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BSN HESI 315 Pharmacology Practice Exam V1 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale

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BSN HESI 315 Pharmacology Practice Exam V1 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale Q: 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. Answer: Limit intake of high-potassium foods. Q: Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative. A Avoid the intake of dairy products while using the medication. B Take the medication one hour after meals and other medications. C Follow medication administration with an additional glass of water. D Remain upright for thirty minutes following drug administration. Answer: Follow medication administration with an additional glass of water. Q: A client diagnosed with chronic hepatitis C receiving ribavirin in combination with alfa- infection reports the onset of extreme fatigue and dyspriea on exertion. It is most important for the nurse to monitor which serum laboratory value? A Sodium B Glucose C Hemoglobin D Potassium Answer: Hemoglobin Q: A client who receives multiple antihypertensive medication experiences syncope due to a drop in blood pressure to 70/40 mm Hg. Which is the rationale for the nurse decision to hold the client's scheduled antihypertensive medications? A The synergistic effect of the multiple medications has resulted in drug toxicity and resulting hypotension. B The additive effect of multiple medications has caused the blood pressure to drop too low. C Increased urinary clearance of the multiple has produced duress and lowered the blood pressure. D The antagonistic interaction among the various blood pressure medications has reduced their effectiveness. Answer: The additive effect of multiple medications has caused the blood pressure to drop too low. Q: A client is discharged with a prescription for warfarin. Which discharge instruction should the nurse emphasize to the client? A Avoid going barefoot, especially outside. B Use an astringent for superficial bleeding. C Take a multi-vitamin supplement daily. D Add large amounts of spinach to the diet. Answer: Avoid going barefoot, especially outside. Q: A client who is receiving chemotherapy has received several doses of octreotide subcutaneously PRN to control frequent bouts of watery diarrhea. Which assessment findings is most important for the nurse to report to the healthcare provider? A Fruit-like breath odor. B Headache and nausea. C Injection site discomfort. D Solid, formed stool Answer: Headache and nausea. Q: Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 8.4 mg/L (35.6 mmol/L). Which action should the nurse take? A Administer the carbamazepine as prescribed. B Assess the client for side effects of carbamazepine. C Notify the healthcare provider of the carbamazepine level. D Withhold this dose of carbamazepine. Answer: Administer the carbamazepine as prescribed. Q: A client with Encephalopathy is receiving lactulose. Which assessment provides the nurse best information to improve in drug. a) stool color b) Serum electrolytes and ammonia c) Fingerstick glucose d) Serum hepatic enzymes Answer: b) Serum electrolytes and ammonia Q: After receiving five doses of filgrastim the nurse notes that the client's white blood cell count has increased from 2500/mm (2.5* 10/LSI) to 5,000/mm(5* 10/LSI). What action should the nurse implement? A. Assess the client's vital signs B. Implement neutropenic precautions C. Review the client's culture and sensitivity reports D. Inform the client that the medication has been effective Answer: d) Inform the client that the medication has been effective

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BSNlHESIl315lPharmacologylPracticelExam
lV1l(LatestlUpdate)lQuestionslandlVerifiedl
Answers|100%lCorrect|lGradelA-
lNightingale

Q:lAlclientlwithlheartlfailurel(HF)ldevelopslhyperaldosteronismlandlspironolactonelislprescrib
ed.lWhichlinstructionlshouldlthelnurselincludelinlthislclient'slplanloflcare?
AlReplacelsaltlwithlalsaltlsubstitute.
BlMonitorlskinlforlexcessivelbruising.
ClCoverlyourlskinlbeforelgoingloutside.
DlLimitlintakeloflhigh-potassiumlfoods.

Answer:
Limitlintakeloflhigh-potassiumlfoods.

Q:lWhichlinstructionlshouldlthelnurselincludelwhenlteachinglalclientlaboutlself-
administrationloflalbulk-formingllaxative.
AlAvoidlthelintakelofldairylproductslwhilelusinglthelmedication.
BlTakelthelmedicationlonelhourlafterlmealslandlotherlmedications.
ClFollowlmedicationladministrationlwithlanladditionallglassloflwater.
DlRemainluprightlforlthirtylminuteslfollowingldrugladministration.

