BSN 315 - Pharmacology II HESI Assignment Exam ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
A client with osteoarthritis receives a new prescription for b) Notify the healthcare provider.
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.
The nurse is making early morning rounds on a group of a) Tachycardia
clients when a client begins exhibiting symptoms of an c) Rapid resolution of wheezing
acute asthma attack. The nurse administers a PRN d) Improved pulse oximetry values
prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation
,Which change in data indicates to the nurse that the d) Blood pressure reduced from 160/90 to 130/80 mmHg
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
The nurse is assessing the effectiveness of high-dose c) Notify the healthcare provider of this finding immediately.
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?
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.
The nitrate isosorbide dinitrate is prescribed for a client b) Do not get up quickly. Always rise slowly.
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.
Which medications should the nurse caution the client b) Benzodiazepines
about taking while receiving an opioid analgesic?
a) Antacids
b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics
, A client who has been taking levodopa PO TID to control d) "You can begin taking the levodopa-carbidopa this evening, but do not take
the symptoms of Parkinson's disease has a new any more levodopa."
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."
An adult client is given a prescription for a scopolamine a) Apply the patch at least 4 hours prior to departure.
patch to prevent motion sickness while on a cruise. Which
information should the nurse provide to the client?
a) Apply the patch at least 4 hours prior to departure.
b) Change the patch every other day while on the cruise.
c) Place the patch on a hairless area at the base of the
skull.
d) Drink no more than 2 alcoholic drinks during the
cruise.
The nurse is assessing a client prior to administering the b) Give the medication as prescribed and continue to monitor the client.
prescribed dose of atenolol PO. The client's blood
pressure is 120/68 mmHg, and the telemetry monitor
shows sinus bradycardia with a rate of 58 beats/minute,
and a P-R interval of 0.24. Based on this assessment, what
intervention should the nurse implement?
a) Lower the head of the bed and assess the client for
orthostatic vital sign changes.
b) Give the medication as prescribed and continue to
monitor the client.
c) Prepare to administer atropine sulfate IVP.
d) Hold the prescribed dose and contact the healthcare
provider.
When assessing an adolescent who recently overdosed b) Abdomen
on acetaminophen, it is most important for the nurse to
assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head
QUESTIONS AND CORRECT ANSWERS
A client with osteoarthritis receives a new prescription for b) Notify the healthcare provider.
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.
The nurse is making early morning rounds on a group of a) Tachycardia
clients when a client begins exhibiting symptoms of an c) Rapid resolution of wheezing
acute asthma attack. The nurse administers a PRN d) Improved pulse oximetry values
prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation
,Which change in data indicates to the nurse that the d) Blood pressure reduced from 160/90 to 130/80 mmHg
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
The nurse is assessing the effectiveness of high-dose c) Notify the healthcare provider of this finding immediately.
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?
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.
The nitrate isosorbide dinitrate is prescribed for a client b) Do not get up quickly. Always rise slowly.
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.
Which medications should the nurse caution the client b) Benzodiazepines
about taking while receiving an opioid analgesic?
a) Antacids
b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics
, A client who has been taking levodopa PO TID to control d) "You can begin taking the levodopa-carbidopa this evening, but do not take
the symptoms of Parkinson's disease has a new any more levodopa."
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."
An adult client is given a prescription for a scopolamine a) Apply the patch at least 4 hours prior to departure.
patch to prevent motion sickness while on a cruise. Which
information should the nurse provide to the client?
a) Apply the patch at least 4 hours prior to departure.
b) Change the patch every other day while on the cruise.
c) Place the patch on a hairless area at the base of the
skull.
d) Drink no more than 2 alcoholic drinks during the
cruise.
The nurse is assessing a client prior to administering the b) Give the medication as prescribed and continue to monitor the client.
prescribed dose of atenolol PO. The client's blood
pressure is 120/68 mmHg, and the telemetry monitor
shows sinus bradycardia with a rate of 58 beats/minute,
and a P-R interval of 0.24. Based on this assessment, what
intervention should the nurse implement?
a) Lower the head of the bed and assess the client for
orthostatic vital sign changes.
b) Give the medication as prescribed and continue to
monitor the client.
c) Prepare to administer atropine sulfate IVP.
d) Hold the prescribed dose and contact the healthcare
provider.
When assessing an adolescent who recently overdosed b) Abdomen
on acetaminophen, it is most important for the nurse to
assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head
