BSN 315 HESI PHARMACOLOGY EXAM NIGHTGALE
NEWEST 2025/ 2026 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS
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A client with osteoarthritis receives a new prescription for
celecoxib orally for symptom management. The nurse
notes the client is allergic to sulfa. Which action is most
important for the nurse to implement prior to administering
the first dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs. - ANSWER-b) Notify the
healthcare provider.
The nurse is making early morning rounds on a group of
clients when a client begins exhibiting symptoms of an
acute asthma attack. The nurse administers a PRN
prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
a) Tachycardia
b) Increased blood pressure
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c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation - ANSWER-a)
Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
Which change in data indicates to the nurse that the
desired effect of the angiotensin II receptor antagonist
valsartan has been achieved?
a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg -
ANSWER-d) Blood pressure reduced from 160/90 to
130/80 mmHg
The nurse is assessing the effectiveness of high-dose
aspirin therapy for an 88-year-old client with arthritis. The
client reports that she can't hear the nurse's questions
because her ears are ringing. Which action should the
nurse implement?
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a) Refer the client to an audiologist for evaluation of her
hearing.
b) Advise the client that this is a common side effect of
aspirin therapy.
c) Notify the healthcare provider of this finding
immediately.
d) Ask the client to turn off her hearing aid during the
exam. - ANSWER-c) Notify the healthcare provider of this
finding immediately.
The nitrate isosorbide dinitrate is prescribed for a client
with angina. Which instruction should the nurse include in
this client's discharge teaching plan?
a) Quit taking the medication if dizziness occurs.
b) Do not get up quickly. Always rise slowly.
c) Take the medication with food only.
d) Increase your intake of potassium-rich foods. -
ANSWER-b) Do not get up quickly. Always rise slowly.
Which medications should the nurse caution the client
about taking while receiving an opioid analgesic?
a) Antacids
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b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics - ANSWER-b) Benzodiazepines
A client who has been taking levodopa PO TID to control
the symptoms of Parkinson's disease has a new
prescription for sustained-release levodopa/carbidopa PO
BID. The client took his levodopa at 0800. Which
instruction should the nurse include in the teaching plan
for this client?
a) "Take the first dose of levodopa-carbidopa today, as
soon as your prescription is filled."
b) "Since you already took your levodopa, wait until
tomorrow to take the levodopa-carbidopa."
c) "Take both drugs for the first week, then switch to only
the levodopa-carbidopa."
d) "You can begin taking the levodopa-carbidopa this
evening, but do not take any more levodopa." - ANSWER-
d) "You can begin taking the levodopa-carbidopa this
evening, but do not take any more levodopa."
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?