Page 1 of 152
BSN 315 HESI RN SPECIALTY PHARMACOLOGY
EXAM VERSION 1, VERSION 2 & VERSION 3
COMPLETE 570+ QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: 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.
QUESTION: 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.
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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.
QUESTION: Which medications should the nurse caution the client about taking while receiving
an opioid analgesic?
a) Antacids
b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics - ANSWER-b) Benzodiazepines
QUESTION: A client who has been taking levodopa PO TID to control the symptoms of
Parkinson's disease has a new prescription for sustained-release levodopa/carbidopa PO BID.
The client took his levodopa at 0800. Which instruction should the nurse include in the teaching
plan for this client?
a) "Take the first dose of levodopa-carbidopa today, as soon as your prescription is filled."
b) "Since you already took your levodopa, wait until tomorrow to take the levodopa-
carbidopa."
c) "Take both drugs for the first week, then switch to only the levodopa-carbidopa."
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d) "You can begin taking the levodopa-carbidopa this evening, but do not take any more
levodopa." - ANSWER-d) "You can begin taking the levodopa-carbidopa this evening, but do not
take any more levodopa."
QUESTION: An adult client is given a prescription for a scopolamine patch to prevent motion
sickness while on a cruise. Which information should the nurse provide to the client?
a) Apply the patch at least 4 hours prior to departure.
b) Change the patch every other day while on the cruise.
c) Place the patch on a hairless area at the base of the skull.
d) Drink no more than 2 alcoholic drinks during the cruise. - ANSWER-a) Apply the patch at least
4 hours prior to departure.
QUESTION: The nurse is assessing a client prior to administering the prescribed dose of atenolol
PO. The client's blood pressure is 120/68 mmHg, and the telemetry monitor shows sinus
bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Based on this
assessment, what intervention should the nurse implement?
a) Lower the head of the bed and assess the client for orthostatic vital sign changes.
b) Give the medication as prescribed and continue to monitor the client.
c) Prepare to administer atropine sulfate IVP.
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d) Hold the prescribed dose and contact the healthcare provider. - ANSWER-b) Give the
medication as prescribed and continue to monitor the client.
QUESTION: When assessing an adolescent who recently overdosed on acetaminophen, it is
most important for the nurse to assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head - ANSWER-b) Abdomen
QUESTION: A client with heart failure is prescribed spironolactone. Which information is most
important for the nurse to provide to the client about diet modifications?
a) Do not add salt to foods during preparation.
b) Refrain from eating foods high in potassium.
c) Restrict fluid intake to 1000 ml per day.
d) Increase intake of milk and milk products. - ANSWER-b) Refrain from eating foods high in
potassium.
4
BSN 315 HESI RN SPECIALTY PHARMACOLOGY
EXAM VERSION 1, VERSION 2 & VERSION 3
COMPLETE 570+ QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: 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.
QUESTION: 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.
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,Page 2 of 152
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.
QUESTION: Which medications should the nurse caution the client about taking while receiving
an opioid analgesic?
a) Antacids
b) Benzodiazepines
c) Antihypertensives
d) Oral antidiabetics - ANSWER-b) Benzodiazepines
QUESTION: A client who has been taking levodopa PO TID to control the symptoms of
Parkinson's disease has a new prescription for sustained-release levodopa/carbidopa PO BID.
The client took his levodopa at 0800. Which instruction should the nurse include in the teaching
plan for this client?
a) "Take the first dose of levodopa-carbidopa today, as soon as your prescription is filled."
b) "Since you already took your levodopa, wait until tomorrow to take the levodopa-
carbidopa."
c) "Take both drugs for the first week, then switch to only the levodopa-carbidopa."
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,Page 3 of 152
d) "You can begin taking the levodopa-carbidopa this evening, but do not take any more
levodopa." - ANSWER-d) "You can begin taking the levodopa-carbidopa this evening, but do not
take any more levodopa."
QUESTION: An adult client is given a prescription for a scopolamine patch to prevent motion
sickness while on a cruise. Which information should the nurse provide to the client?
a) Apply the patch at least 4 hours prior to departure.
b) Change the patch every other day while on the cruise.
c) Place the patch on a hairless area at the base of the skull.
d) Drink no more than 2 alcoholic drinks during the cruise. - ANSWER-a) Apply the patch at least
4 hours prior to departure.
QUESTION: The nurse is assessing a client prior to administering the prescribed dose of atenolol
PO. The client's blood pressure is 120/68 mmHg, and the telemetry monitor shows sinus
bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Based on this
assessment, what intervention should the nurse implement?
a) Lower the head of the bed and assess the client for orthostatic vital sign changes.
b) Give the medication as prescribed and continue to monitor the client.
c) Prepare to administer atropine sulfate IVP.
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d) Hold the prescribed dose and contact the healthcare provider. - ANSWER-b) Give the
medication as prescribed and continue to monitor the client.
QUESTION: When assessing an adolescent who recently overdosed on acetaminophen, it is
most important for the nurse to assess for pain in which area of the body?
a) Flank
b) Abdomen
c) Chest
d) Head - ANSWER-b) Abdomen
QUESTION: A client with heart failure is prescribed spironolactone. Which information is most
important for the nurse to provide to the client about diet modifications?
a) Do not add salt to foods during preparation.
b) Refrain from eating foods high in potassium.
c) Restrict fluid intake to 1000 ml per day.
d) Increase intake of milk and milk products. - ANSWER-b) Refrain from eating foods high in
potassium.
4
