1|Pag e
BSN 315 PHARM II HESI EXAM || ALL QUESTIONS
AND 100% CORRECT ANSWERS ALREADY
GRADED A+|| LATEST AND COMPLETE UPDATE
2024-2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
A client with a history of chronic obstructive pulmonary disease (COPD) receives
a new prescription for an ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is
prescribed. Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
Limit intake of high-potassium foods.
A client with peptic ulcer disease receives a new prescription for cimetidine.
Which statement provided by the client requires additional instruction by the
nurse?
,2|Pag e
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
Decrease cigarette use to a pack per day
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a
prescription to wear a subcutaneous morphine sulfate patch for pain. The client is
short of breath and difficult to arouse. While performing a head to toe assessment.
the nurse discovers four patches on the client's body. Which action should the
nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
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The nurse is providing instructions about a client's new medications. How should
the nurse explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by
client indicates to the nurse the education was effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
, 4|Pag e
A client with Parkinson's disease who is taking carbidopa/levodopa reports the
urine appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
Explain the color change is normal.
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every
12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in
dextrose 5% in water (D;W) 200 mL. The nurse should program the infusion pump
to deliver how many mL/hr? (Enter numerical value only.)
200mL/hr
A female client who is a vegetarian has a new prescription for warfarin. The client
states she eats leafy green vegetables every day. How should the nurse respond?
a. Suggest that the client replace the leafy vegetables with a protein source such as
nuts or beans.
b. Confirm that her diet choices will help the medication be more effective in
preventing blood clots.
c. Commend the client for her healthy lifestyle and encourage her to continue her
current diet habits.
d. Advise the client that the healthcare provider needs to be made aware of her
current diet.
Advise the client that the healthcare provider needs to be made aware of her
current diet.
BSN 315 PHARM II HESI EXAM || ALL QUESTIONS
AND 100% CORRECT ANSWERS ALREADY
GRADED A+|| LATEST AND COMPLETE UPDATE
2024-2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
A client with a history of chronic obstructive pulmonary disease (COPD) receives
a new prescription for an ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is
prescribed. Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
Limit intake of high-potassium foods.
A client with peptic ulcer disease receives a new prescription for cimetidine.
Which statement provided by the client requires additional instruction by the
nurse?
,2|Pag e
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
Decrease cigarette use to a pack per day
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a
prescription to wear a subcutaneous morphine sulfate patch for pain. The client is
short of breath and difficult to arouse. While performing a head to toe assessment.
the nurse discovers four patches on the client's body. Which action should the
nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
,3|Pag e
The nurse is providing instructions about a client's new medications. How should
the nurse explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by
client indicates to the nurse the education was effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
, 4|Pag e
A client with Parkinson's disease who is taking carbidopa/levodopa reports the
urine appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
Explain the color change is normal.
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every
12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in
dextrose 5% in water (D;W) 200 mL. The nurse should program the infusion pump
to deliver how many mL/hr? (Enter numerical value only.)
200mL/hr
A female client who is a vegetarian has a new prescription for warfarin. The client
states she eats leafy green vegetables every day. How should the nurse respond?
a. Suggest that the client replace the leafy vegetables with a protein source such as
nuts or beans.
b. Confirm that her diet choices will help the medication be more effective in
preventing blood clots.
c. Commend the client for her healthy lifestyle and encourage her to continue her
current diet habits.
d. Advise the client that the healthcare provider needs to be made aware of her
current diet.
Advise the client that the healthcare provider needs to be made aware of her
current diet.
