BSN 315 Pharm II Practice Questions
for HESI
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?
a. Cover your skin before going outside.
b. Limit intake of high-potassium foods.
c. Replace salt with a salt substitute.
d. 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?
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.
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
d. Consume foods that are high in iodine.
Take medication on an empty stomach.
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 (D5W)
200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter
numerical value only.)
200 mL/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.
A female client with multiple sclerosis reports having less fatigue and improved memory since
she began using the herbal supplement, ginkgo biloba. Which 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.
b. Nausea and diarrhea can occur when using this supplement.
c. Ginkgo biloba use should be limited and not taken during pregnancy.
d. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the
client's skin 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.
Report the finding to the healthcare provider.
, The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin
hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which
instruction(s) should be included in the teaching plan? (Select all that apply.)
a. Limit exposure to sunlight and avoid tanning beds.
b. Increase fluid intake while taking the medication.
c. Crush and mix the tablets with pudding if you have trouble swallowing the tablets.
d. Use nonsteroidal anti-inflammatory drugs (NSAID) to relieve mild joint aches and pains
caused by the medication.
e. Report any tendon pain or swelling to the healthcare provider immediately.
Limit exposure to sunlight and avoid tanning beds.
Increase fluid intake while taking the medication.
Report any tendon pain or swelling to the healthcare provider immediately.
When should the nurse instruct the client and family that glucagon needs to be administered?
a. Before meals to prevent hyperglycemia
b. At the onset of signs of diabetic ketoacidosis
c. When unable to eat during sick days
d. When signs of severe hypoglycemia occur
When signs of severe hypoglycemia occur
A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before a
scheduled procedure. The medication is available in a 5000 units/0.2 mL prefilled syringe. How
many mL should the nurse administer? (Enter numeric value only.)
0.1 mL
A client with atrial fibrillation receives a new prescription for dabigatran. Which instruction
should the nurse include in this client's teaching plan?
a. Keep an antidote available in the event of hemorrhage.
b. Continue obtaining scheduled laboratory bleeding tests.
c. Eliminate spinach and other green vegetables in the diet.
d. Avoid use of nonsteroidal anti-inflammatory drugs (NSAID)
Avoid use of nonsteroidal anti-inflammatory drugs (NSAID)
The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client that arrived
at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this
client?
a. Protect the skin from sunlight while taking the drug.
b. Take with orange juice to enhance GI absorption.
for HESI
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?
a. Cover your skin before going outside.
b. Limit intake of high-potassium foods.
c. Replace salt with a salt substitute.
d. 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?
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.
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
d. Consume foods that are high in iodine.
Take medication on an empty stomach.
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 (D5W)
200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter
numerical value only.)
200 mL/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.
A female client with multiple sclerosis reports having less fatigue and improved memory since
she began using the herbal supplement, ginkgo biloba. Which 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.
b. Nausea and diarrhea can occur when using this supplement.
c. Ginkgo biloba use should be limited and not taken during pregnancy.
d. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the
client's skin 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.
Report the finding to the healthcare provider.
, The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin
hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which
instruction(s) should be included in the teaching plan? (Select all that apply.)
a. Limit exposure to sunlight and avoid tanning beds.
b. Increase fluid intake while taking the medication.
c. Crush and mix the tablets with pudding if you have trouble swallowing the tablets.
d. Use nonsteroidal anti-inflammatory drugs (NSAID) to relieve mild joint aches and pains
caused by the medication.
e. Report any tendon pain or swelling to the healthcare provider immediately.
Limit exposure to sunlight and avoid tanning beds.
Increase fluid intake while taking the medication.
Report any tendon pain or swelling to the healthcare provider immediately.
When should the nurse instruct the client and family that glucagon needs to be administered?
a. Before meals to prevent hyperglycemia
b. At the onset of signs of diabetic ketoacidosis
c. When unable to eat during sick days
d. When signs of severe hypoglycemia occur
When signs of severe hypoglycemia occur
A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before a
scheduled procedure. The medication is available in a 5000 units/0.2 mL prefilled syringe. How
many mL should the nurse administer? (Enter numeric value only.)
0.1 mL
A client with atrial fibrillation receives a new prescription for dabigatran. Which instruction
should the nurse include in this client's teaching plan?
a. Keep an antidote available in the event of hemorrhage.
b. Continue obtaining scheduled laboratory bleeding tests.
c. Eliminate spinach and other green vegetables in the diet.
d. Avoid use of nonsteroidal anti-inflammatory drugs (NSAID)
Avoid use of nonsteroidal anti-inflammatory drugs (NSAID)
The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client that arrived
at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this
client?
a. Protect the skin from sunlight while taking the drug.
b. Take with orange juice to enhance GI absorption.
