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BSN 315 HESI PHARMACOLOGY EXAM NIGHTGALE
NEWEST 2025/ 2026 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED
ANSWERS||VERIFIED EXAM!!! (VERIFIED ANSWERS)
|ALREADY GRADED A+||LATEST EXAM!!!
A older male client is being discharged after a myocardial
infarction (MI) and receives a new prescription for atenolol.
Which instruction is most important for
the nurse to include in her clients teaching plan? -
ANSWER-Standing slowly when getting up from bed.
The healthcare provider prescribes vancomycin 500 mg IV
every 12 hours for a client with methicillin-resistant
staphylococcus aureus (MRSA). Review of the client's
laboratory values shows that serum peak and trough
levels are within the desired therapeutic range and the
serum creatinine level is 4.5 mg/dL. Which action should
the nurse implement? - ANSWER-Withhold the next
scheduled dose and contact the healthcare provider.
After taking orlistat for one week, a female client tells the
home health nurse that she is experiencing increasingly
frequent oily stools and flatus. Which action should the
nurse take? - ANSWER-Ask the client to describe her
dietary intake history for the last several days..
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A client receiving a heparin sodium infusion develops
hemoptysis. The nurse reviews the client's laboratory
values to include hemoglobin 8 g/dL and platelet count of
50,000/mm3. Vital signs are: oxygen saturation 92% on
50% venturi mask, heart rate 130 beats/minute, respiration
32 breaths/minute, and blood pressure
76/50mmHg. Which intervention should the nurse
implement first? - ANSWER-Stop the heparin sodium
infusion.
The nurse is teaching a client with coronary artery disease
about a newly prescribed medication, atorvastatin. The
client plans to take the medication in the morning with
breakfast. Which food choices are best for the nurse to
recommend that the client should include with the meal?
(select all that apply) - ANSWER-Oatmeal
Whole banana
A client received succinylcholine, a depolarizing
neuromuscular blocking agent during surgery. Which
assessment finding is most important for the nurse to
report to the surgeon? - ANSWER-Ventricular tachycardia
A client, who has a myocardial infarction last year, has a
daily prescription for aspirin 325 mg by mouth. Which
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assessment finding should alert the nurse to withhold the
medication? - ANSWER-Low platelet count.
A nurse administered a second dose of an opioid
containing codeine and acetaminophen to a client fifteen
minutes after a first dose was administered by another
nurse, because the first dose was not documented in the
medication record. Which intervention is most important
for the nurse to implement? - ANSWER-Evaluate the
client's vital signs.
Azithromycin is prescribed to a client with Chlamydia
trachomatis. In providing client teaching about the
medication, the nurse should emphasize the importance of
reporting the onset of which symptom to the healthcare
provider? - ANSWER-Flatulence and nausea.
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? - ANSWER-Reported history of alcoholism.
The nurse administers naloxone to a client with opioid-
induced respiratory depression. One hour later, nursing
assessment reveals that the client has a respiratory rate of
4 breaths/minute, oxygen saturation of 75%, and is unable
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to be aroused. Which action should the nurse implement?
- ANSWER-Initiate cardiopulmonary resuscitation (CPR).
An older adult client with restless legs syndrome begins
taking melatonin at bedtime. When evaluating the
effectiveness of the herb, which client assessment should
the nurse complete? - ANSWER-Determine sleep
patterns.
A client who is newly diagnosed with erosive esophagitis
secondary to GERD reports to the home health nurse that
there has been only a minimal reduction in symptoms after
taking lansoprazole PO for one full week. Which action
should the nurse take? - ANSWER-Confirm that the client
is taking the medication one hour after meals.
A client with peptic ulcer disease is scheduled to receive
doses of pantoprazole IV and
sucralfate PO Before breakfast at 0730. The client reports
experiencing heartburn when the
nurse brings to schedule medications. What action should
the nurse take? - ANSWER-Administer both of the
medications before breakfast as scheduled
BSN 315 HESI PHARMACOLOGY EXAM NIGHTGALE
NEWEST 2025/ 2026 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED
ANSWERS||VERIFIED EXAM!!! (VERIFIED ANSWERS)
|ALREADY GRADED A+||LATEST EXAM!!!
