One root of $x^2 + px + q = 0$, for $p, q$ real, is $x = 2 + 3i$. How do you find $p$ and $q$?
Note that if $\alpha$ and $\beta$ are the roots, then we have
$(x-\alpha)(x-\beta)=0$
$$x^2-(\alpha+\beta) x+\alpha \beta = 0$$
Since your equation is monic,
$$p=-(2+3i+2-3i)=-4$$