BSN HESI 315 Pharmacology Exam V1 | Study
Questions and Verified Answers with
Rationale |100% Correct| Latest 2025/2026
Guide| Nightingale
The healthcare provider prescribes medication for an older adult client
who is complaining of insomnia and instructs the client to return in two
weeks. The nurse should question which prescription?
1. Zolpidem 10 milligrams orally at bedtime.
2.Eszopiclone 10 milligrams orally at bedtime.
3.Temazepam 7.5 milligrams orally at bedtime.
4.Ramelteon 8 milligrams orally at bedtime.
- Correct Answer -
Eszopiclone 10 milligrams orally at bedtime.
Rationale
The prescription for eszopiclone 10mg at bedtime is too high for this
client. The dosing of this medication is usually started off at 1 mg at
bedtime and may advance up to 3 mg maximum if needed.
The nurse should expect the healthcare provider to prescribe which
treatment regimen for a client with a peptic ulcer caused by Helicobacter
pylori ? (Select all that apply.)
1.Clarithromycin.
2.Sulfisoxazole.
3.Misoprostol.
,4.Omeprazole.
5.Metronidazole.
6.Sucralfate.
- Correct Answer -
1.Clarithromycin.
4.Omeprazole.
5.Metronidazole.
Rationale
Recommended medical treatment for Helicobacter pylori includes the
use of at least 2 different antibiotics and a proton pump inhibitor to
decrease the incidence of antibiotic resistance.
Which is the effect of beta-blocking agents when used for the treatment
of glaucoma?
1.Inhibiting aqueous humor production.
2.Enhancing aqueous humor outflow.
3.Increasing intraocular pressure.
4.Preventing extraocular infection.
- Correct Answer -
Inhibiting aqueous humor production.
Rationale
Beta-blockers are used to inhibit aqueous humor production, and the
goal is to reduce intraocular pressure.
,A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching?
1.Do not ingest foods with tyramine.
2.Avoid the consumption of alcohol.
3.Obtain daily blood pressure readings.
4.Take with a glass of orange juice.
- Correct Answer -
Avoid the consumption of alcohol.
Rationale
Tricyclic antidepressants (TCAs) such as amitriptyline can cause
sedation and should not be mixed with agents that depress the central
nervous system, so the client should be instructed to avoid alcohol. The
consumption of alcohol and TCAs interaction could worsen the client's
depression, increase drunkenness, and potentially cause death.
The healthcare provider prescribes oral antifungal therapy for a client
with onychomycosis. Which information should the nurse tell the client?
1.A single dose of the oral antifungal agent is usually sufficient to treat
the infection.
2.The infection is difficult to eradicate and requires prolonged therapy for
3 to 6 months.
3.Complete eradication is important because of the risk of a systemic
infection.
4.Prolonged therapy provides no benefit and increases the risk of
adverse effects.
, - Correct Answer -
The infection is difficult to eradicate and requires prolonged therapy for 3
to 6 months.
Rationale
Treatment of onychomycosis, a fungal infection of the fingernails and
toenails, is difficult to treat and requires prolonged therapy of 3 to 6
months for oral antifungal therapy
A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should
the nurse implement first?
1.Withhold medication and report symptoms and vital signs to the
healthcare provider.
2.Give PRN medication for nausea and vomiting and evaluate client in
30 minutes.
3.Reassure client that the ipratropium given will alleviate the symptoms.
4.Delay administration of ipratropium until next maintenance medication
is scheduled.
- Correct Answer -
Withhold medication and report symptoms and vital signs to the
healthcare provider.
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of
excessive use of ipratropium, so withholding the medication until the
Questions and Verified Answers with
Rationale |100% Correct| Latest 2025/2026
Guide| Nightingale
The healthcare provider prescribes medication for an older adult client
who is complaining of insomnia and instructs the client to return in two
weeks. The nurse should question which prescription?
1. Zolpidem 10 milligrams orally at bedtime.
2.Eszopiclone 10 milligrams orally at bedtime.
3.Temazepam 7.5 milligrams orally at bedtime.
4.Ramelteon 8 milligrams orally at bedtime.
- Correct Answer -
Eszopiclone 10 milligrams orally at bedtime.
Rationale
The prescription for eszopiclone 10mg at bedtime is too high for this
client. The dosing of this medication is usually started off at 1 mg at
bedtime and may advance up to 3 mg maximum if needed.
The nurse should expect the healthcare provider to prescribe which
treatment regimen for a client with a peptic ulcer caused by Helicobacter
pylori ? (Select all that apply.)
1.Clarithromycin.
2.Sulfisoxazole.
3.Misoprostol.
,4.Omeprazole.
5.Metronidazole.
6.Sucralfate.
- Correct Answer -
1.Clarithromycin.
4.Omeprazole.
5.Metronidazole.
Rationale
Recommended medical treatment for Helicobacter pylori includes the
use of at least 2 different antibiotics and a proton pump inhibitor to
decrease the incidence of antibiotic resistance.
Which is the effect of beta-blocking agents when used for the treatment
of glaucoma?
1.Inhibiting aqueous humor production.
2.Enhancing aqueous humor outflow.
3.Increasing intraocular pressure.
4.Preventing extraocular infection.
- Correct Answer -
Inhibiting aqueous humor production.
Rationale
Beta-blockers are used to inhibit aqueous humor production, and the
goal is to reduce intraocular pressure.
,A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching?
1.Do not ingest foods with tyramine.
2.Avoid the consumption of alcohol.
3.Obtain daily blood pressure readings.
4.Take with a glass of orange juice.
- Correct Answer -
Avoid the consumption of alcohol.
Rationale
Tricyclic antidepressants (TCAs) such as amitriptyline can cause
sedation and should not be mixed with agents that depress the central
nervous system, so the client should be instructed to avoid alcohol. The
consumption of alcohol and TCAs interaction could worsen the client's
depression, increase drunkenness, and potentially cause death.
The healthcare provider prescribes oral antifungal therapy for a client
with onychomycosis. Which information should the nurse tell the client?
1.A single dose of the oral antifungal agent is usually sufficient to treat
the infection.
2.The infection is difficult to eradicate and requires prolonged therapy for
3 to 6 months.
3.Complete eradication is important because of the risk of a systemic
infection.
4.Prolonged therapy provides no benefit and increases the risk of
adverse effects.
, - Correct Answer -
The infection is difficult to eradicate and requires prolonged therapy for 3
to 6 months.
Rationale
Treatment of onychomycosis, a fungal infection of the fingernails and
toenails, is difficult to treat and requires prolonged therapy of 3 to 6
months for oral antifungal therapy
A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should
the nurse implement first?
1.Withhold medication and report symptoms and vital signs to the
healthcare provider.
2.Give PRN medication for nausea and vomiting and evaluate client in
30 minutes.
3.Reassure client that the ipratropium given will alleviate the symptoms.
4.Delay administration of ipratropium until next maintenance medication
is scheduled.
- Correct Answer -
Withhold medication and report symptoms and vital signs to the
healthcare provider.
Rationale
Headache, nausea, blurred vision and insomnia are symptoms of
excessive use of ipratropium, so withholding the medication until the
