was administered by another nurse, because the first dose was not
documented in the medication record. Which intervention is most important for the nurse to
implement? - ANSWER-Evaluate the client's vital signs.
Azithromycin is prescribed to a client with Chlamydia trachomatis. In providing client teaching about the
medication, the nurse should emphasize the importance of reporting the onset of which symptom to the
healthcare provider? - ANSWER-Flatulence and nausea.
Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail
infection, which assessment finding is most important for the nurse to address? - ANSWER-Reported
history of alcoholism.
,2|Page
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later,
nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation
of 75%, and is unable to be aroused. Which action should the nurse implement? - ANSWER-Initiate
cardiopulmonary resuscitation (CPR).
An older adult client with restless legs syndrome begins taking melatonin at bedtime. When evaluating
the effectiveness of the herb, which client assessment should the nurse complete? - ANSWER-
Determine sleep patterns.
A older male client is being discharged after a myocardial infarction (MI) and receives a new prescription
for atenolol. Which instruction is most important for
the nurse to include in her clients teaching plan? - ANSWER-Standing slowly when getting up from bed.
The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with methicillin-
resistant staphylococcus aureus (MRSA). Review of the client's laboratory values shows that serum peak
and trough levels are within the desired therapeutic range and the serum creatinine level is 4.5 mg/dL.
Which action should the nurse implement? - ANSWER-Withhold the next scheduled dose and contact
the healthcare provider.
After taking orlistat for one week, a female client tells the home health nurse that she is experiencing
increasingly frequent oily stools and flatus. Which action should the nurse take? - ANSWER-Ask the
client to describe her dietary intake history for the last several days..
A client receiving a heparin sodium infusion develops hemoptysis. The nurse reviews the client's
laboratory values to include hemoglobin 8 g/dL and platelet count of 50,000/mm3. Vital signs are:
oxygen saturation 92% on 50% venturi mask, heart rate 130 beats/minute, respiration 32
breaths/minute, and blood pressure
76/50mmHg. Which intervention should the nurse implement first? - ANSWER-Stop the heparin sodium
infusion.
The nurse is teaching a client with coronary artery disease about a newly prescribed medication,
atorvastatin. The client plans to take the medication in the morning with breakfast. Which food choices
are best for the nurse to recommend that the client should include with the meal? (select all that apply)
- ANSWER-Oatmeal
Whole banana
,3|Page
A client received succinylcholine, a depolarizing neuromuscular blocking agent during surgery. Which
assessment finding is most important for the nurse to report to the surgeon? - ANSWER-Ventricular
tachycardia
A client, who has a myocardial infarction last year, has a daily prescription for aspirin 325 mg by mouth.
Which assessment finding should alert the nurse to withhold the medication? - ANSWER-Low platelet
count.
A client who is newly diagnosed with erosive esophagitis secondary to GERD reports to the home health
nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one
full week. Which action should the nurse take? - ANSWER-Confirm that the client is taking the
medication one hour after meals.
A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and
sucralfate PO Before breakfast at 0730. The client reports experiencing heartburn when the
nurse brings to schedule medications. What action should the nurse take? - ANSWER-Administer both of
the medications before breakfast as scheduled
An older adult is receiving vancomycin for a hospital-acquired infection. which intervention is most
important for the nurse to implement? - ANSWER-Obtain a white blood cell count daily to determine
response of infection.
When conducting drug education about an oral preparation for cyclosporine. Which juice should the
nurse instruct the client? - ANSWER-Grapefruit
A client is using the nasal spray hormone calcitonin (miacalan) to reduce bone loss from osteoporosis. To
reduce rhinitis associated with administration of the nasal spray, the nurse should provide the client
with which instruction? - ANSWER-Alternate the use of each nostril when administering the nasal spray
each day.
A client receives a new prescription for zafirlukast. Prior to administering the medication, the nurse
should review the electronic medical record for which condition? - ANSWER-Status Asthmaticus
, 4|Page
A client with schizophrenia receives a prescription for fluphenazine. which instruction is most
important for the nurse to include when teaching the client about this drug? - ANSWER-Notify your
healthcare provider immediately if involuntary movements develop.
Which action should the nurse take to assess for analgesic tolerance in a client who is unable to
communicate? - ANSWER-Observe the client for presence of pain behaviors before the next analgesic
dose is due.
A client with cystitis receives a prescription for phenazopyridine. which information should the nurse
explain to the client about it's therapeutic effect? - ANSWER-Provides an analgesic effect for irritated
bladder mucosa.
Before administering the initial dose of sumatriptan succinate (imitrex) to a client with a migraine
headache, it is most important to determine if the client's history includes which problem? - ANSWER-
Coronary artery disease.
A client diagnosed with chronic hepatitis c is receiving ribavirin in combination with alpha-interferon
reports the onset of extreme fatigue and dyspnea on exertion. i tis most important for the nurse to
monitor which serum laboratory value? - ANSWER-Glucose
A young adult female client who is planning to become pregnant asks the nurse if she can continue
taking isotretinoin for cystic acne . Which information is most important for the nurse to provide this
client? - ANSWER-Discontinue this medication one month before attempting to conceive.
A client recently diagnosed with Parkinson's Disease receives a new prescription for carbidopa levodopa,
a dopaminergic drug. To reduce the client's risk for injury, which instruction should the nurse provide? -
ANSWER-Ambulate using a four-point cane or a walker with wheels.
A client diagnosed with myasthenia gravis receives a prescription for the anticholinesterase medication,
pyridostigmine. Which intervention should the nurse implement when preparing to administer this
medication? - ANSWER-Administer the medication thirty minutes prior to meals.
