BSN HESI 315 STUDY GUIDE 2026 MASTER
SOLUTION DIGEST
◉A client with heart failure (HF) is being discharged with a new
prescription for the angiotensin-converting enzyme (ACE) inhibitor
captopril. The nurse's discharge instructions should include
reporting which problem to the healthcare provider?
a) Weight loss.
b) Dizziness.
c) Muscle cramps.
d) Dry mucous membranes. Answer: b) Dizziness.
◉Which dosing schedule should the nurse teach the client to
observe for a controlled-release oxycodone prescription?
a) As needed.
b) Every 12 hours.
c) Every 24 hours.
d) Every 4 to 6 hours. Answer: b) Every 12 hours.
,◉A client with dysrhythmia is to receive procainamide in 4 divided
doses over the next 24 hours. Which dosing schedule is best for the
nurse to implement?
a) Every 6 hours.
b) QID.
c) AC and bedtime.
d) PC and bedtime. Answer: a) Every 6 hours.
◉Which symptoms are serious adverse effects of beta-adrenergic
blockers such as propranolol?
a) Headache, hypertension, and blurred vision.
b) Wheezing, hypotension, and AV block.
c) Vomiting, dilated pupils, and papilledema.
d) Tinnitus, muscle weakness, and tachypnea. Answer: b) Wheezing,
hypotension, and AV block.
◉Which antidiarrheal agent should be used with caution in clients
taking high dosages of aspirin for arthritis?
a) Loperamide.
b) Probantheline.
, c) Bismuth subsalicylate.
d) Diphenoxylate hydrochloride with atropine. Answer: c) Bismuth
subsalicylate.
◉The nurse is reviewing the use of the patient-controlled analgesia
(PCA) pump with a client in the immediate postoperative period.
The client will receive morphine 1 mg IV per hour basal rate with 1
mg IV every 15 minutes per PCA to a total of 5 mg IV maximally per
hour. Which assessment has the highest priority before initiating the
PCA pump?
a) The expiration date on the morphine syringe in the pump.
b) The rate and depth of the client's respirations.
c) The type of anesthesia used during the surgical procedure.
d) The client's subjective and objective signs of pain. Answer: b) The
rate and depth of the client's respirations.
◉In evaluating the effects of lactulose, which outcome would
indicate that the drug is performing as intended?
a) An increase in urine output.
b) Two or three soft stools per day.
c) Watery, diarrhea stools.
SOLUTION DIGEST
◉A client with heart failure (HF) is being discharged with a new
prescription for the angiotensin-converting enzyme (ACE) inhibitor
captopril. The nurse's discharge instructions should include
reporting which problem to the healthcare provider?
a) Weight loss.
b) Dizziness.
c) Muscle cramps.
d) Dry mucous membranes. Answer: b) Dizziness.
◉Which dosing schedule should the nurse teach the client to
observe for a controlled-release oxycodone prescription?
a) As needed.
b) Every 12 hours.
c) Every 24 hours.
d) Every 4 to 6 hours. Answer: b) Every 12 hours.
,◉A client with dysrhythmia is to receive procainamide in 4 divided
doses over the next 24 hours. Which dosing schedule is best for the
nurse to implement?
a) Every 6 hours.
b) QID.
c) AC and bedtime.
d) PC and bedtime. Answer: a) Every 6 hours.
◉Which symptoms are serious adverse effects of beta-adrenergic
blockers such as propranolol?
a) Headache, hypertension, and blurred vision.
b) Wheezing, hypotension, and AV block.
c) Vomiting, dilated pupils, and papilledema.
d) Tinnitus, muscle weakness, and tachypnea. Answer: b) Wheezing,
hypotension, and AV block.
◉Which antidiarrheal agent should be used with caution in clients
taking high dosages of aspirin for arthritis?
a) Loperamide.
b) Probantheline.
, c) Bismuth subsalicylate.
d) Diphenoxylate hydrochloride with atropine. Answer: c) Bismuth
subsalicylate.
◉The nurse is reviewing the use of the patient-controlled analgesia
(PCA) pump with a client in the immediate postoperative period.
The client will receive morphine 1 mg IV per hour basal rate with 1
mg IV every 15 minutes per PCA to a total of 5 mg IV maximally per
hour. Which assessment has the highest priority before initiating the
PCA pump?
a) The expiration date on the morphine syringe in the pump.
b) The rate and depth of the client's respirations.
c) The type of anesthesia used during the surgical procedure.
d) The client's subjective and objective signs of pain. Answer: b) The
rate and depth of the client's respirations.
◉In evaluating the effects of lactulose, which outcome would
indicate that the drug is performing as intended?
a) An increase in urine output.
b) Two or three soft stools per day.
c) Watery, diarrhea stools.
