BSN 315 HESI
PHARMACOLOGY V1 EXAM
Nightingale College Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ passing score Guarantee ❖ Format Set of Multiple-choice ❖ questions with incorporating Next Generation NCLEX (NGN) and Case scenarios questions ❖ Expert-Verified Explanations & Solutions
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### 1. The nurse provides discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth three times a day for postherpetic neuralgia. Which symptoms should the nurse tell the client to report to the healthcare provider?
Answer Choices:
- Sexual dysfunction
- Gastric irritation
- Rapid weight gain
- Photosensitivity
Correct Answer: B. Gastric irritation
Expert Rationale:
Gastric irritation, though less common than neurologic side effects, can signal intolerance or predispose to GI bleeding, especially in older adults or those on other GI-risk medications. The nurse should instruct the client to report persistent GI symptoms promptly.
### 2. A client with chronic lower back pain has been taking NSAID ibuprofen orally twice a day for several months. Which assessment is most important for the nurse to complete?
Answer Choices:
- Assess back pain using numeric scale
- Palpate volume of pedal pulses 2 / 4
- Determine presence of abdominal pain
- Evaluate ongoing sleep patterns
Correct Answer: C. Determine presence of abdominal pain
Expert Rationale:
Given chronic NSAID use, the most critical and potentially life-threatening side effect is GI ulcer/bleed, often presenting as abdominal pain. Early detection may prevent major complications such as perforation and hemorrhage.
### 3. NGN - Complex Case
Patient Data:
History: 36-year-old female, moderate persistent asthma. Rx: fluticasone/salmeterol 250/50 mcg & albuterol 2 puffs q4-6h PRN.
Current status: Increased asthma symptoms over a week, FEV1 60-65%
despite frequent albuterol, dizziness, lightheadedness, palpitations.99% O₂ sat. No wheezes auscultated.
Answer Choices:
Potential Condition:
- Methemoglobinemia
Actions to Take:
- Draw blood for a complete blood count
- Administer methylene blue 3 / 4
Parameters to Monitor:
- Methemoglobin level
- Heart rate and rhythm
NGN Context:
The client presents with unexplained symptoms (dizziness, palpitations) despite adequate O₂ sat. Changes in O₂ sat, abnormal response to beta- agonists, and limited physical findings prompt consideration of atypical causes (e.g., methemoglobinemia).
Expert Rationale:
Asthma should respond to albuterol; if not, and symptoms such as pallor, dizziness, and palpitations occur, methemoglobinemia (seen with certain drug exposures) can impair oxygen delivery despite normal O₂ readings.Checking methemoglobin and CBC, with treatment and cardiac monitoring, is essential for safety.
### 4. A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?
Answer Choices:
- Muscle tenderness.
- Nausea and vomiting.
- Excessive bruising.
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