BSN 315 HESI PHARMACOLOGY WITH NGN LATEST
EXAM PREP QUESTIONS AND VERIFIED ANSWERS
A client is beginning therapy with montelukast PO 10 mg once a day in the evening. The client asks the
nurse, "When should I begin to feel better?" How should the nurse respond?
Immediately.
Peak is 3-4 hours with duration of 24 hours. In about 12 hours.
30 minutes to 1 hour. - ANSWER-Peak is 3-4 hours with duration of 24 hours.
A client who has Trichomonas vaginalis receives a prescription for metronidazole. Which instruction
should the nurse provide during client education?
Do not ingest with dairy products.
Notify the clinic if the urine changes color. Obtain liver function tests every 3 months.
Avoid over-the-counter antitussives. - ANSWER-Avoid over-the-counter antitussives.
,A client is admitted for atrial fibrillation, and the healthcare provider prescribes disopyramide. After
explaining the action of this antidysrhythmic agent, which complaint should the nurse instruct the client
to report?
Joint pain.
Dizziness or muscle weakness. Daily weight gain of 2 pounds.
Dry mouth. - ANSWER-Daily weight gain of 2 pounds.
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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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?
EXAM PREP QUESTIONS AND VERIFIED ANSWERS
A client is beginning therapy with montelukast PO 10 mg once a day in the evening. The client asks the
nurse, "When should I begin to feel better?" How should the nurse respond?
Immediately.
Peak is 3-4 hours with duration of 24 hours. In about 12 hours.
30 minutes to 1 hour. - ANSWER-Peak is 3-4 hours with duration of 24 hours.
A client who has Trichomonas vaginalis receives a prescription for metronidazole. Which instruction
should the nurse provide during client education?
Do not ingest with dairy products.
Notify the clinic if the urine changes color. Obtain liver function tests every 3 months.
Avoid over-the-counter antitussives. - ANSWER-Avoid over-the-counter antitussives.
,A client is admitted for atrial fibrillation, and the healthcare provider prescribes disopyramide. After
explaining the action of this antidysrhythmic agent, which complaint should the nurse instruct the client
to report?
Joint pain.
Dizziness or muscle weakness. Daily weight gain of 2 pounds.
Dry mouth. - ANSWER-Daily weight gain of 2 pounds.
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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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. - ANSWER-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?
