BSN 315 PHARM II HESI EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole. Which information is
most important for the nurse to obtain from the client before initiating treatment?
Sexual history.
Use of oral contraceptives.
Method of infant feeding.
Possibility of pregnancy.
Method of infant feeding.
What teaching should the nurse provide a client who has received a new
prescription for sildenafil? (Select all that apply.)
Frequent use can lead to the development of hypertension.
Most effective if taken after at least 6 hours of REM sleep.
Take within 30 to 60 minutes of sexual stimulation.
Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache.
Take within 30 to 60 minutes of sexual stimulation.
,Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache.
A client with chronic schizophrenia illness is admitted after taking risperidone 10
mg/day for three months. The nurse implements a daily assessment using the
"Abnormal Involuntary Movement Scale" (AIMS). Which findings should the nurse
report to the healthcare provider?
Cogwheel rigidity.
Drowsiness and dizziness.
Tremors and muscle twitching.
Dry mouth, constipation, and blurred vision.
Tremors and muscle twitching.
Miotic drug therapy for the treatment of glaucoma is based chiefly upon which
physiologic action?
Enhancing aqueous humor outflow.
Inhibiting aqueous humor production.
Maintaining intraocular pressure.
Preventing extraocular infection.
Enhancing aqueous humor outflow.
A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching?
,Do not ingest foods with tyramine.
Avoid the consumption of alcohol.
Obtain daily blood pressure readings.
Take with a glass of orange juice.
Avoid the consumption of alcohol.
A client receives a prescription for sulfamethoxazole-trimethoprim for a urinary
tract infection (UTI). Which instruction should the nurse provide the client?
Ingest food prior to taking the antibiotic.
Drink at least 8 glasses of water a day.
Take the medication with grapefruit juice.
Avoid prolonged exposure to sunlight.
Drink at least 8 glasses of water a day.
The nurse reviews the new prescription, phenelzine, a monoamine oxidase
inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
information is most important for the nurse to assess?
Consumption of any alcohol or tyramine-rich foods.
Complaints of nausea or vomiting.
Therapeutic serum drug levels.
Blood pressure and pulse prior to taking each dose.
Consumption of any alcohol or tyramine-rich foods.
, A school-aged child is taking methylphenidate hydrochloride for the treatment of
attention-deficit hyperactivity disorder (ADHD). The mother tells the nurse that
she gives the medication at bedtime so it is "working" during school the next
morning. Which modification to the administration plan should the nurse
recommend to this mother?
Continue administering the medication dose at bedtime.
Give the medication when the child arrives at school.
Take the medication with meals.
Administer at least six hours before bedtime.
Administer at least six hours before bedtime.
A client receives a new prescription for pentazocine, a mixed opioid agonist-
antagonist after an opioid agonist is discontinued. Which is the advantage for the
client when the new prescription is implemented?
Tolerance does not occur.
Less agitation is experienced.
The analgesic ceiling is higher.
Used to decrease substance use disorder.
Used to decrease substance use disorder.
A client who is receiving chemotherapy is prescribed ondansetron. Which side
effect should the nurse include in the teaching plan?
WITH COMPLETE SOLUTIONS VERIFIED
A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole. Which information is
most important for the nurse to obtain from the client before initiating treatment?
Sexual history.
Use of oral contraceptives.
Method of infant feeding.
Possibility of pregnancy.
Method of infant feeding.
What teaching should the nurse provide a client who has received a new
prescription for sildenafil? (Select all that apply.)
Frequent use can lead to the development of hypertension.
Most effective if taken after at least 6 hours of REM sleep.
Take within 30 to 60 minutes of sexual stimulation.
Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache.
Take within 30 to 60 minutes of sexual stimulation.
,Report rebound priapism that occurs for 4 hours or more.
Can cause facial flushing and headache.
A client with chronic schizophrenia illness is admitted after taking risperidone 10
mg/day for three months. The nurse implements a daily assessment using the
"Abnormal Involuntary Movement Scale" (AIMS). Which findings should the nurse
report to the healthcare provider?
Cogwheel rigidity.
Drowsiness and dizziness.
Tremors and muscle twitching.
Dry mouth, constipation, and blurred vision.
Tremors and muscle twitching.
Miotic drug therapy for the treatment of glaucoma is based chiefly upon which
physiologic action?
Enhancing aqueous humor outflow.
Inhibiting aqueous humor production.
Maintaining intraocular pressure.
Preventing extraocular infection.
Enhancing aqueous humor outflow.
A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching?
,Do not ingest foods with tyramine.
Avoid the consumption of alcohol.
Obtain daily blood pressure readings.
Take with a glass of orange juice.
Avoid the consumption of alcohol.
A client receives a prescription for sulfamethoxazole-trimethoprim for a urinary
tract infection (UTI). Which instruction should the nurse provide the client?
Ingest food prior to taking the antibiotic.
Drink at least 8 glasses of water a day.
Take the medication with grapefruit juice.
Avoid prolonged exposure to sunlight.
Drink at least 8 glasses of water a day.
The nurse reviews the new prescription, phenelzine, a monoamine oxidase
inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
information is most important for the nurse to assess?
Consumption of any alcohol or tyramine-rich foods.
Complaints of nausea or vomiting.
Therapeutic serum drug levels.
Blood pressure and pulse prior to taking each dose.
Consumption of any alcohol or tyramine-rich foods.
, A school-aged child is taking methylphenidate hydrochloride for the treatment of
attention-deficit hyperactivity disorder (ADHD). The mother tells the nurse that
she gives the medication at bedtime so it is "working" during school the next
morning. Which modification to the administration plan should the nurse
recommend to this mother?
Continue administering the medication dose at bedtime.
Give the medication when the child arrives at school.
Take the medication with meals.
Administer at least six hours before bedtime.
Administer at least six hours before bedtime.
A client receives a new prescription for pentazocine, a mixed opioid agonist-
antagonist after an opioid agonist is discontinued. Which is the advantage for the
client when the new prescription is implemented?
Tolerance does not occur.
Less agitation is experienced.
The analgesic ceiling is higher.
Used to decrease substance use disorder.
Used to decrease substance use disorder.
A client who is receiving chemotherapy is prescribed ondansetron. Which side
effect should the nurse include in the teaching plan?
