BSN 315 HESI (Latest Update )
Pharmacology II Practice Questions AND
Answers {Grade A} 100% Correct
A client with atrial fibrillation receives a new prescription for dabigatran. Which
instruction should the nurse include in this client's teaching plan?
a. Keep an antidote available in the event of hemorrhage.
b. Continue obtaining scheduled laboratory bleeding tests.
c. Eliminate spinach and other green vegetables in the diet.
d. Avoid use of nonsteroidal anti-inflammatory drugs (NSAID) - correct answer Avoid
use of nonsteroidal anti-inflammatory drugs (NSAID)
The healthcare provider prescribes the antibiotic tetracycline HI for an adult client that
arrived at an outpatient clinic. Which instruction should the nurse include in the
teaching plan for this client?
a. Protect the skin from sunlight while taking the drug.
b. Take with orange juice to enhance Gl absorption.
c. Take with milk or antacids to prevent gastrointestinal (G) irritation.
,d. Return to the clinic weekly to obtain serum drug levels. - correct answer Protect the
skin from sunlight while taking the drug.
A client in the surgical recovery area asks the nurse to bring the largest possible dose
of pain medication available. Which action should the nurse implement first?
a. Review the history for a past use of recreational drugs.
b. Determine when the last dose was administered.
c. Ask the client to rate the current level of pain using a pain scale.
d. Encourage the client to use diversional thoughts to manage pain. - correct answer
Ask the client to rate the current level of pain using a pain scale.
The nurse is planning care for a client with major depression who is receiving a new
prescription for duloxetine. Which information is most important for the nurse to
obtain?
a. Recent use of other antidepressants.
b. Family history of mental illness.
c. Weight change in the last month
d. Liver function laboratory results. - correct answer Liver function laboratory results.
,The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action
should the nurse implement?
a. Initiate cardiopulmonary resuscitation (CPR).
b. Administer a second dose of naloxone.
c. Prepare to assist with chest tube insertion.
d. Determine Glasgow Coma Scale score. - correct answer Administer a second dose
of naloxone.
A client with hepatic encephalopathy is receiving lactulose. Which assessment
provides the nurse with the best information to evaluate the client's therapeutic
response to the drug?
a. Serum hepatic enzymes.
b. Fingerstick glucose.
c. Serum electrolytes and ammonia.
d. Stool color and character. - correct answer Serum electrolytes and ammonia.
, A client with a seizure disorder is seen at the clinic for a follow-up visit and a
prescription renewal for phenytoin. Which assessment finding warrants immediate
intervention bv the nurse?
a. Chronic insomnia.
b. Blood pressure 100/78 mm Hg.
c. Double vision.
d. Puffy, bleeding gums. - correct answer Double vision.
Prior to administering the evening dose of carbamazepine, the nurse notes that the
client's morning carbamazepine level was 8.4 mca/L (35.6 mcmol/L). Which action
should the nurse take? Reference Range: Carbamazepine level [Reference Range: 4 to
12 mcg/mL or 16.9 to 50.8 mcmol/L]
a. Withhold this dose of the Carbamazepine
b. Administer the carbamazepine as prescribed.
c. Notify the healthcare provider of the carbamazepine level.
Assess the client for side effects of carbamazepine - correct answer Notify the
healthcare provider of the carbamazepine level.
Pharmacology II Practice Questions AND
Answers {Grade A} 100% Correct
A client with atrial fibrillation receives a new prescription for dabigatran. Which
instruction should the nurse include in this client's teaching plan?
a. Keep an antidote available in the event of hemorrhage.
b. Continue obtaining scheduled laboratory bleeding tests.
c. Eliminate spinach and other green vegetables in the diet.
d. Avoid use of nonsteroidal anti-inflammatory drugs (NSAID) - correct answer Avoid
use of nonsteroidal anti-inflammatory drugs (NSAID)
The healthcare provider prescribes the antibiotic tetracycline HI for an adult client that
arrived at an outpatient clinic. Which instruction should the nurse include in the
teaching plan for this client?
a. Protect the skin from sunlight while taking the drug.
b. Take with orange juice to enhance Gl absorption.
c. Take with milk or antacids to prevent gastrointestinal (G) irritation.
,d. Return to the clinic weekly to obtain serum drug levels. - correct answer Protect the
skin from sunlight while taking the drug.
A client in the surgical recovery area asks the nurse to bring the largest possible dose
of pain medication available. Which action should the nurse implement first?
a. Review the history for a past use of recreational drugs.
b. Determine when the last dose was administered.
c. Ask the client to rate the current level of pain using a pain scale.
d. Encourage the client to use diversional thoughts to manage pain. - correct answer
Ask the client to rate the current level of pain using a pain scale.
The nurse is planning care for a client with major depression who is receiving a new
prescription for duloxetine. Which information is most important for the nurse to
obtain?
a. Recent use of other antidepressants.
b. Family history of mental illness.
c. Weight change in the last month
d. Liver function laboratory results. - correct answer Liver function laboratory results.
,The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action
should the nurse implement?
a. Initiate cardiopulmonary resuscitation (CPR).
b. Administer a second dose of naloxone.
c. Prepare to assist with chest tube insertion.
d. Determine Glasgow Coma Scale score. - correct answer Administer a second dose
of naloxone.
A client with hepatic encephalopathy is receiving lactulose. Which assessment
provides the nurse with the best information to evaluate the client's therapeutic
response to the drug?
a. Serum hepatic enzymes.
b. Fingerstick glucose.
c. Serum electrolytes and ammonia.
d. Stool color and character. - correct answer Serum electrolytes and ammonia.
, A client with a seizure disorder is seen at the clinic for a follow-up visit and a
prescription renewal for phenytoin. Which assessment finding warrants immediate
intervention bv the nurse?
a. Chronic insomnia.
b. Blood pressure 100/78 mm Hg.
c. Double vision.
d. Puffy, bleeding gums. - correct answer Double vision.
Prior to administering the evening dose of carbamazepine, the nurse notes that the
client's morning carbamazepine level was 8.4 mca/L (35.6 mcmol/L). Which action
should the nurse take? Reference Range: Carbamazepine level [Reference Range: 4 to
12 mcg/mL or 16.9 to 50.8 mcmol/L]
a. Withhold this dose of the Carbamazepine
b. Administer the carbamazepine as prescribed.
c. Notify the healthcare provider of the carbamazepine level.
Assess the client for side effects of carbamazepine - correct answer Notify the
healthcare provider of the carbamazepine level.
