BSN 315 - Pharmacology II HESI Assignment
Exam With Complete Solutions
A client with osteoarthritis receives a new prescription for celecoxib orally for
symptom management. The nurse notes the client is allergic to sulfa. Which
action is most important for the nurse to implement prior to administering the
first dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs. - ANSWER b) Notify the healthcare provider.
The nurse is making early morning rounds on a group of clients when a client
begins exhibiting symptoms of an acute asthma attack. The nurse administers a
PRN prescription for a Beta 2 receptor agonist agent. Which client response
should the nurse expect?
a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation - ANSWER a) Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan has been achieved?
a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg - ANSWER d) Blood
pressure reduced from 160/90 to 130/80 mmHg
The nurse is assessing the effectiveness of high-dose aspirin therapy for an 88-
year-old client with arthritis. The client reports that she can't hear the nurse's
questions because her ears are ringing. Which action should the nurse
implement?
a) Refer the client to an audiologist for evaluation of her hearing.
b) Advise the client that this is a common side effect of aspirin therapy.
,c) Notify the healthcare provider of this finding immediately.
d) Ask the client to turn off her hearing aid during the exam. - ANSWER c) Notify
the healthcare provider of this finding immediately.
The nitrate isosorbide dinitrate is prescribed for a client with angina. Which
instruction should the nurse include in this client's discharge teaching plan?
a) Quit taking the medication if dizziness occurs.
b) Do not get up quickly. Always rise slowly.
c) Take the medication with food only.
d) Increase your intake of potassium-rich foods. - ANSWER b) Do not get up
quickly. Always rise slowly.
Which medications should the nurse caution the client about taking while
receiving an opioid analgesic?
a) Antacids
b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics - ANSWER b) Benzodiazepines
A client who has been taking levodopa PO TID to control the symptoms of
Parkinson's disease has a new prescription for sustained-release
levodopa/carbidopa PO BID. The client took his levodopa at 0800. Which
instruction should the nurse include in the teaching plan for this client?
a) "Take the first dose of levodopa-carbidopa today, as soon as your
prescription is filled."
b) "Since you already took your levodopa, wait until tomorrow to take the
levodopa-carbidopa."
c) "Take both drugs for the first week, then switch to only the levodopa-
carbidopa."
d) "You can begin taking the levodopa-carbidopa this evening, but do not take
any more levodopa." - ANSWER d) "You can begin taking the levodopa-
carbidopa this evening, but do not take any more levodopa."
An adult client is given a prescription for a scopolamine patch to prevent motion
sickness while on a cruise. Which information should the nurse provide to the
client?
a) Apply the patch at least 4 hours prior to departure.
b) Change the patch every other day while on the cruise.
c) Place the patch on a hairless area at the base of the skull.
d) Drink no more than 2 alcoholic drinks during the cruise. - ANSWER a) Apply
the patch at least 4 hours prior to departure.
, The nurse is assessing a client prior to administering the prescribed dose of
atenolol PO. The client's blood pressure is 120/68 mmHg, and the telemetry
monitor shows sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Based on this assessment, what intervention should the nurse
implement?
a) Lower the head of the bed and assess the client for orthostatic vital sign
changes.
b) Give the medication as prescribed and continue to monitor the client.
c) Prepare to administer atropine sulfate IVP.
d) Hold the prescribed dose and contact the healthcare provider. - ANSWER b)
Give the medication as prescribed and continue to monitor the client.
When assessing an adolescent who recently overdosed on acetaminophen, it is
most important for the nurse to assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head - ANSWER b) Abdomen
A client with heart failure is prescribed spironolactone. Which information is
most important for the nurse to provide to the client about diet modifications?
a) Do not add salt to foods during preparation.
b) Refrain from eating foods high in potassium.
c) Restrict fluid intake to 1000 ml per day.
d) Increase intake of milk and milk products. - ANSWER b) Refrain from eating
foods high in potassium.
Which method of medication administration provides the client with the greatest
first-pass effect?
a) Oral
b) Sublingual
c) Intravenous
d) Subcutaneous - ANSWER a) Oral
Which nursing diagnosis is important to include in the plan of care for a client
receiving the angiotensin-2 receptor antagonist irbesartan?
a) Fluid volume deficit
b) Risk for infection
c) Risk for injury
d) Impaired sleep patterns - ANSWER c) Risk for injury
Exam With Complete Solutions
A client with osteoarthritis receives a new prescription for celecoxib orally for
symptom management. The nurse notes the client is allergic to sulfa. Which
action is most important for the nurse to implement prior to administering the
first dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs. - ANSWER b) Notify the healthcare provider.