Answer:
Followlmedicationladministrationlwithlanladditionallglassloflwater.

Q:lAlclientldiagnosedlwithlchroniclhepatitislClreceivinglribavirinlinlcombinationlwithlalfa-
linfectionlreportslthelonsetloflextremelfatiguelandldyspriealonlexertion.lItlislmostlimportantlforl
thelnurseltolmonitorlwhichlserumllaboratorylvalue?
AlSodium
BlGlucose
ClHemoglobin
DlPotassium

,Answer:
Hemoglobin

Q:lAlclientlwholreceiveslmultiplelantihypertensivelmedicationlexperienceslsyncopeldueltolald
roplinlbloodlpressureltol70/40lmmlHg.lWhichlislthelrationalelforlthelnurseldecisionltolholdlthel
client'slscheduledlantihypertensivelmedications?
AlThelsynergisticleffectloflthelmultiplelmedicationslhaslresultedlinldrugltoxicitylandlresultinglh
ypotension.
BlTheladditiveleffectloflmultiplelmedicationslhaslcausedlthelbloodlpressureltoldropltoollow.
ClIncreasedlurinarylclearanceloflthelmultiplelhaslproducedlduresslandlloweredlthelbloodlpressu
re.
DlThelantagonisticlinteractionlamonglthelvariouslbloodlpressurelmedicationslhaslreducedltheirl
effectiveness.

Answer:
Theladditiveleffectloflmultiplelmedicationslhaslcausedlthelbloodlpressureltoldropltoollow.

Q:lAlclientlisldischargedlwithlalprescriptionlforlwarfarin.lWhichldischargelinstructionlshouldl
thelnurselemphasizeltolthelclient?
AlAvoidlgoinglbarefoot,lespeciallyloutside.
BlUselanlastringentlforlsuperficiallbleeding.
ClTakelalmulti-vitaminlsupplementldaily.
DlAddllargelamountsloflspinachltoltheldiet.

Answer:
Avoidlgoinglbarefoot,lespeciallyloutside.

Q:lAlclientlwholislreceivinglchemotherapylhaslreceivedlseveralldoseslofloctreotidelsubcutane
ouslylPRNltolcontrollfrequentlboutsloflwateryldiarrhea.lWhichlassessmentlfindingslislmostlimp
ortantlforlthelnurseltolreportltolthelhealthcarelprovider?
AlFruit-likelbreathlodor.
BlHeadachelandlnausea.
ClInjectionlsiteldiscomfort.
DlSolid,lformedlstool

Answer:

, Headachelandlnausea.

Q:lPriorltoladministeringltheleveningldoseloflcarbamazepine,lthelnurselnoteslthatlthelclient'sl
morninglcarbamazepinellevellwasl8.4lmg/Ll(35.6lmmol/L).lWhichlactionlshouldlthelnurseltake
?
AlAdministerlthelcarbamazepinelaslprescribed.
BlAssesslthelclientlforlsideleffectsloflcarbamazepine.
ClNotifylthelhealthcarelproviderloflthelcarbamazepinellevel.
DlWithholdlthisldoseloflcarbamazepine.

Answer:
Administerlthelcarbamazepinelaslprescribed.

Q:lAlclientlwithlEncephalopathylislreceivingllactulose.lWhichlassessmentlprovideslthelnursel
bestlinformationltolimprovelinldrug.
a)lstoollcolor
b)lSerumlelectrolyteslandlammonial
c)lFingersticklglucose
d)lSerumlhepaticlenzymes

Answer:
b)lSerumlelectrolyteslandlammonia

Q:lAfterlreceivinglfiveldosesloflfilgrastimlthelnurselnoteslthatlthelclient'slwhitelbloodlcelllcou
ntlhaslincreasedlfrom
2500/mml(2.5*l10/LSI)ltol5,000/mm(5*l10/LSI).lWhatlactionlshouldlthelnurselimplement?
A.lAssesslthelclient'slvitallsigns
B.lImplementlneutropeniclprecautions
C.lReviewlthelclient'slculturelandlsensitivitylreports
D.lInformlthelclientlthatlthelmedicationlhaslbeenleffective

Answer:
d)lInformlthelclientlthatlthelmedicationlhaslbeenleffective

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