BSN 315 Pharm II Practice Questions
for HESI with correct detailed verified
answers latest update 2025
23. 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.
24. 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--- correct answer --- Carbamazepine level [Reference Range---
correct answer --- 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.
,25. Before administering a newly prescribed dose of terbinafine HCL
to a client with a fungal toenail infection, which assessment finding is
most important for the nurse to address?
Reference Range --- correct answer --- White Blood Cell (WBC)
[Reference Range--- correct answer --- 5000 to 10,000/mm3 (5 to 10
x 109/L)]
a. Toenails appear thick and yellow.
b. White blood cell count of 8,500/mm}(8.5 x 10°/L).
c. Employed as a construction worker.
d. Reported history of alcoholism.--- correct answer --- Reported
history of alcoholism.
26. To control asthma, a client in a residential treatment facility
uses a fluti- casone propionate and salmeterol discus inhalation
system, which provides an inhaled powdered form of these combined
medications. Which instruction should the nurse provide to this
client's caregivers?
a. Offer the discus to the client for use during an acute asthma
attack.
b. Clients using the discus may experience decreased blood
pressure.
c. When using the discus, have the client breathe out rapidly into
the mouth- piece.
,d. Explain that the client should not use the discus more than twice
daily.--- correct answer --- Ex- plain that the client should not use the
discus more than twice daily.
27. A client who is taking an oral contraceptive receives a new
prescription for erythromycin. Which instruction should the nurse
provide to the client?
a. Stop the oral contraceptive immediately.
b. Avoid prolonged exposure to direct sunlight
c. Take the medications at least 12 hours apart.
d. Use an additional form of contraception.--- correct answer ---
Use an additional form of contracep- tion.
28. Which intervention is most important for the nurse to implement
for a client who is receiving insulin lispro?
a. Provide meals at the same time this insulin is given.
b. Keep an oral liquid or glucose source available.
c. Assess for hypoglycemia between meals.
d. check blood glucose levels every six hours.--- correct answer ---
Provide meals at the same time this insulin is given.
29. After receiving five doses of filgrastim, the nurse notes that the
client's white blood cell count has increased from 2,500/mm? (2.5 x
109L) to 5,000/mm? (5 x 109/L). Which action should the nurse
implement? White Blood Cell (WBC) Reference Range--- correct
answer --- 5000 to 10,000/mm3 (5 to 10 x 109/L)]
, a. Review the client's culture and sensitivity reports.
b. Implement neutropenic precautions.
c. Assess the client's vital signs.
d. Inform the client that the medication has been effective.---
correct answer --- Inform the client that the medication has been
effective.
30. A client is receiving a secondary infusion of azithromycin 500
mg in 500 mL. of normal saline (NS) to be infused over 2 hours. The
intravenous (IV) Administration set delivers 10 gtU/mL. How many
gtt/min should the nurse
regulate the infusion? (Enter numerical value only. If rounding is
required, round to the nearest whole number)--- correct answer ---
42gtt/min
31. The nurse is caring for a client who is taking diclofenac, a
nonsteroidal anti-inflammatory (NSAID) drug for rheumatoid
arthritis. During a clinic visit, the client appears pale and reports
increasing fatigue. Which of the client's serum laboratory values is
most important for the nurse to review?
a. Sodium.
b. lot protein
c. Hemoglobin.
d. Glucose--- correct answer --- Hemoglobin
for HESI with correct detailed verified
answers latest update 2025
23. 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.
24. 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--- correct answer --- Carbamazepine level [Reference Range---
correct answer --- 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.
,25. Before administering a newly prescribed dose of terbinafine HCL
to a client with a fungal toenail infection, which assessment finding is
most important for the nurse to address?
Reference Range --- correct answer --- White Blood Cell (WBC)
[Reference Range--- correct answer --- 5000 to 10,000/mm3 (5 to 10
x 109/L)]
a. Toenails appear thick and yellow.
b. White blood cell count of 8,500/mm}(8.5 x 10°/L).
c. Employed as a construction worker.
d. Reported history of alcoholism.--- correct answer --- Reported
history of alcoholism.
26. To control asthma, a client in a residential treatment facility
uses a fluti- casone propionate and salmeterol discus inhalation
system, which provides an inhaled powdered form of these combined
medications. Which instruction should the nurse provide to this
client's caregivers?
a. Offer the discus to the client for use during an acute asthma
attack.
b. Clients using the discus may experience decreased blood
pressure.
c. When using the discus, have the client breathe out rapidly into
the mouth- piece.
,d. Explain that the client should not use the discus more than twice
daily.--- correct answer --- Ex- plain that the client should not use the
discus more than twice daily.
27. A client who is taking an oral contraceptive receives a new
prescription for erythromycin. Which instruction should the nurse
provide to the client?
a. Stop the oral contraceptive immediately.
b. Avoid prolonged exposure to direct sunlight
c. Take the medications at least 12 hours apart.
d. Use an additional form of contraception.--- correct answer ---
Use an additional form of contracep- tion.
28. Which intervention is most important for the nurse to implement
for a client who is receiving insulin lispro?
a. Provide meals at the same time this insulin is given.
b. Keep an oral liquid or glucose source available.
c. Assess for hypoglycemia between meals.
d. check blood glucose levels every six hours.--- correct answer ---
Provide meals at the same time this insulin is given.
29. After receiving five doses of filgrastim, the nurse notes that the
client's white blood cell count has increased from 2,500/mm? (2.5 x
109L) to 5,000/mm? (5 x 109/L). Which action should the nurse
implement? White Blood Cell (WBC) Reference Range--- correct
answer --- 5000 to 10,000/mm3 (5 to 10 x 109/L)]
, a. Review the client's culture and sensitivity reports.
b. Implement neutropenic precautions.
c. Assess the client's vital signs.
d. Inform the client that the medication has been effective.---
correct answer --- Inform the client that the medication has been
effective.
30. A client is receiving a secondary infusion of azithromycin 500
mg in 500 mL. of normal saline (NS) to be infused over 2 hours. The
intravenous (IV) Administration set delivers 10 gtU/mL. How many
gtt/min should the nurse
regulate the infusion? (Enter numerical value only. If rounding is
required, round to the nearest whole number)--- correct answer ---
42gtt/min
31. The nurse is caring for a client who is taking diclofenac, a
nonsteroidal anti-inflammatory (NSAID) drug for rheumatoid
arthritis. During a clinic visit, the client appears pale and reports
increasing fatigue. Which of the client's serum laboratory values is
most important for the nurse to review?
a. Sodium.
b. lot protein
c. Hemoglobin.
d. Glucose--- correct answer --- Hemoglobin
