HESI 315 (Latest Update )
Pharmacology Questions AND Answers
{Grade A} 100% Correct
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: Replace salt with a salt substitute.
B: Monitor skin for excessive bruising.
C: Cover your skin before going outside.
D: Limit intake of high-potassium foods. - correct answer D: Limit intake of high-
potassium foods.
The nurse administers risedronate to a client with osteoporosis at 0700. The client
asks for a glass of milk to drink with the medication. Which action should the nurse
take?
A: Instruct the client that it is necessary to take nothing but water with the medication.
B: Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat
milk.
,C: Consult with a pharmacist about scheduling the dose one hour after the client eats.
D: Withhold the medication until the client's breakfast tray is available on the unit. -
correct answer A: Instruct the client that it is necessary to take nothing but water with
the medication.
A client with hepatic encephalopathy is receiving lactulose. Which assessment
provides the nurse with the best information to evaluate the client's therapeutic
response to the drug?
A: Stool color and character.
B: Serum electrolytes and ammonia.
C: Serum hepatic enzymes.
D: Fingerstick glucose. - correct answer B: Serum electrolytes and ammonia.
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: Apply oxygen face mask.
B: Remove the morphine patches.
C: Administer a narcotic reversal drug.
D: Monitor blood pressure. - correct answer B: Remove the morphine patches.
An older adult with iron deficiency anemia is being discharged with a prescription for
ferrous sulfate enteric-coated tablets. To promote best absorption of the medication,
which information should the nurse include in the discharge instructions?
A: Take the tablet with a daily multivitamin.
B: Bedtime is the best time to take the tablet.
C: Wait 2 hours after meals to take the tablet.
D: Crush the tablets and mix with pudding. - correct answer C: Wait 2 hours after
meals to take the tablet.
, A client in the surgical recovery area asks the nurse to bring the largest possible dose
of pain medication available. Which action should the nurse implement first?
A: Determine when the last dose was administered.
B: Encourage the client to use diversional thoughts to manage pain.
C: Review the history for a past use of recreational drugs.
D: Ask the client to rate the current level of pain using a pain scale. - correct answer
D: Ask the client to rate the current level of pain using a pain scale.
The nurse is caring for a client who is taking diclofenac, a nonsteroidal anti-
inflammatory (NSAID) drug for rheumatoid arthritis. During a clinic visit, the client
appears pale and reports increasing fatigue. Which of the client's serum laboratory
values is most important for the nurse to review?
A: Glucose.
B: Total protein.
C: Sodium.
D: Hemoglobin. - correct answer D: Hemoglobin.
Pharmacology Questions AND Answers
{Grade A} 100% Correct
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: Replace salt with a salt substitute.
B: Monitor skin for excessive bruising.
C: Cover your skin before going outside.
D: Limit intake of high-potassium foods. - correct answer D: Limit intake of high-
potassium foods.
The nurse administers risedronate to a client with osteoporosis at 0700. The client
asks for a glass of milk to drink with the medication. Which action should the nurse
take?
A: Instruct the client that it is necessary to take nothing but water with the medication.
B: Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat
milk.
,C: Consult with a pharmacist about scheduling the dose one hour after the client eats.
D: Withhold the medication until the client's breakfast tray is available on the unit. -
correct answer A: Instruct the client that it is necessary to take nothing but water with
the medication.
A client with hepatic encephalopathy is receiving lactulose. Which assessment
provides the nurse with the best information to evaluate the client's therapeutic
response to the drug?
A: Stool color and character.
B: Serum electrolytes and ammonia.
C: Serum hepatic enzymes.
D: Fingerstick glucose. - correct answer B: Serum electrolytes and ammonia.
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: Apply oxygen face mask.
B: Remove the morphine patches.
C: Administer a narcotic reversal drug.
D: Monitor blood pressure. - correct answer B: Remove the morphine patches.
An older adult with iron deficiency anemia is being discharged with a prescription for
ferrous sulfate enteric-coated tablets. To promote best absorption of the medication,
which information should the nurse include in the discharge instructions?
A: Take the tablet with a daily multivitamin.
B: Bedtime is the best time to take the tablet.
C: Wait 2 hours after meals to take the tablet.
D: Crush the tablets and mix with pudding. - correct answer C: Wait 2 hours after
meals to take the tablet.
, A client in the surgical recovery area asks the nurse to bring the largest possible dose
of pain medication available. Which action should the nurse implement first?
A: Determine when the last dose was administered.
B: Encourage the client to use diversional thoughts to manage pain.
C: Review the history for a past use of recreational drugs.
D: Ask the client to rate the current level of pain using a pain scale. - correct answer
D: Ask the client to rate the current level of pain using a pain scale.
The nurse is caring for a client who is taking diclofenac, a nonsteroidal anti-
inflammatory (NSAID) drug for rheumatoid arthritis. During a clinic visit, the client
appears pale and reports increasing fatigue. Which of the client's serum laboratory
values is most important for the nurse to review?
A: Glucose.
B: Total protein.
C: Sodium.
D: Hemoglobin. - correct answer D: Hemoglobin.
