Pharmacology HESI 315 Test Questions with Verified
Answers Graded A+
The nurse is planning care for a client with major a. White blood cell count of 8,500/mm3 or
depression who is receiving a new prescription 85x10/l(SI)
for duloxetine. Which information is most b. Employed as a construction worker.
important for the nurse to obtain? c. Toenails appear thick and yellow.
A. Liver function laboratory results d. Reported history of alcoholism. -
B. Family history of mental illness ANSWER -Reported history of alcoholism
C. Recent use of other antidepressants
D. Weight change in the last month
Answer: A. Liver function laboratory result -
ANSWER -A. Liver function laboratory A client with bipolar disorder admitted with severe
results depression and suicidal ideation receives a
prescription for lithium carbonate. Which
instruction should the nurse provide to the client?
The nurse is preparing a client with chronic a) Notify healthcare provider prior to dental
obstructive pulmonary disease (COPD)and a procedure
chronic productive cough for discharged b) Avoid consuming all foods that contain iodine.
home.Which prescribed medication should nurse c) Monitor blood glucose levels daily.
reviews with the client to manage this d) Eliminate of nonsteriodal anti-inflammatory
symptoms? drugs (NSAIDSs). - ANSWER -d) Eliminate
A Tiotropium. of nonsteriodal anti-inflammatory drugs
B Prednisone (NSAIDSs).
C Guaifenesin.
D Salmeterol. - ANSWER -C Guaifenesin.
A client with anemia secondary to chronic kidney
disease (CKD) started a prescription for epoetin
The nurse is caring for a patient with chronic alfa tow months ago . Which client finding best
obstructive pulmonary disease (COPD) and is indicates that the medication is 1effective?
now performing discharge teaching with this
patient. What should the nurse include in the a) Reports of increased energy levels and
teaching about breathing techniques? decreased fatigue
Use diaphragmatic breathing. B) Food diary shows increased consumption of
Exhale through a wide open mouth. iron-rich foods.
Use chest breathing. C) Takes concurrent iron therapy without adverse
Make inhalation longer than exhalation. - effects.
ANSWER -Use diaphragmatic breathing. D) Hemoglobin level increased to 12 grams/dl
(120mmol/L). - ANSWER -Hemoglobin level
increased to 12 grams/dL (120 mmol/L.)
Before administering a newly prescribed dose of
terbinafine HCI to a client with fungal infection
toenail infection, which assessment finding is After taking lactulose (cholac) for several days.
most important for the nurse to address? What therapeutic response for a patient with
1/7
, Pharmacology HESI 315 Test Questions with Verified
Answers Graded A+
hepatic encephalopathy? B Glucose
a) reduce liquid stools C Hemoglobin
b) improve mental status D Potassium - ANSWER -Hemoglobin
c) increase urine output
d) ability to ambulate independently -
ANSWER -improve mental status
A client who receives multiple antihypertensive
medication experiences syncope due to a drop in
blood pressure to 70/40 mm Hg. Which is the
A client with heart failure (HF) develops rationale for the nurse decision to hold the client's
hyperaldosteronism and spironolactone is scheduled antihypertensive medications?
prescribed. Which instruction should the nurse A The synergistic effect of the multiple
include in this client's plan of care? medications has resulted in drug toxicity and
A Replace salt with a salt substitute. resulting hypotension.
B Monitor skin for excessive bruising. B The additive effect of multiple medications has
C Cover your skin before going outside. caused the blood pressure to drop too low.
D Limit intake of high-potassium foods. - C Increased urinary clearance of the multiple has
ANSWER -Limit intake of high-potassium produced duress and lowered the blood
foods. pressure.
D The antagonistic interaction among the various
blood pressure medications has reduced their
effectiveness. - ANSWER -The additive
Which instruction should the nurse include when effect of multiple medications has caused the
teaching a client about self-administration of a blood pressure to drop too low.
bulk-forming laxative.
A Avoid the intake of dairy products while using
the medication.
B Take the medication one hour after meals and A client is discharged with a prescription for
other medications. warfarin. Which discharge instruction should the
C Follow medication administration with an nurse emphasize to the client?
additional glass of water. A Avoid going barefoot, especially outside.
D Remain upright for thirty minutes following B Use an astringent for superficial bleeding.
drug administration. - ANSWER -Follow C Take a multi-vitamin supplement daily.
medication administration with an additional D Add large amounts of spinach to the diet. -
glass of water. ANSWER -Avoid going barefoot, especially
outside.
A client diagnosed with chronic hepatitis C
receiving ribavirin in combination with alfa- A client who is receiving chemotherapy has
infection reports the onset of extreme fatigue and received several doses of octreotide
dyspriea on exertion. It is most important for the subcutaneously PRN to control frequent bouts of
nurse to monitor which serum laboratory value? watery diarrhea. Which assessment findings is
A Sodium most important for the nurse to report to the
2/7
Answers Graded A+
The nurse is planning care for a client with major a. White blood cell count of 8,500/mm3 or
depression who is receiving a new prescription 85x10/l(SI)
for duloxetine. Which information is most b. Employed as a construction worker.
important for the nurse to obtain? c. Toenails appear thick and yellow.
