BSN 315 - PHARMACOLOGY II HESI ASSIGNMENT
EXAM
1. A client with osteoarthritis receives a new prescription for celecoxib orally for
symptom management. The nurse notes the client is allergic to sulfa. Which action is
most important for the nurse to implement prior to administering the first dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs.
Answer b) Notify the healthcare provider.
2. The nurse is making early morning rounds on a group of clients when a client begins
exhibiting symptoms of an acute asthma attack. The nurse administers a PRN
prescription for a Beta 2 receptor agonist agent. Which client response should the
nurse expect?
,a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation
Answer a) Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
3. Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan has been achieved?
a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg
Answer d) Blood pressure reduced from
,160/90 to 130/80 mmHg
4. 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.
5. 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.
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.
EXAM
1. A client with osteoarthritis receives a new prescription for celecoxib orally for
symptom management. The nurse notes the client is allergic to sulfa. Which action is
most important for the nurse to implement prior to administering the first dose?
a) Review the client's hemoglobin results.
b) Notify the healthcare provider.
c) Inquire about the reaction to sulfa.
d) Record the client's vital signs.
Answer b) Notify the healthcare provider.
2. The nurse is making early morning rounds on a group of clients when a client begins
exhibiting symptoms of an acute asthma attack. The nurse administers a PRN
prescription for a Beta 2 receptor agonist agent. Which client response should the
nurse expect?
,a) Tachycardia
b) Increased blood pressure
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
e) Reduced fever and airway inflammation
Answer a) Tachycardia
c) Rapid resolution of wheezing
d) Improved pulse oximetry values
3. Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan has been achieved?
a) Dependent edema reduced from +3 to +1
b) Serum HDL increased from 35 to 55 mg/dl
c) Pulse rate reduced from 150 to 90 beats/minute
d) Blood pressure reduced from 160/90 to 130/80 mmHg
Answer d) Blood pressure reduced from
,160/90 to 130/80 mmHg
4. 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.
5. 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.
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.
