BSN 315 HESI FINAL EXAM (Latest Update
) Pharmacology II Questions
AND Answers {Grade A} 100% Correct
A client receives a prescription for methotrexate. Which information provided by the
client requires additional instruction by the nurse?
A. Take the medication during pregnancy
B. Use folic acid to protect the liver
C. Store the medication at room temperature
D. Obtain a platelet count weekly. - correct answer A. Take medication during
pregnancy
The nurse is administering IV fluconazole to a client who has systemic candidiasis.
After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the
liver enzyme levels for aspartate aminotransferase( AST). Which action should the
nurse implement?
A. Hold the dose and notify the healthcare provider of the changes in laboratory
studies.
,B. Hold the dose and notify the pharmacy to stop dispensing the next premixed doses.
C. Begin the infusion and submit a drug reaction report to the nursing supervisor.
D. Begin the infusion and monitor the client's blood urea nitrogen (BUN), serum
creatinine, and liver function tests. - correct answer A. Hold the dose and notify the
healthcare provider of the changes in laboratory studies.
A client with a history of angina reports the onset of chest pain. The nurse determines
that the heart rate is 104 beats/minute and the blood pressure is 138/86. A transdermal
nitroglycerine patch was applied 30 minutes ago to the right upper chest. Which action
should the nurse take.
A. Reassure the client that the patch will begin to take effect within a few minutes.
B. withhold further doses of nitroglycerin until contacting the healthcare provider.
C. Leave the patch in place and administer a PRN dose of sublingual nitroglycerine
,D. Obtain another transdermal patch and position it on the clients left upper chest. -
correct answer C. Leave the patch in place and administer a PRN dose of sublingual
nitroglycerine
A male client has been receiving the antibiotic gentamicin sulfate , IV piggyback every
12 hours for several days. Which observation by the nurse indicates that the client may
be experiencing an adverse effect of gentamicin?
A. hearing has decreased
B. White blood cell count of 6,000
C. Decreased blood urea nitrogen
D. Reports of photophobia - correct answer A. Hearing has decreased
An older client who has type 2 diabetes mellitus and a history of heart failure tells the
home health nurse that his daughter brought him melatonin to help with sleeping
problems. Which information should the nurse provide to the client? Select all that
apply.
, A. The body builds up a tolerance to melatonin, requiring higher dose to get the
therapeutic benefits.
B. Tell the daughter to check with the healthcare provider before providing herbal
supplements.
C. Remind the daughter that all herbal supplements will not be helpful given the
condition of the client.
D. Remind the client that herbal medications are not regulated by the Food and Drug
Administration
E. Explain that melatonin can interfere with the action of prescribed medications for
DM and HF. - correct answer B. Tell the daughter to check with the healthcare provider
before providing herbal supplements.
D. Remind the client that herbal medications are not regulated by the Food and Drug
Administration
E. Explain that melatonin can interfere with the action of prescribed medications for
DM and HF.
) Pharmacology II Questions
AND Answers {Grade A} 100% Correct
A client receives a prescription for methotrexate. Which information provided by the
client requires additional instruction by the nurse?
A. Take the medication during pregnancy
B. Use folic acid to protect the liver
C. Store the medication at room temperature
D. Obtain a platelet count weekly. - correct answer A. Take medication during
pregnancy
The nurse is administering IV fluconazole to a client who has systemic candidiasis.
After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the
liver enzyme levels for aspartate aminotransferase( AST). Which action should the
nurse implement?
A. Hold the dose and notify the healthcare provider of the changes in laboratory
studies.
,B. Hold the dose and notify the pharmacy to stop dispensing the next premixed doses.
C. Begin the infusion and submit a drug reaction report to the nursing supervisor.
D. Begin the infusion and monitor the client's blood urea nitrogen (BUN), serum
creatinine, and liver function tests. - correct answer A. Hold the dose and notify the
healthcare provider of the changes in laboratory studies.
A client with a history of angina reports the onset of chest pain. The nurse determines
that the heart rate is 104 beats/minute and the blood pressure is 138/86. A transdermal
nitroglycerine patch was applied 30 minutes ago to the right upper chest. Which action
should the nurse take.
A. Reassure the client that the patch will begin to take effect within a few minutes.
B. withhold further doses of nitroglycerin until contacting the healthcare provider.
C. Leave the patch in place and administer a PRN dose of sublingual nitroglycerine
,D. Obtain another transdermal patch and position it on the clients left upper chest. -
correct answer C. Leave the patch in place and administer a PRN dose of sublingual
nitroglycerine
A male client has been receiving the antibiotic gentamicin sulfate , IV piggyback every
12 hours for several days. Which observation by the nurse indicates that the client may
be experiencing an adverse effect of gentamicin?
A. hearing has decreased
B. White blood cell count of 6,000
C. Decreased blood urea nitrogen
D. Reports of photophobia - correct answer A. Hearing has decreased
An older client who has type 2 diabetes mellitus and a history of heart failure tells the
home health nurse that his daughter brought him melatonin to help with sleeping
problems. Which information should the nurse provide to the client? Select all that
apply.
, A. The body builds up a tolerance to melatonin, requiring higher dose to get the
therapeutic benefits.
B. Tell the daughter to check with the healthcare provider before providing herbal
supplements.
C. Remind the daughter that all herbal supplements will not be helpful given the
condition of the client.
D. Remind the client that herbal medications are not regulated by the Food and Drug
Administration
E. Explain that melatonin can interfere with the action of prescribed medications for
DM and HF. - correct answer B. Tell the daughter to check with the healthcare provider
before providing herbal supplements.
D. Remind the client that herbal medications are not regulated by the Food and Drug
Administration
E. Explain that melatonin can interfere with the action of prescribed medications for
DM and HF.