A. Liver function laboratory results d. Reported history of alcoholism. -
B. Family history of mental illness ANSWER -Reported history of alcoholism
C. Recent use of other antidepressants
D. Weight change in the last month
Answer: A. Liver function laboratory result -
ANSWER -A. Liver function laboratory A client with bipolar disorder admitted with severe
results depression and suicidal ideation receives a
prescription for lithium carbonate. Which
instruction should the nurse provide to the client?
The nurse is preparing a client with chronic a) Notify healthcare provider prior to dental
obstructive pulmonary disease (COPD)and a procedure
chronic productive cough for discharged b) Avoid consuming all foods that contain iodine.
home.Which prescribed medication should nurse c) Monitor blood glucose levels daily.
reviews with the client to manage this d) Eliminate of nonsteriodal anti-inflammatory
symptoms? drugs (NSAIDSs). - ANSWER -d) Eliminate
A Tiotropium. of nonsteriodal anti-inflammatory drugs
B Prednisone (NSAIDSs).
C Guaifenesin.
D Salmeterol. - ANSWER -C Guaifenesin.
A client with anemia secondary to chronic kidney
disease (CKD) started a prescription for epoetin
The nurse is caring for a patient with chronic alfa tow months ago . Which client finding best
obstructive pulmonary disease (COPD) and is indicates that the medication is 1effective?
now performing discharge teaching with this
patient. What should the nurse include in the a) Reports of increased energy levels and
teaching about breathing techniques? decreased fatigue
Use diaphragmatic breathing. B) Food diary shows increased consumption of
Exhale through a wide open mouth. iron-rich foods.
Use chest breathing. C) Takes concurrent iron therapy without adverse
Make inhalation longer than exhalation. - effects.
ANSWER -Use diaphragmatic breathing. D) Hemoglobin level increased to 12 grams/dl
(120mmol/L). - ANSWER -Hemoglobin level
increased to 12 grams/dL (120 mmol/L.)
Before administering a newly prescribed dose of
terbinafine HCI to a client with fungal infection
toenail infection, which assessment finding is After taking lactulose (cholac) for several days.
most important for the nurse to address? What therapeutic response for a patient with
1/7
, Pharmacology HESI 315 Test Questions with Verified
Answers Graded A+
hepatic encephalopathy? B Glucose
a) reduce liquid stools C Hemoglobin
b) improve mental status D Potassium - ANSWER -Hemoglobin
c) increase urine output
d) ability to ambulate independently -
ANSWER -improve mental status
A client who receives multiple antihypertensive
medication experiences syncope due to a drop in
blood pressure to 70/40 mm Hg. Which is the
A client with heart failure (HF) develops rationale for the nurse decision to hold the client's
hyperaldosteronism and spironolactone is scheduled antihypertensive medications?
prescribed. Which instruction should the nurse A The synergistic effect of the multiple
include in this client's plan of care? medications has resulted in drug toxicity and
A Replace salt with a salt substitute. resulting hypotension.
B Monitor skin for excessive bruising. B The additive effect of multiple medications has
C Cover your skin before going outside. caused the blood pressure to drop too low.
D Limit intake of high-potassium foods. - C Increased urinary clearance of the multiple has
ANSWER -Limit intake of high-potassium produced duress and lowered the blood
foods. pressure.
D The antagonistic interaction among the various
blood pressure medications has reduced their
effectiveness. - ANSWER -The additive
Which instruction should the nurse include when effect of multiple medications has caused the
teaching a client about self-administration of a blood pressure to drop too low.
bulk-forming laxative.
A Avoid the intake of dairy products while using
the medication.
B Take the medication one hour after meals and A client is discharged with a prescription for
other medications. warfarin. Which discharge instruction should the
C Follow medication administration with an nurse emphasize to the client?
additional glass of water. A Avoid going barefoot, especially outside.
D Remain upright for thirty minutes following B Use an astringent for superficial bleeding.
drug administration. - ANSWER -Follow C Take a multi-vitamin supplement daily.
medication administration with an additional D Add large amounts of spinach to the diet. -
glass of water. ANSWER -Avoid going barefoot, especially
outside.
A client diagnosed with chronic hepatitis C
receiving ribavirin in combination with alfa- A client who is receiving chemotherapy has
infection reports the onset of extreme fatigue and received several doses of octreotide
dyspriea on exertion. It is most important for the subcutaneously PRN to control frequent bouts of
nurse to monitor which serum laboratory value? watery diarrhea. Which assessment findings is
A Sodium most important for the nurse to report to the
2/7
