BSN 315 - Pharmacology II Hesi
Assignment Exam Questions And
Answers 2025
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?
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. - correct -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?
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a) Weight loss.
b) Dizziness.
c) Muscle cramps.
d) Dry mucous membranes. - correct -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. - correct -answer-b) Every 12 hours.
A client with dysrhythmia is to receive procainamide in 4 divided doses over the
next 24 hours. Which dosing schedule is best for the nurse to implement?
a) Every 6 hours.
b) QID.
c) AC and bedtime.
d) PC and bedtime. - correct -answer-a) Every 6 hours.
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Which symptoms are serious adverse effects of beta-adrenergic blockers such as
propranolol?
a) Headache, hypertension, and blurred vision.
b) Wheezing, hypotension, and AV block.
c) Vomiting, dilated pupils, and papilledema.
d) Tinnitus, muscle weakness, and tachypnea. - correct -answer-b) Wheezing,
hypotension, and AV block.
Which antidiarrheal agent should be used with caution in clients taking high
dosages of aspirin for arthritis?
a) Loperamide.
b) Probantheline.
c) Bismuth subsalicylate.
d) Diphenoxylate hydrochloride with atropine. - correct -answer-c) Bismuth
subsalicylate.
The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump
with a client in the immediate postoperative period. The client will receive
morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to a
total of 5 mg IV maximally per hour. Which assessment has the highest priority
before initiating the PCA pump?
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a) The expiration date on the morphine syringe in the pump.
b) The rate and depth of the client's respirations.
c) The type of anesthesia used during the surgical procedure.
d) The client's subjective and objective signs of pain. - correct -answer-b) The rate
and depth of the client's respirations.
In evaluating the effects of lactulose, which outcome would indicate that the drug
is performing as intended?
a) An increase in urine output.
b) Two or three soft stools per day.
c) Watery, diarrhea stools.
d) Increased serum bilirubin. - correct -answer-b) Two or three soft stools per day.
Dobutamine is an emergency drug most commonly prescribed for a client with
which condition?
a) Shock.
b) Asthma.
c) Hypotension.
d) Heart failure. - correct -answer-d) Heart failure.