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BSN HESI 315 Pharmacology Practice Exam V2 (New
2024/ 2025 Update) Questions and Verified Answers|100%
Correct| Grade A-Nightingale
An older male client comes to the geriatric screening clinic complaining of pain in
his left calf. The nurse notices a reddened area on the calf of his right leg which is
warm to the touch and suspects it might be thrombophlebitis. Which type of pain
would further confirm this suspicion? - (answers)pain in the calf upon exertion that
is relieved by rest and elevating the extremity. Rationale
Thrombophlebitis pain is relieved by rest and elevation of the extremity. It
typically occurs with exercise at the site of the thrombus and is aggravated by
placing the extremity in a dependent position, such as standing in one place.
In preparing to administer intravenous albumin to a client following surgery, which
is the priority nursing intervention? (Select all that apply.) - (answers)1. set the
albumin to infuse within 4 hours 2. monitor hgb&hct 3. assess for increased
bleeding after administration
The nurse is providing dietary instructions to a 68-year-old client who is at high
risk for the development of coronary heart disease (CHD). Which information
should the nurse include? - (answers)increase intake of soluble fiber to 10-25 g
daily
How should the nurse position the electrodes for three lead telemetry monitoring? -
(answers)white/negative lead at right 2nd intercostal space, black/positive at left
intercostal space, and red/ground at left 8/9th rib space
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary
modification is most important for the nurse to teach this client? - (answers)restrict
salt and fluid intake
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A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg.
Which action should the nurse implement? - (answers)give an antihypertensive
med
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply.) - (answers)do not leave the diaphragm in
place longer than 8 hours after intercourse 2. replace the old diaphragm every 3
months
Which milestone indicates to the nurse of successful achievement of young
adulthood? - (answers)completes education and becomes self-supporting
A 32-year-old female client reports severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional
history should the nurse obtain that is consistent with the client's concerns? -
(answers)inability to get pregnant
A female client receiving IV vasopressin for esophageal variceal rupture reports to
the nurse that she feels substernal tightness and pressure across her chest. Which
PRN protocol should the nurse initiate? - (answers)start an IV nitroglycerin
infusion
The nurse knows that laboratory values sometimes vary for the older client. Which
data would the nurse expect to find when reviewing the laboratory values of an 80-
year-old male? - (answers)bacteria in the urine, slightly increased serum glucose
levels
, Smartscholarhub
A 58-year-old client, who has no health problems asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on which
information? - (answers)the immunization is administered once to older adults or
persons with a history of chronic illness
A client taking a thiazide diuretic for the past six months has a serum potassium
level of 3. The nurse anticipates which change in prescription for the client? -
(answers)a potassium supplement will be perscribed
A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows the prognosis for gram-negative pneumonias (such as
E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because? -
(answers)gram-negative organisms are more resistant to antibiotic therapy
What types of medications should the nurse expect to administer to a client during
an acute respiratory failure episode? - (answers)bronchodilators and steroids
The nurse notes that the only ECG for a 55-year-old male client scheduled for
surgery in two hours is dated two years ago. The client reports that he has a history
of "heart trouble," but has no problems at present. Hospital protocol requires that
those over 50 years of age have a recent ECG prior to surgery. Which nursing
action is best for the nurse to implement? - (answers)call for an ecg to be
performed immediately
The nurse is interviewing a male client with hypertension. Which additional
medical diagnosis in the client's history presents the greatest risk for developing a
cerebral vascular accident (CVA)? - (answers)diabetes
BSN HESI 315 Pharmacology Practice Exam V2 (New
2024/ 2025 Update) Questions and Verified Answers|100%
Correct| Grade A-Nightingale
An older male client comes to the geriatric screening clinic complaining of pain in
his left calf. The nurse notices a reddened area on the calf of his right leg which is
warm to the touch and suspects it might be thrombophlebitis. Which type of pain
would further confirm this suspicion? - (answers)pain in the calf upon exertion that
is relieved by rest and elevating the extremity. Rationale
Thrombophlebitis pain is relieved by rest and elevation of the extremity. It
typically occurs with exercise at the site of the thrombus and is aggravated by
placing the extremity in a dependent position, such as standing in one place.
In preparing to administer intravenous albumin to a client following surgery, which
is the priority nursing intervention? (Select all that apply.) - (answers)1. set the
albumin to infuse within 4 hours 2. monitor hgb&hct 3. assess for increased
bleeding after administration
The nurse is providing dietary instructions to a 68-year-old client who is at high
risk for the development of coronary heart disease (CHD). Which information
should the nurse include? - (answers)increase intake of soluble fiber to 10-25 g
daily
How should the nurse position the electrodes for three lead telemetry monitoring? -
(answers)white/negative lead at right 2nd intercostal space, black/positive at left
intercostal space, and red/ground at left 8/9th rib space
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary
modification is most important for the nurse to teach this client? - (answers)restrict
salt and fluid intake
,Smartscholarhub
A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg.
Which action should the nurse implement? - (answers)give an antihypertensive
med
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply.) - (answers)do not leave the diaphragm in
place longer than 8 hours after intercourse 2. replace the old diaphragm every 3
months
Which milestone indicates to the nurse of successful achievement of young
adulthood? - (answers)completes education and becomes self-supporting
A 32-year-old female client reports severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional
history should the nurse obtain that is consistent with the client's concerns? -
(answers)inability to get pregnant
A female client receiving IV vasopressin for esophageal variceal rupture reports to
the nurse that she feels substernal tightness and pressure across her chest. Which
PRN protocol should the nurse initiate? - (answers)start an IV nitroglycerin
infusion
The nurse knows that laboratory values sometimes vary for the older client. Which
data would the nurse expect to find when reviewing the laboratory values of an 80-
year-old male? - (answers)bacteria in the urine, slightly increased serum glucose
levels
, Smartscholarhub
A 58-year-old client, who has no health problems asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on which
information? - (answers)the immunization is administered once to older adults or
persons with a history of chronic illness
A client taking a thiazide diuretic for the past six months has a serum potassium
level of 3. The nurse anticipates which change in prescription for the client? -
(answers)a potassium supplement will be perscribed
A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows the prognosis for gram-negative pneumonias (such as
E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because? -
(answers)gram-negative organisms are more resistant to antibiotic therapy
What types of medications should the nurse expect to administer to a client during
an acute respiratory failure episode? - (answers)bronchodilators and steroids
The nurse notes that the only ECG for a 55-year-old male client scheduled for
surgery in two hours is dated two years ago. The client reports that he has a history
of "heart trouble," but has no problems at present. Hospital protocol requires that
those over 50 years of age have a recent ECG prior to surgery. Which nursing
action is best for the nurse to implement? - (answers)call for an ecg to be
performed immediately
The nurse is interviewing a male client with hypertension. Which additional
medical diagnosis in the client's history presents the greatest risk for developing a
cerebral vascular accident (CVA)? - (answers)diabetes
