BSN 315 HESI RN Specialty Pharmacology Exam V3
(Latest Update ) Questions & Answers | 100%
Correct | Grade A - Nightingale
The nurse is transcribing a new prescription for spironolactone for a client who receives
an angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse
implement?
a) Verify both prescriptions with the healthcare provider.
b) Report the medication interactions to the nurse manager.
c) Hold the ACE inhibitor and give the new prescription.
d) Transcribe and send the prescription to the pharmacy. - ✔✔ANSWER✔✔>>a) Verify
both prescriptions with the healthcare provider.
A female client calls the clinic and talks with the nurse to inquire about a possible
reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and a white discharge. The nurse should discuss which action with the client?
a) Discontinue the antibiotic because original symptoms have subsided.
b) Continue taking the medication until the symptoms subside.
c) Consult with the healthcare provider about another treatment for this effect.
d) Use an over-the-counter (OTC) vaginal wash to flush out the secretions. -
✔✔ANSWER✔✔>>c) Consult with the healthcare provider about another treatment for
this effect.
A client receiving albuterol tablets complains of nausea every evening with her 9:00
p.m. dose. Which action can the nurse take to alleviate this side effect?
a) Change the time of the dose.
b) Hold the 9:00 p.m. dose.
c) Administer the dose with a snack.
d) Administer an antiemetic with the dose. - ✔✔ANSWER✔✔>>c) Administer the dose
with a snack.
A client receiving doxorubicin intravenously (IV) complains of pain at the insertion site,
and the nurse notes edema at the site. Which intervention is most important for the
nurse to implement?
a) Assess for erythema
.b) Administer the antidote.
c) Apply warm compresses.
,d) Discontinue the IV fluids. - ✔✔ANSWER✔✔>>d) Discontinue the IV fluids.
A client is receiving methylprednisolone 40 mg IV daily. The nurse anticipates an
increase in which laboratory value as the result of this medication?
a) Serum glucose
b) Serum calcium
c) Red blood cells
d) Serum potassium - ✔✔ANSWER✔✔>>a) Serum glucose
A medication that is classified as a beta-1 agonist is most commonly prescribed for a
client with which condition?
a) Glaucoma
b) Hypertension
c) Heart failure
d) Asthma - ✔✔ANSWER✔✔>>c) Heart failure
Which drug is used as a palliative treatment for a client with tumor-induced spinal cord
compression?
a) Morphine sulfate
b) Ibuprofen
c) Amitriptyline
d) Dexamethasone - ✔✔ANSWER✔✔>>d) Dexamethasone
In teaching a client who had a liver transplant about cyclosporine, the nurse should
encourage the client to report which adverse response to the healthcare provider?
a) Changes in urine color
b) Presence of hand tremors
c) Increasing body hirsutism
d) Nausea and vomiting - ✔✔ANSWER✔✔>>b) Presence of hand tremors
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
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?
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
b) Benzodiazepines
(Latest Update ) Questions & Answers | 100%
Correct | Grade A - Nightingale
The nurse is transcribing a new prescription for spironolactone for a client who receives
an angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse
implement?
a) Verify both prescriptions with the healthcare provider.
b) Report the medication interactions to the nurse manager.
c) Hold the ACE inhibitor and give the new prescription.
d) Transcribe and send the prescription to the pharmacy. - ✔✔ANSWER✔✔>>a) Verify
both prescriptions with the healthcare provider.
A female client calls the clinic and talks with the nurse to inquire about a possible
reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and a white discharge. The nurse should discuss which action with the client?
a) Discontinue the antibiotic because original symptoms have subsided.
b) Continue taking the medication until the symptoms subside.
c) Consult with the healthcare provider about another treatment for this effect.
d) Use an over-the-counter (OTC) vaginal wash to flush out the secretions. -
✔✔ANSWER✔✔>>c) Consult with the healthcare provider about another treatment for
this effect.
A client receiving albuterol tablets complains of nausea every evening with her 9:00
p.m. dose. Which action can the nurse take to alleviate this side effect?
a) Change the time of the dose.
b) Hold the 9:00 p.m. dose.
c) Administer the dose with a snack.
d) Administer an antiemetic with the dose. - ✔✔ANSWER✔✔>>c) Administer the dose
with a snack.
A client receiving doxorubicin intravenously (IV) complains of pain at the insertion site,
and the nurse notes edema at the site. Which intervention is most important for the
nurse to implement?
a) Assess for erythema
.b) Administer the antidote.
c) Apply warm compresses.
,d) Discontinue the IV fluids. - ✔✔ANSWER✔✔>>d) Discontinue the IV fluids.
A client is receiving methylprednisolone 40 mg IV daily. The nurse anticipates an
increase in which laboratory value as the result of this medication?
a) Serum glucose
b) Serum calcium
c) Red blood cells
d) Serum potassium - ✔✔ANSWER✔✔>>a) Serum glucose
A medication that is classified as a beta-1 agonist is most commonly prescribed for a
client with which condition?
a) Glaucoma
b) Hypertension
c) Heart failure
d) Asthma - ✔✔ANSWER✔✔>>c) Heart failure
Which drug is used as a palliative treatment for a client with tumor-induced spinal cord
compression?
a) Morphine sulfate
b) Ibuprofen
c) Amitriptyline
d) Dexamethasone - ✔✔ANSWER✔✔>>d) Dexamethasone
In teaching a client who had a liver transplant about cyclosporine, the nurse should
encourage the client to report which adverse response to the healthcare provider?
a) Changes in urine color
b) Presence of hand tremors
c) Increasing body hirsutism
d) Nausea and vomiting - ✔✔ANSWER✔✔>>b) Presence of hand tremors
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
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?
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
b) Benzodiazepines
