BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
1. A client with a history of chronic obstructive pul- Primes the inhaler with 7
monary disease (COPD) receives a new prescription pumps.
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.
2. A client with heart failure (HF) develops hyperaldos- Limit intake of high-potas-
teronism and spironolactone is prescribed. Which in- sium foods.
struction 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.
3. A client with peptic ulcer disease receives a new pre- Decrease cigarette use to
scription for cimetidine. Which statement provided a pack per day
by the client requires additional instruction by the
nurse?
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
4. A client with chemotherapy induced nausea receives Involuntary movements.
a prescription for metoclopramide. Which adverse ef-
fect is most important for the nurse to report?
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
5. The nurse admits a client with a diagnosis of stage 4 Remove the morphine
cancer. The client has a prescription to wear a subcu- patches.
taneous morphine sulfate patch for pain. The client is
short of breath and difficult to arouse. While perform-
ing 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.
6. The nurse is providing instructions about a client's Promotes excretion of uric
new medications. How should the nurse explain the acid in the urine.
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.
7. A client taking atorvastatin develops an increased Muscle tenderness.
serum creatine phosphokinase (CK) level. The nurse
should assess the client for the onset of which prob-
lem?
a. Excessive bruising.
b. Muscle tenderness.
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
c. Peripheral edema.
d. Nausea and vomiting.
8. A client receives a new prescription for levothyroxine. Take medication on an
Which statement made by client indicates to the nurse empty stomach.
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.
9. A client with Parkinson's disease who is taking car- Explain the color change is
bidopa/levodopa reports the urine appears to be normal.
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.
10. A client receives a prescription for ciprofloxacin 400 200mL/hr
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.)
11. A female client who is a vegetarian has a new prescrip- Advise the client that the
tion for warfarin. The client states she eats leafy green healthcare provider needs
vegetables every day. How should the nurse respond? to be made aware of her
a. Suggest that the client replace the leafy vegetables current diet.
with a protein source such as nuts or beans.
b. Confirm that her diet choices will help the medica-
tion be more effective in preventing blood clots.
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
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.
12. A female client with multiple sclerosis reports having Aspirin and non-steroidal
less fatigue and improved memory since she began anti-inflammatory drugs
using the herbal supplement, ginkgo biloba. Which interact with ginkgo.
information is most important for the nurse to include
in the teaching plan for this client?
a. Anxiety and headaches increase with the use of
ginkgo biloba.
a. Nausea and diarrhea can occur when using this
supplement.
b. Ginkgo biloba use should be limited and not taken
during pregnancy.
c. Aspirin and non-steroidal anti-inflammatory drugs
interact with ginkgo.
13. While assessing a client who takes acetaminophen for Report the finding to the
chronic pain, the nurse observes that the client's skin healthcare provider.
looks yellow in color. Which action should the nurse
take in response to this finding?
a. Check the client's capillary glucose level.
b. Use a pulse oximeter to assess oxygen saturation.
c. Report the finding to the healthcare provider.
d. Advise the client to reduce the medication dose.
14. The nurse is preparing a discharge teaching plan Limit exposure to sunlight
for a client who is taking ciprofloxacin hydrochloride and avoid tanning beds.
tablets, which were prescribed because of a suspect- Increase fluid intake while
ed anthrax exposure. Which instruction(s) should be taking the medication.
Study online at https://quizlet.com/_evrdzz
1. A client with a history of chronic obstructive pul- Primes the inhaler with 7
monary disease (COPD) receives a new prescription pumps.
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.
2. A client with heart failure (HF) develops hyperaldos- Limit intake of high-potas-
teronism and spironolactone is prescribed. Which in- sium foods.
struction 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.
3. A client with peptic ulcer disease receives a new pre- Decrease cigarette use to
scription for cimetidine. Which statement provided a pack per day
by the client requires additional instruction by the
nurse?
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
4. A client with chemotherapy induced nausea receives Involuntary movements.
a prescription for metoclopramide. Which adverse ef-
fect is most important for the nurse to report?
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
5. The nurse admits a client with a diagnosis of stage 4 Remove the morphine
cancer. The client has a prescription to wear a subcu- patches.
taneous morphine sulfate patch for pain. The client is
short of breath and difficult to arouse. While perform-
ing 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.
6. The nurse is providing instructions about a client's Promotes excretion of uric
new medications. How should the nurse explain the acid in the urine.
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.
7. A client taking atorvastatin develops an increased Muscle tenderness.
serum creatine phosphokinase (CK) level. The nurse
should assess the client for the onset of which prob-
lem?
a. Excessive bruising.
b. Muscle tenderness.
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
c. Peripheral edema.
d. Nausea and vomiting.
8. A client receives a new prescription for levothyroxine. Take medication on an
Which statement made by client indicates to the nurse empty stomach.
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.
9. A client with Parkinson's disease who is taking car- Explain the color change is
bidopa/levodopa reports the urine appears to be normal.
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.
10. A client receives a prescription for ciprofloxacin 400 200mL/hr
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.)
11. A female client who is a vegetarian has a new prescrip- Advise the client that the
tion for warfarin. The client states she eats leafy green healthcare provider needs
vegetables every day. How should the nurse respond? to be made aware of her
a. Suggest that the client replace the leafy vegetables current diet.
with a protein source such as nuts or beans.
b. Confirm that her diet choices will help the medica-
tion be more effective in preventing blood clots.
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
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.
12. A female client with multiple sclerosis reports having Aspirin and non-steroidal
less fatigue and improved memory since she began anti-inflammatory drugs
using the herbal supplement, ginkgo biloba. Which interact with ginkgo.
information is most important for the nurse to include
in the teaching plan for this client?
a. Anxiety and headaches increase with the use of
ginkgo biloba.
a. Nausea and diarrhea can occur when using this
supplement.
b. Ginkgo biloba use should be limited and not taken
during pregnancy.
c. Aspirin and non-steroidal anti-inflammatory drugs
interact with ginkgo.
13. While assessing a client who takes acetaminophen for Report the finding to the
chronic pain, the nurse observes that the client's skin healthcare provider.
looks yellow in color. Which action should the nurse
take in response to this finding?
a. Check the client's capillary glucose level.
b. Use a pulse oximeter to assess oxygen saturation.
c. Report the finding to the healthcare provider.
d. Advise the client to reduce the medication dose.
14. The nurse is preparing a discharge teaching plan Limit exposure to sunlight
for a client who is taking ciprofloxacin hydrochloride and avoid tanning beds.
tablets, which were prescribed because of a suspect- Increase fluid intake while
ed anthrax exposure. Which instruction(s) should be taking the medication.
