HESI PHARM 315 ACTUAL
EXAM WITH COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS
ALREADY GRADED A+\A+
STUDY MATERIAL
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for
pulmonary embolism. Which information in the clients history requires follow up by the nurse?
A. Metal hip prosthesis was placed twenty years ago
B. Takes metformin hydrochloride for type 2 diabetes millitus
C. CT scan that was performed six months earlier
D. Report of clients sobriety for the last five years
B. Takes metformin hydrochloride for type 2 diabetes millitus
A male client reports to the nurse that he is experiencing gastrointestinal distress from a high dose
of corticosteroid and is planning to stop taking the medication. In response to the clients statement,
which nursing action is most important for the nurse to implement?
A. Advise the client that the medication should be stopped gradually rather than abruptly
B. encourage the client to take the medication with food to decrease GI distress
C. Assess the client for other indications of adverse effects of corticosteroid use
D. review the clients dosing schedule to ensure he is taking the prescribed amount
A. Advise the client that the medication should be stopped gradually rather than abruptly
A client is receiving pilocarpine hydrochloride opthalmic drops for glaucoma. The client calls the clinic
nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
A. The drug can cause the lens to become more opaque
,B. The drops increase the fluid in the eyes and cloud the visual field
C. The eye drops slow pupil response to accommodate for darkness
D. The medication causes pupils to dilate, which reduces night vision
C. The eye drops slow pupil response to accommodate for darkness
A client is receiving rifampin, an antitubercular medication. Which statement by this client should
prompt the nurse to notify the healthcare provider of a potential problem?
A. Reports that the sclera are yellow
B. Voids urine that is orange colored
C. uses condoms for contraception
D. complains of persistent tinnitus
A. Reports that the sclera are yellow
A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for
several days. Which observation by the nurse indicates that the client may be experiencing an adverse
effect of gentamicin?
A. Decreased blood urea nitrogen
B. Reports of photophobia
C. Hearing has decreased
D. White blood cell count of 6,000/mm3
C. Hearing has decreased
An older adult client with restlessness syndrome begins taking melatonin at bedtime. When
evaluating the effectiveness of the herb, which client assessment should the nurse complete?
A.) determine sleep patterns
B.) palpate pedal pulse volume
C.) assess anxiety level
D.) observe for peripheral edema
A.) determine sleep patterns
To evaluate the effectiveness of a clients prescription for rosuvastatin, which action should the nurse
implement?
A.) evaluate the clients serum cholesterol level results
B.) measure skin folds for body mass index calculations
, C.) obtain the clients heart rate and blood pressure
D.) review the clients daily food and weight log
A.) evaluate the clients serum cholesterol level results
A client receives a prescription to itraconazole. Which information provide by the client requires
additional instruction by the nurse?
A.) monitor for changes in stool color
B.) report any difficulty with breathing
C.) take the medication with antacids
D.) avoid the consumption of grapefruit juice
C.) take the medication with antacids
When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasally,
which serum lab test is most important for the nurse to monitor?
A.) calcium
B.) osmolality
C.) glucose
D.) platelets
B.) osmolality
When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously
applied patch is intact on the clients upper back and the client denies pain. Which action should the
nurse take?
A.) remove the patch and consult with the healthcare provider about the clients pain resolution
B.) administer an oral analgesic and evaluate its effectiveness before applying the new patch
C.) apply the new patch in a different location after removing the original patch
D.) place the patch on the clients shoulder and leave both patches in place for 12 hrs
C.) apply the new patch in a different location after removing the original patch
The nurse is caring for an older client with multiple comorbidities. Which medication should the nurse
recognize as increasing the clients risk for fractures?
A.) metformin
B.) Lansoprazole
C.) amlodipine
EXAM WITH COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS
ALREADY GRADED A+\A+
STUDY MATERIAL
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for
pulmonary embolism. Which information in the clients history requires follow up by the nurse?
A. Metal hip prosthesis was placed twenty years ago
B. Takes metformin hydrochloride for type 2 diabetes millitus
C. CT scan that was performed six months earlier
D. Report of clients sobriety for the last five years
B. Takes metformin hydrochloride for type 2 diabetes millitus
A male client reports to the nurse that he is experiencing gastrointestinal distress from a high dose
of corticosteroid and is planning to stop taking the medication. In response to the clients statement,
which nursing action is most important for the nurse to implement?
A. Advise the client that the medication should be stopped gradually rather than abruptly
B. encourage the client to take the medication with food to decrease GI distress
C. Assess the client for other indications of adverse effects of corticosteroid use
D. review the clients dosing schedule to ensure he is taking the prescribed amount
A. Advise the client that the medication should be stopped gradually rather than abruptly
A client is receiving pilocarpine hydrochloride opthalmic drops for glaucoma. The client calls the clinic
nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
A. The drug can cause the lens to become more opaque
,B. The drops increase the fluid in the eyes and cloud the visual field
C. The eye drops slow pupil response to accommodate for darkness
D. The medication causes pupils to dilate, which reduces night vision
C. The eye drops slow pupil response to accommodate for darkness
A client is receiving rifampin, an antitubercular medication. Which statement by this client should
prompt the nurse to notify the healthcare provider of a potential problem?
A. Reports that the sclera are yellow
B. Voids urine that is orange colored
C. uses condoms for contraception
D. complains of persistent tinnitus
A. Reports that the sclera are yellow
A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for
several days. Which observation by the nurse indicates that the client may be experiencing an adverse
effect of gentamicin?
A. Decreased blood urea nitrogen
B. Reports of photophobia
C. Hearing has decreased
D. White blood cell count of 6,000/mm3
C. Hearing has decreased
An older adult client with restlessness syndrome begins taking melatonin at bedtime. When
evaluating the effectiveness of the herb, which client assessment should the nurse complete?
A.) determine sleep patterns
B.) palpate pedal pulse volume
C.) assess anxiety level
D.) observe for peripheral edema
A.) determine sleep patterns
To evaluate the effectiveness of a clients prescription for rosuvastatin, which action should the nurse
implement?
A.) evaluate the clients serum cholesterol level results
B.) measure skin folds for body mass index calculations
, C.) obtain the clients heart rate and blood pressure
D.) review the clients daily food and weight log
A.) evaluate the clients serum cholesterol level results
A client receives a prescription to itraconazole. Which information provide by the client requires
additional instruction by the nurse?
A.) monitor for changes in stool color
B.) report any difficulty with breathing
C.) take the medication with antacids
D.) avoid the consumption of grapefruit juice
C.) take the medication with antacids
When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasally,
which serum lab test is most important for the nurse to monitor?
A.) calcium
B.) osmolality
C.) glucose
D.) platelets
B.) osmolality
When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously
applied patch is intact on the clients upper back and the client denies pain. Which action should the
nurse take?
A.) remove the patch and consult with the healthcare provider about the clients pain resolution
B.) administer an oral analgesic and evaluate its effectiveness before applying the new patch
C.) apply the new patch in a different location after removing the original patch
D.) place the patch on the clients shoulder and leave both patches in place for 12 hrs
C.) apply the new patch in a different location after removing the original patch
The nurse is caring for an older client with multiple comorbidities. Which medication should the nurse
recognize as increasing the clients risk for fractures?
A.) metformin
B.) Lansoprazole
C.) amlodipine
