Questions & Answers – ANgn Nursing Questions
(Digital Download)
, BSN 315 HESI Pharmacology V1 Exam
Practice Set 1
Questions 1–100
Question 1
A nurse is caring for a client with hyperparathyroidism and notes that
the client's serum calcium level is 13 mg/dL. Which medication
should the nurse prepare to administer as prescribed?
A. Calcium chloride
B. Calcium gluconate
C. Calcitonin (Miacalcin)
D. Large doses of vitamin D
Answer: C. Calcitonin (Miacalcin)
Rationale: The normal serum calcium level is 8.6 to 10.0 mg/dL.
This client is experiencing hypercalcemia. Calcium gluconate and
calcium chloride are medications used for the treatment of tetany,
which occurs as a result of acute hypocalcemia. In hypercalcemia,
large doses of vitamin D need to be avoided. Calcitonin, a thyroid
hormone, decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
Question 2
Oral iron supplements are prescribed for a 6-year-old child with iron
AE
,deficiency anemia. The nurse instructs the mother to administer the
iron with which best food item?
A. Milk
B. Water
C. Apple juice
D. Orange juice
Answer: D. Orange juice
Rationale: Vitamin C increases the absorption of iron by the body.
The mother should be instructed to administer the medication with a
citrus fruit or a juice that is high in vitamin C. Milk may affect
absorption of the iron. Water will not assist in absorption. Orange
juice contains a greater amount of vitamin C than apple juice.
Question 3
Salicylic acid is prescribed for a client with a diagnosis of psoriasis.
The nurse monitors the client, knowing that which finding would
indicate the presence of systemic toxicity from this medication?
A. Tinnitus
B. Diarrhea
C. Constipation
D. Decreased respirations
Answer: A. Tinnitus
Rationale: Salicylic acid is absorbed readily through the skin, and
systemic toxicity (salicylism) can result. Symptoms include tinnitus,
dizziness, hyperpnea, and psychological disturbances. Constipation
and diarrhea are not associated with salicylism.
AE
, Question 4
The camp nurse asks children preparing to swim in the lake if they
have applied sunscreen. The nurse reminds the children that chemical
sunscreens are most effective when applied:
A. Immediately before swimming
B. 15 minutes before exposure to the sun
C. Immediately before exposure to the sun
D. At least 30 minutes before exposure to the sun
Answer: D. At least 30 minutes before exposure to the
sun
Rationale: Sunscreens are most effective when applied at least 30
minutes before exposure to the sun so that they can penetrate the skin.
All sunscreens should be reapplied after swimming or sweating.
Question 5
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
AE