HESI Pharm II - 315
HESI Pharm II – 315 Exam Study Guide
Questions and Answers Verified Update
2025
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare
provider recently changed the medication to Enalapril to manage the client's BP. Which
instruction should the nurse provide the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
D) Rise slowly when getting out of bed or chair -Correct Answer ✔D) Rise slowly when
getting out of bed or chair
A female client calls the clinic and talks with the nurse to inquire about a possible
reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and white discharge. The nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until finished until the symptoms subside.
C) Consult with a healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions. -Correct
Answer ✔C) Consult with healthcare provider about another treatment for this effect.
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? [Select all apply]
A) Tachycardia.
B) Increased blood pressure.
C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
E) Reduce fever airway inflammation. -Correct Answer ✔C) Rapid resolution of
wheezing.
D) Improved pulse oximetry values.
A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying sinus
bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action
should the nurse take?
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 IV push.
HESI Pharm II - 315
,HESI Pharm II - 315
D) Hold the prescribed dose and contact the healthcare provider. -Correct Answer ✔B)
Give the medication as prescribed and continue to monitor the client.
The nurse is preparing the 0900 doses of losartan (Cozaar), an angiotensin II receptor
blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the
client's laboratory results and notes that the client's serum potassium
level is 5.9 mEq/L. Which action should the nurse take first?
A) Withhold the scheduled dose. B) Check the client's apical pulse.
C) Notify the healthcare provider.
D) Repeat the serum potassium level. -Correct Answer ✔A) Withhold the scheduled
dose.
Upon admission to the emergency center, an adult client with acute status asthmaticus
is prescribed this series of medications. In which order should the nurse administer the
prescribed medications? (Arrange from first to last.)
Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Gentamicin (Garamycin) IM.
Prednisone (Deltasone) orally. -Correct Answer ✔Albuterol (Proventil) puffs. Salmeterol
(Serevent Diskus). Prednisone (Deltasone) orally. Gentamicin (Garamycin) IM.
An adult client is given a prescription for a scopolamine patch (Transderm Scop) 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. -Correct Answer ✔A) Apply
the patch at least 4 hours prior to departure.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurse include in the client's instruction?
A) Notify the clinic of any changes in the color of urine.
B) Avoid overexposure to the sun.
C) Stop the medication after the diarrhea resolves.
D) Take the medication with food. -Correct Answer ✔D) Take the medication with food.
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a
day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is
prescribed. Which information is most important for the nurse to include in client
teaching?
HESI Pharm II - 315
, HESI Pharm II - 315
A) Use contraception during intercourse.
B) Ensure the Cytotec is taken on an empty stomach.
C) Encourage oral fluid intake to prevent constipation.
D) Take Cytotec 30 minutes prior to Motrin. -Correct Answer ✔A) Use contraception
during intercourse.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) 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. -Correct Answer ✔B) Notify the healthcare provider.
A client is admitted to the hospital for new onset of supraventricular tachycardia (SVT)
and is prescribed digoxin. For which laboratory finding should the nurse notify the
healthcare provider immediately?
A) Potassium level of 3.1 mEq/L.
B) Sodium level of 132 mEq/L.
C) Calcium level of 8.6 mg/dL.
D) Magnesium level of 1.2 mEq/L. -Correct Answer ✔A) Potassium level of 3.1 mEq/L.
The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client
who receives an angiotensin-converting enzyme (ACE) inhibitor. Which action should
the nurse implement?
A) Verify both prescriptions with the healthcare provider.
B) Report the medication interactions to the nurse manager.
C) Hold the ACE inhibitor and give the new prescription.
D) Transcribe and send the prescription to the pharmacy. -Correct Answer ✔A) Verify
both prescriptions with the healthcare provider.
The nurse admits a client with tumor-induced spinal cord compression. Which
medication should the nurse anticipate to be prescribed to offer the best palliative
treatment for this client?
A) Morphine sulfate.
B) Ibuprofen.
C) Amitriptyline.
D) Dexamethasone. -Correct Answer ✔D) Dexamethasone.
The nurse is preparing an education session for a client prescribed opioids for
intractable cancer pain. The nurse should include strategies to help prevent which
common side effect associated with long-term use of opioids?
