BSN 315 Pharm II Practice Questions for HESI
.,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz
.,., .,., .,.,
1. A client with a history of chronic obstructive pul-
.,., Primes the .,., .,., .,., .,., .,., .,., .,., .,.,
monary disease (COPD) receives a new
.,., inhalerwith 7 .,., .,., .,., .,., .,., .,., ., .,.,
prescriptionfor an ipratropium inhaler. Which action pumps.
.,., ., .,., .,., .,., .,., .,., .,.,
indicates tothe nurse
.,., .,., ., .,.,
that additional teaching is needed?
.,., .,., .,., .,.,
a. Primes the inhaler with 7 pumps. .,., .,., .,., .,., .,.,
b. Attaches spacer device to the inhaler. .,., .,., .,., .,., .,.,
c. Rinses the after each use. .,., .,., .,., .,.,
d. Stores the medication at room temperature. .,., .,., .,., .,., .,.,
2. A client with heart failure (HF) develops hyperaldos-
.,., .,., .,., .,., .,., .,., .,.,
teronism and spironolactone is prescribed. Which in- Limit intake
., .,., .,., .,., .,., ., .,., .,.,
structionshouldthenurseincludeinthisclient'splanof of high-
., ., ., ., ., ., ., ., ., ., .,.,
care? potassiumfoods. .,
Cover your skin before going .,., .,., .,., .,.,
outside. Limit intake of high-
.,., ., .,., .,., .,.,
potassium foods. Replace salt with a .,., ., .,., .,., .,.,
salt substitute.
.,., .,.,
Monitor skin for excessive bruising. .,., .,., .,., .,.,
3. A clientwithpeptic ulcer disease receives a new pre-
., ., ., ., ., ., ., ., .,
scription for cimetidine. Which statement provided
., .,., .,., .,., .,., .,., Decrease ciga- .,.,
by the client requires additional instruction by the
.,., .,., .,., .,., .,., .,., .,., .,., rette use to a
.,., .,. ., .,
nurse?
.,., packper day
., ., .,.,
a. Notify the healthcare provider of lethargy. .,., .,., .,., .,., .,.,
b. Monitor for any signs of sexual dysfunction. .,., .,., .,., .,., .,., .,.,
c. Decrease cigarette use to a pack per day. .,., .,., .,., .,., .,., .,., .,.,
d. Take the medication an hour after antacids .,., .,., .,., .,., .,., .,.,
4. A client with chemotherapy induced nausea receives a
.,., .,., .,., .,., .,., .,., .,
prescription for metoclopramide. Which adverse ef- Involuntarymove-
., ., ., ., ., ., .,
fect is most important for the nurse to report?
., .,., .,., ments. .,., .,., .,., .,., .,., .,., .,
a. Diarrhea.
b. Involuntary movements. .,.,
c. Unusual irritability. .,,
d. Nausea.
5. The nurse admits a client with a diagnosis of stage4
.,., .,., .,., .,., .,., .,., .,., .,., .,., .,
cancer.The client has a prescription to wear a
.,., ., .,., .,., .,., .,., .,., .,., .,., Remove the mor- .,., .,.,
phine patches.
., .,.,
.,., .,.,
, BSN 315 Pharm II Practice Questions for HESI
.,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz
.,., .,., .,.,
subcutaneous morphine sulfate patch for pain. The .,., .,., .,., .,., .,., .,.,
darker in
.,., .,.,
client is short of breath and difficult to
.,., .,., .,., .,., .,., .,., .,., .,.,
color.Which
.,., .,
arouse.Whileperforming a head to toe assessment.
.,., ., ., .,., .,., .,., .,., .,.,
action
.,.,
the nurse dis-
.,., .,., .,.,
should the
.,., .,.,
coversfourpatchesontheclient'sbody.Whichactionsh
., ., ., ., ., ., ., ., ., .,
nurse take?
.,., .,.,
ould the nurse take first? .,., .,., .,., .,.,
a. Explain
a. Monitor blood pressure. .,., .,.,
the color
.,., .,.,
b. Administer a narcotic reversal drug. .,., .,., .,., .,.,
change is
.,., .,.,
c. Remove the morphine patches. .,., .,., .,.,
normal.
.,.,
d. Apply oxygen face mask. .,., .,., .,.,
b. Measure
the .,.,
6. The nurse is providing instructions about a
.,., .,., .,., .,., .,., .,.,
client's
.,.,
client'snew medications.How should the nurse
.,., ., .,., ., .,., .,., .,.,
urinary
.,.,
explain thepurpose of probenecid, a uricosuric
.,., .,., ., .,., .,., .,., .,.,
output.
.,.,
drug?
.,.,
a. Decreases pain and burning during urination. .,., .,., .,., .,., .,.,
b. Prevents the formation of kidney stones. .,., .,., .,., .,., .,.,
c. Increases the strength of the urine stream. .,., .,., .,., .,., .,., .,.,
d. Promotes excretion of uric acid in the urine. .,., .,., .,., .,., .,., .,., .,.,
7. A client taking atorvastatin develops an increased
.,., .,., .,., .,., .,., .,.,
serum creatine phosphokinase (CK) level. The
.,., .,., .,., .,., .,., .,.,
nurseshould assess the client for the onset of which
.,., ., .,., .,., .,., .,., .,., .,., .,., .,.,
prob-lem?