The nurse is making early morning rounds on a group of clients when a client
begins exhibiting symptoms of an acute asthma attack. The nurse administers a
PRN prescription for a Beta 2 receptor agonist agent. Which client response
should the nurse expect?
a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation - ANSWER a) Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan has been achieved?
a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg - ANSWER d) Blood
pressure reduced from 160/90 to 130/80 mmHg
The nurse is assessing the effectiveness of high-dose aspirin therapy for an 88-
year-old client with arthritis. The client reports that she can't hear the nurse's
questions because her ears are ringing. Which action should the nurse
implement?
a) Refer the client to an audiologist for evaluation of her hearing.
b) Advise the client that this is a common side effect of aspirin therapy.
,c) Notify the healthcare provider of this finding immediately.
d) Ask the client to turn off her hearing aid during the exam. - ANSWER c) Notify
the healthcare provider of this finding immediately.
The nitrate isosorbide dinitrate is prescribed for a client with angina. Which
instruction should the nurse include in this client's discharge teaching plan?
a) Quit taking the medication if dizziness occurs.
b) Do not get up quickly. Always rise slowly.
c) Take the medication with food only.
d) Increase your intake of potassium-rich foods. - ANSWER b) Do not get up
quickly. Always rise slowly.
Which medications should the nurse caution the client about taking while
receiving an opioid analgesic?
a) Antacids
b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics - ANSWER b) Benzodiazepines
A client who has been taking levodopa PO TID to control the symptoms of
Parkinson's disease has a new prescription for sustained-release
levodopa/carbidopa PO BID. The client took his levodopa at 0800. Which
instruction should the nurse include in the teaching plan for this client?
a) "Take the first dose of levodopa-carbidopa today, as soon as your
prescription is filled."
b) "Since you already took your levodopa, wait until tomorrow to take the
levodopa-carbidopa."
c) "Take both drugs for the first week, then switch to only the levodopa-
carbidopa."
d) "You can begin taking the levodopa-carbidopa this evening, but do not take
any more levodopa." - ANSWER d) "You can begin taking the levodopa-
carbidopa this evening, but do not take any more levodopa."
An adult client is given a prescription for a scopolamine patch to prevent motion
sickness while on a cruise. Which information should the nurse provide to the
client?
a) Apply the patch at least 4 hours prior to departure.
b) Change the patch every other day while on the cruise.
c) Place the patch on a hairless area at the base of the skull.
d) Drink no more than 2 alcoholic drinks during the cruise. - ANSWER a) Apply
the patch at least 4 hours prior to departure.
, The nurse is assessing a client prior to administering the prescribed dose of
atenolol PO. The client's blood pressure is 120/68 mmHg, and the telemetry
monitor shows sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Based on this assessment, what intervention should the nurse
implement?
a) Lower the head of the bed and assess the client for orthostatic vital sign
changes.
b) Give the medication as prescribed and continue to monitor the client.
c) Prepare to administer atropine sulfate IVP.
d) Hold the prescribed dose and contact the healthcare provider. - ANSWER b)
Give the medication as prescribed and continue to monitor the client.
When assessing an adolescent who recently overdosed on acetaminophen, it is
most important for the nurse to assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head - ANSWER b) Abdomen
A client with heart failure is prescribed spironolactone. Which information is
most important for the nurse to provide to the client about diet modifications?
a) Do not add salt to foods during preparation.
b) Refrain from eating foods high in potassium.
c) Restrict fluid intake to 1000 ml per day.
d) Increase intake of milk and milk products. - ANSWER b) Refrain from eating
foods high in potassium.
Which method of medication administration provides the client with the greatest
first-pass effect?
a) Oral
b) Sublingual
c) Intravenous
d) Subcutaneous - ANSWER a) Oral
Which nursing diagnosis is important to include in the plan of care for a client
receiving the angiotensin-2 receptor antagonist irbesartan?
a) Fluid volume deficit
b) Risk for infection
c) Risk for injury
d) Impaired sleep patterns - ANSWER c) Risk for injury