A older male client is being discharged after a myocardial
infarction (MI) and receives a new prescription for atenolol.
Which instruction is most important for
the nurse to include in her clients teaching plan? -
ANSWER-Standing slowly when getting up from bed.
The healthcare provider prescribes vancomycin 500 mg IV
every 12 hours for a client with methicillin-resistant
staphylococcus aureus (MRSA). Review of the client's
laboratory values shows that serum peak and trough
levels are within the desired therapeutic range and the
serum creatinine level is 4.5 mg/dL. Which action should
the nurse implement? - ANSWER-Withhold the next
scheduled dose and contact the healthcare provider.
After taking orlistat for one week, a female client tells the
home health nurse that she is experiencing increasingly
frequent oily stools and flatus. Which action should the
nurse take? - ANSWER-Ask the client to describe her
dietary intake history for the last several days..
,2|Page
A client receiving a heparin sodium infusion develops
hemoptysis. The nurse reviews the client's laboratory
values to include hemoglobin 8 g/dL and platelet count of
50,000/mm3. Vital signs are: oxygen saturation 92% on
50% venturi mask, heart rate 130 beats/minute, respiration
32 breaths/minute, and blood pressure
76/50mmHg. Which intervention should the nurse
implement first? - ANSWER-Stop the heparin sodium
infusion.
The nurse is teaching a client with coronary artery disease
about a newly prescribed medication, atorvastatin. The
client plans to take the medication in the morning with
breakfast. Which food choices are best for the nurse to
recommend that the client should include with the meal?
(select all that apply) - ANSWER-Oatmeal
Whole banana
A client received succinylcholine, a depolarizing
neuromuscular blocking agent during surgery. Which
assessment finding is most important for the nurse to
report to the surgeon? - ANSWER-Ventricular tachycardia
A client, who has a myocardial infarction last year, has a
daily prescription for aspirin 325 mg by mouth. Which
,3|Page
assessment finding should alert the nurse to withhold the
medication? - ANSWER-Low platelet count.
A nurse administered a second dose of an opioid
containing codeine and acetaminophen to a client fifteen
minutes after a first dose was administered by another
nurse, because the first dose was not documented in the
medication record. Which intervention is most important
for the nurse to implement? - ANSWER-Evaluate the
client's vital signs.
Azithromycin is prescribed to a client with Chlamydia
trachomatis. In providing client teaching about the
medication, the nurse should emphasize the importance of
reporting the onset of which symptom to the healthcare
provider? - ANSWER-Flatulence and nausea.
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? - ANSWER-Reported history of alcoholism.
The nurse administers naloxone to a client with opioid-
induced respiratory depression. One hour later, nursing
assessment reveals that the client has a respiratory rate of
4 breaths/minute, oxygen saturation of 75%, and is unable
, 4|Page
to be aroused. Which action should the nurse implement?
- ANSWER-Initiate cardiopulmonary resuscitation (CPR).
An older adult client with restless legs syndrome begins
taking melatonin at bedtime. When evaluating the
effectiveness of the herb, which client assessment should
the nurse complete? - ANSWER-Determine sleep
patterns.
A client who is newly diagnosed with erosive esophagitis
secondary to GERD reports to the home health nurse that
there has been only a minimal reduction in symptoms after
taking lansoprazole PO for one full week. Which action
should the nurse take? - ANSWER-Confirm that the client
is taking the medication one hour after meals.
A client with peptic ulcer disease is scheduled to receive
doses of pantoprazole IV and
sucralfate PO Before breakfast at 0730. The client reports
experiencing heartburn when the
nurse brings to schedule medications. What action should
the nurse take? - ANSWER-Administer both of the
medications before breakfast as scheduled