HESI Pharm II - 315
HESI Pharm II – 315 Exam Study Guide
Questions and Answers Verified Update
2025
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare
provider recently changed the medication to Enalapril to manage the client's BP. Which
instruction should the nurse provide the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
D) Rise slowly when getting out of bed or chair -Correct Answer ✔D) Rise slowly when
getting out of bed or chair
A female client calls the clinic and talks with the nurse to inquire about a possible
reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and white discharge. The nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until finished until the symptoms subside.
C) Consult with a healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions. -Correct
Answer ✔C) Consult with healthcare provider about another treatment for this effect.
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? [Select all apply]
A) Tachycardia.
B) Increased blood pressure.
C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
E) Reduce fever airway inflammation. -Correct Answer ✔C) Rapid resolution of
wheezing.
D) Improved pulse oximetry values.
A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying sinus
bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action
should the nurse take?
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 IV push.
HESI Pharm II - 315
,HESI Pharm II - 315
D) Hold the prescribed dose and contact the healthcare provider. -Correct Answer ✔B)
Give the medication as prescribed and continue to monitor the client.
The nurse is preparing the 0900 doses of losartan (Cozaar), an angiotensin II receptor
blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the
client's laboratory results and notes that the client's serum potassium
level is 5.9 mEq/L. Which action should the nurse take first?
A) Withhold the scheduled dose. B) Check the client's apical pulse.
C) Notify the healthcare provider.
D) Repeat the serum potassium level. -Correct Answer ✔A) Withhold the scheduled
dose.
Upon admission to the emergency center, an adult client with acute status asthmaticus
is prescribed this series of medications. In which order should the nurse administer the
prescribed medications? (Arrange from first to last.)
Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Gentamicin (Garamycin) IM.
Prednisone (Deltasone) orally. -Correct Answer ✔Albuterol (Proventil) puffs. Salmeterol
(Serevent Diskus). Prednisone (Deltasone) orally. Gentamicin (Garamycin) IM.
An adult client is given a prescription for a scopolamine patch (Transderm Scop) 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. -Correct Answer ✔A) Apply
the patch at least 4 hours prior to departure.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurse include in the client's instruction?
A) Notify the clinic of any changes in the color of urine.
B) Avoid overexposure to the sun.
C) Stop the medication after the diarrhea resolves.
D) Take the medication with food. -Correct Answer ✔D) Take the medication with food.
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a
day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is
prescribed. Which information is most important for the nurse to include in client
teaching?
HESI Pharm II - 315
, HESI Pharm II - 315
A) Use contraception during intercourse.
B) Ensure the Cytotec is taken on an empty stomach.
C) Encourage oral fluid intake to prevent constipation.
D) Take Cytotec 30 minutes prior to Motrin. -Correct Answer ✔A) Use contraception
during intercourse.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) 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. -Correct Answer ✔B) Notify the healthcare provider.
A client is admitted to the hospital for new onset of supraventricular tachycardia (SVT)
and is prescribed digoxin. For which laboratory finding should the nurse notify the
healthcare provider immediately?
A) Potassium level of 3.1 mEq/L.
B) Sodium level of 132 mEq/L.
C) Calcium level of 8.6 mg/dL.
D) Magnesium level of 1.2 mEq/L. -Correct Answer ✔A) Potassium level of 3.1 mEq/L.
The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client
who receives an angiotensin-converting enzyme (ACE) inhibitor. Which action should
the nurse implement?
A) Verify both prescriptions with the healthcare provider.
B) Report the medication interactions to the nurse manager.
C) Hold the ACE inhibitor and give the new prescription.
D) Transcribe and send the prescription to the pharmacy. -Correct Answer ✔A) Verify
both prescriptions with the healthcare provider.
The nurse admits a client with tumor-induced spinal cord compression. Which
medication should the nurse anticipate to be prescribed to offer the best palliative
treatment for this client?
A) Morphine sulfate.
B) Ibuprofen.
C) Amitriptyline.
D) Dexamethasone. -Correct Answer ✔D) Dexamethasone.
The nurse is preparing an education session for a client prescribed opioids for
intractable cancer pain. The nurse should include strategies to help prevent which
common side effect associated with long-term use of opioids?
HESI Pharm II - 315
