BSN 315 HESI
Exam QUESTION AND VERIFIED
CORRECT ANSWERS LATEST 2026-2027
100% GUARANTEED PASS GRADED A+
A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent.
Which action should the nurse at the eye clinic include in evaluating the effectiveness of the
Medication?
A. Check amoun of drainage from each eye.
B. Use snellen chart to assess visual acuity.
C. Review eye pressure measurements.
D. Palpate eyelids for decreased swelling. - CORRECT ANSWER-C.
Pilocarpine reduce intraocular pressure by contracting the ciliary muscle and increasing
aqueous humor outflow through the trabecular meshwork. Monitoring intraocular pressure is
the most accurate way to evaluate the drug's effectiveness.
Pilocarpin is a cholinergic (parasympathominetic) drug that mimics acetylcholine by stimulating
muscarinic receptors.
Use in glaucoma to lower intraocular pressure by increasing aqueous humor outflow. It
stimulates muscarinic receptors.
,Causes pupil constriciton (miosis), increased gland secretions (saliva, sweat),
bronchoconstriction, and increase GI motility.
Side Effects (Think: "SLUDGE"):
-salivation increase
-Lacrimation (tearing)
-Urination increase
-Diarrhea
-GI cramping
-Emesis (vomiting)
COntraindications/Caution:
-Asthma (can cause bronchoconstriction.
-Bradycardia
-Peptic ulcer disease
The client is a 42YO female who had a right above the knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the surgeon on
postoperative day 1.
Exhibits:
Then nurse is discussing the client's pain management with a student nurse.
Choose the most likey options for the information missing from the statement(s) by selecting
from the list of options provided.
Morphine is a(n)____ and it activates ____ receptors and is used to relieve_____. - CORRECT
ANSWER--Morphine is a PURE OPIOID Agonist
,-it activates MU receptors
-used to relieve ACUTE POSTOPERATIVE PAIN.
Morphine is a pure opioid agonist, meaning it fully stimulates opioid receptors, especially mu
receptors, resulting in potent analgesia, sedation, and respiratory depression.
Mu opioid receptors are located in the CNS:
-Brainstem: controls respiration (key for respiratory depression)
-Thalamus and cerebral cortex (pain perception)
-Spinal cord (dorsal horn) and block pain transmission.
-Peripheral tissues such as the GI tract, bladder, and peripheral sensory nerves.
When activated by opioids like morphine, they causes therapeutic effects (analgesia 'pain relief',
euphoria, sedation)
Side effects:
-Respiratory depression (most dangerous)
-Constipation (decreased GI motility)
-Urinary retention
-Miosis (pinpoint pupils)
-Physical dependence
The client is a 42YO female who had a right above the knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the surgeon on
postoperative day 1.
Exhibits:
, Which actions should the nurse take to assure safety during morphine administration? SATA
A. Ask the client about other medications she takes.
B. Suction the client to clear the airway.
C. Take an initial respiratory rate.
D. Have a manual resuscitation nag at the bedside.
E. Perform a 12-lead electrocardiogram.
F. Restrain the client with soft restraints. - CORRECT ANSWER-A, C, D
Ask the about other medications to know the client's full medication list helps identify potential
drug interactions with morphine, such as other CNS depressants, which can increase the risk of
respiratory depression and sedation, ensuring safer administration.
Take an initial respiratory rate before and during morphine infusion is essential because opioids
can depress respiration. Baseline respiratory assessment allows early detection of respiratory
depression, enabling prompt intervention.
Have a manual resuscitation bag at the bedside to be available to assist ventilation if the client
develops respiratory depression or apnea during opioid administration, ensuring rapid
emergency response.
The client is a 42YO female who had a right above the knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the surgeon on
postoperative day 1.
Exhibits:
Which other medications would the nurse expect the surgeon to prescribe along with
morphine? SATA
Exam QUESTION AND VERIFIED
CORRECT ANSWERS LATEST 2026-2027
100% GUARANTEED PASS GRADED A+
A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent.
Which action should the nurse at the eye clinic include in evaluating the effectiveness of the
Medication?
A. Check amoun of drainage from each eye.
B. Use snellen chart to assess visual acuity.
C. Review eye pressure measurements.
D. Palpate eyelids for decreased swelling. - CORRECT ANSWER-C.
Pilocarpine reduce intraocular pressure by contracting the ciliary muscle and increasing
aqueous humor outflow through the trabecular meshwork. Monitoring intraocular pressure is
the most accurate way to evaluate the drug's effectiveness.
Pilocarpin is a cholinergic (parasympathominetic) drug that mimics acetylcholine by stimulating
muscarinic receptors.
Use in glaucoma to lower intraocular pressure by increasing aqueous humor outflow. It
stimulates muscarinic receptors.
,Causes pupil constriciton (miosis), increased gland secretions (saliva, sweat),
bronchoconstriction, and increase GI motility.
Side Effects (Think: "SLUDGE"):
-salivation increase
-Lacrimation (tearing)
-Urination increase
-Diarrhea
-GI cramping
-Emesis (vomiting)
COntraindications/Caution:
-Asthma (can cause bronchoconstriction.
-Bradycardia
-Peptic ulcer disease
The client is a 42YO female who had a right above the knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the surgeon on
postoperative day 1.
Exhibits:
Then nurse is discussing the client's pain management with a student nurse.
Choose the most likey options for the information missing from the statement(s) by selecting
from the list of options provided.
Morphine is a(n)____ and it activates ____ receptors and is used to relieve_____. - CORRECT
ANSWER--Morphine is a PURE OPIOID Agonist
,-it activates MU receptors
-used to relieve ACUTE POSTOPERATIVE PAIN.
Morphine is a pure opioid agonist, meaning it fully stimulates opioid receptors, especially mu
receptors, resulting in potent analgesia, sedation, and respiratory depression.
Mu opioid receptors are located in the CNS:
-Brainstem: controls respiration (key for respiratory depression)
-Thalamus and cerebral cortex (pain perception)
-Spinal cord (dorsal horn) and block pain transmission.
-Peripheral tissues such as the GI tract, bladder, and peripheral sensory nerves.
When activated by opioids like morphine, they causes therapeutic effects (analgesia 'pain relief',
euphoria, sedation)
Side effects:
-Respiratory depression (most dangerous)
-Constipation (decreased GI motility)
-Urinary retention
-Miosis (pinpoint pupils)
-Physical dependence
The client is a 42YO female who had a right above the knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the surgeon on
postoperative day 1.
Exhibits:
, Which actions should the nurse take to assure safety during morphine administration? SATA
A. Ask the client about other medications she takes.
B. Suction the client to clear the airway.
C. Take an initial respiratory rate.
D. Have a manual resuscitation nag at the bedside.
E. Perform a 12-lead electrocardiogram.
F. Restrain the client with soft restraints. - CORRECT ANSWER-A, C, D
Ask the about other medications to know the client's full medication list helps identify potential
drug interactions with morphine, such as other CNS depressants, which can increase the risk of
respiratory depression and sedation, ensuring safer administration.
Take an initial respiratory rate before and during morphine infusion is essential because opioids
can depress respiration. Baseline respiratory assessment allows early detection of respiratory
depression, enabling prompt intervention.
Have a manual resuscitation bag at the bedside to be available to assist ventilation if the client
develops respiratory depression or apnea during opioid administration, ensuring rapid
emergency response.
The client is a 42YO female who had a right above the knee amputation for osteomyelitis. The
client has a drain in place and a surgical dressing that will need to be changed by the surgeon on
postoperative day 1.
Exhibits:
Which other medications would the nurse expect the surgeon to prescribe along with
morphine? SATA
