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BSN 315 HESI PHARMACOLOGY EXAM NIGHTGALE NEWEST 2025
ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
Which nursing diagnosis is important to include in the plan of care for a client receiving the
angiotensin-2 receptor antagonist irbesartan?
a) Fluid volume deficit
b) Risk for infection
c) Risk for injury
d) Impaired sleep patterns - ANSWER-c) Risk for injury
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.)
a) Prednisone orally
b) Gentamicin IM
c) Albuterol puffs
d) Salmeterol - ANSWER-c) Albuterol puffs
d) Salmeterol
a) Prednisone orally
b) Gentamicin IM
A client asks the nurse if glipizide is an oral insulin. Which response should the nurse provide?
a) "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin."
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b) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as
insulin."
c) "No, it is not an oral insulin and can be used only when some beta cell function is present."
d) "No, it is not an oral insulin, but it is effective for those who are resistant to injectable
insulins." - ANSWER-c) "No, it is not an oral insulin and can be used only when some beta cell
function is present."
The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which
prescription should the nurse prepare to administer to this client?
a) Dopamine
b) Ephedrine
c) Epinephrine
d) Diphenhydramine - ANSWER-c) Epinephrine
A postoperative client has been receiving a continuous IV infusion of meperidine 35 mg/hr for
four days. The client has a PRN prescription for meperidine 100 mg PO every 3 hours. The nurse
notes that the client has become increasingly restless, irritable, and confused, stating that there
are bugs all over the walls. Which action should the nurse take first?
a) Administer a PRN dose of the PO meperidine.
b) Administer naloxone IV per PRN protocol.
c) Decrease the IV infusion rate of the meperidine per protocol.
d) Notify the healthcare provider of the client's confusion and hallucinations. - ANSWER-c)
Decrease the IV infusion rate of the meperidine per protocol.
A client who was prescribed atorvastatin one month ago calls the triage nurse at the clinic
complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-
specific teaching the nurse should provide to this client?
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a) Increase consumption of potassium-rich foods since low potassium levels can cause muscle
spasms.
b) Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia,
a cause of cramping.
c) Make an appointment to see the healthcare provider, because muscle pain may be an
indication of a serious side effect.
d) Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness
of the drug. - ANSWER-c) Make an appointment to see the healthcare provider, because muscle
pain may be an indication of a serious side effect.
A client with heart failure (HF) is being discharged with a new prescription for the angiotensin-
converting enzyme (ACE) inhibitor captopril. The nurse's discharge instructions should include
reporting which problem to the healthcare provider?
a) Weight loss.
b) Dizziness.
c) Muscle cramps.
d) Dry mucous membranes. - ANSWER-b) Dizziness.
Which dosing schedule should the nurse teach the client to observe for a controlled-release
oxycodone prescription?
a) As needed.
b) Every 12 hours.
c) Every 24 hours.
d) Every 4 to 6 hours. - ANSWER-b) Every 12 hours.
BSN 315 HESI PHARMACOLOGY EXAM NIGHTGALE NEWEST 2025
ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS
Which nursing diagnosis is important to include in the plan of care for a client receiving the
angiotensin-2 receptor antagonist irbesartan?
a) Fluid volume deficit
b) Risk for infection
c) Risk for injury
d) Impaired sleep patterns - ANSWER-c) Risk for injury
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.)
a) Prednisone orally
b) Gentamicin IM
c) Albuterol puffs
d) Salmeterol - ANSWER-c) Albuterol puffs
d) Salmeterol
a) Prednisone orally
b) Gentamicin IM
A client asks the nurse if glipizide is an oral insulin. Which response should the nurse provide?
a) "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin."
,2|Page
b) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as
insulin."
c) "No, it is not an oral insulin and can be used only when some beta cell function is present."
d) "No, it is not an oral insulin, but it is effective for those who are resistant to injectable
insulins." - ANSWER-c) "No, it is not an oral insulin and can be used only when some beta cell
function is present."
The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which
prescription should the nurse prepare to administer to this client?
a) Dopamine
b) Ephedrine
c) Epinephrine
d) Diphenhydramine - ANSWER-c) Epinephrine
A postoperative client has been receiving a continuous IV infusion of meperidine 35 mg/hr for
four days. The client has a PRN prescription for meperidine 100 mg PO every 3 hours. The nurse
notes that the client has become increasingly restless, irritable, and confused, stating that there
are bugs all over the walls. Which action should the nurse take first?
a) Administer a PRN dose of the PO meperidine.
b) Administer naloxone IV per PRN protocol.
c) Decrease the IV infusion rate of the meperidine per protocol.
d) Notify the healthcare provider of the client's confusion and hallucinations. - ANSWER-c)
Decrease the IV infusion rate of the meperidine per protocol.
A client who was prescribed atorvastatin one month ago calls the triage nurse at the clinic
complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-
specific teaching the nurse should provide to this client?
, 3|Page
a) Increase consumption of potassium-rich foods since low potassium levels can cause muscle
spasms.
b) Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia,
a cause of cramping.
c) Make an appointment to see the healthcare provider, because muscle pain may be an
indication of a serious side effect.
d) Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness
of the drug. - ANSWER-c) Make an appointment to see the healthcare provider, because muscle
pain may be an indication of a serious side effect.
A client with heart failure (HF) is being discharged with a new prescription for the angiotensin-
converting enzyme (ACE) inhibitor captopril. The nurse's discharge instructions should include
reporting which problem to the healthcare provider?
a) Weight loss.
b) Dizziness.
c) Muscle cramps.
d) Dry mucous membranes. - ANSWER-b) Dizziness.
Which dosing schedule should the nurse teach the client to observe for a controlled-release
oxycodone prescription?
a) As needed.
b) Every 12 hours.
c) Every 24 hours.
d) Every 4 to 6 hours. - ANSWER-b) Every 12 hours.