.,., .,
a. Excessive bruising. .,.,
b. Muscle tenderness. .,.,
c. Peripheral edema. .,.,
d. Nausea and vomiting. .,., .,.,
8. A client receives a new prescription for levothyrox-
.,., .,., .,., .,., .,., .,., .,.,
ine.Which statement made by client indicates to
.,., ., .,., .,., .,., .,., .,., .,.,
thenurse the education was effective?
.,., ., .,., .,., .,., .,.,
a. Take medication on an empty stomach. .,., .,., .,., .,., .,.,
b. Avoid the use of iron supplements .,., .,., .,., .,., .,.,
c. Administer levothyroxine at .,., .,.,
bedtimeConsume foods that are high
.,., ., .,., .,., .,., .,.,
in iodine.
.,., .,.,
9. A client with Parkinson's disease who is taking car-
.,., .,., .,., .,., .,., .,., .,., .,.,
bidopa/levodopa reports the urine appears to be
.,., .,., .,., .,., .,., .,., .,.,
.,., .,.,
, BSN 315 Pharm II Practice Questions for HESI
.,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz
.,., .,., .,.,
Promotes excre- tion of uric acid inthe urine.
.,., .,., .,., .,., .,., .,., ., .,.,
Muscle tender-ness.
.,., .,
Take medication onanemptystom-ach.
.,., .,., ., ., ., .,
Explain the color change is normal.
.,., .,., .,., .,., .,.,
.,., .,.,
, BSN 315 Pharm II Practice Questions for HESI .,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz .,., .,., .,.,
c. Obtain a specimen for a urine culture. .,., .,., .,., .,., .,., .,.,
for chronic
.,., .,.,
d. Encourage an increase in oral intake. .,., .,., .,., .,., .,.,
pain,the
.,., .,
nurse
.,.,
10. A client receives a prescription for ciprofloxacin
.,., .,., .,., .,., .,., .,.,
observes
.,.,
400mg intravenously (IV) every 12 hours to be
.,., ., .,., .,., .,., .,., .,., .,., .,.,
that the
.,., .,.,
infused over an hour. The IV bag contains
.,., .,., .,., .,., .,., .,., .,., .,.,
client'sskin
.,., .,
ciprofloxacin 400 mg in dextrose 5% in water (D;W)
.,., .,., .,., .,., .,., .,., .,., .,., .,.,
looks
.,.,
200 mL.The nurseshould program the infusion
.,., .,., ., .,., ., .,., .,., .,.,
yellow in
.,., .,.,
pump to deliver how many mL/hr? (Enter numerical
.,., .,., .,., .,., .,., .,., .,., .,.,
color.Which
.,., .,
value only.)
.,., .,.,
action
.,.,
should the
.,., .,.,
11. A female client who is a vegetarian has a new pre-
.,., .,., .,., .,., .,., .,., .,., .,., .,., .,.,
scription for warfarin.The client states she eats
.,., .,., .,., ., .,., .,., .,., .,.,
leafygreen vegetables every day. How should the
.,., ., .,., .,., .,., .,., .,., .,.,
nurse respond?
.,., .,.,
a. Suggestthattheclientreplacetheleafyvegetableswit ., ., ., ., ., ., ., .,
h a protein source such as nuts or beans.
.,., .,., .,., .,., .,., .,., .,., .,.,
b. Confirm that her diet choices will help the medica- .,., .,., .,., .,., .,., .,., .,., .,.,
tion be more effective in preventing blood clots.
., .,., .,., .,., .,., .,., .,., .,.,
c. Commend the client for her healthy lifestyle .,., .,., .,., .,., .,., .,.,
andencourage her to continue her current diet
.,., ., .,., .,., .,., .,., .,., .,.,
habits.
.,.,
d. Advisetheclientthatthehealthcareproviderneedsto ., ., ., ., ., ., ., .,
be made aware of her current diet.
.,., .,., .,., .,., .,., .,., .,.,
12. Afemaleclientwithmultiplesclerosisreportshavingles
., ., ., ., ., ., ., .,
s fatigue and improved memory since she began
.,., .,., .,., .,., .,., .,., .,.,
using the herbal supplement, ginkgo biloba. Which
.,., .,., .,., .,., .,., .,., .,.,
informationismostimportantforthenursetoincludein
.,., ., ., ., ., ., ., ., ., .,
the teaching plan for this client?
.,., .,., .,., .,., .,., .,.,
a. Anxiety and headaches increase with the use .,., .,., .,., .,., .,., .,.,
ofginkgo biloba.
.,., ., .,.,
a. Nausea and diarrhea can occur when using .,., .,., .,., .,., .,., .,.,
thissupplement.
.,., .,
b. Ginkgo biloba use should be limited and not .,., .,., .,., .,., .,., .,., .,.,
takenduring pregnancy.
.,., ., .,.,
c. Aspirin and non-steroidal anti-inflammatory .,., .,., .,.,
drugsinteract with ginkgo.
.,., ., .,., .,.,
13. While assessing a client who takes acetaminophen .,., .,., .,., .,., .,., .,.,
.,., .,.,
.,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz
.,., .,., .,.,
1. A client with a history of chronic obstructive pul-
.,., Primes the .,., .,., .,., .,., .,., .,., .,., .,.,
monary disease (COPD) receives a new
.,., inhalerwith 7 .,., .,., .,., .,., .,., .,., ., .,.,
prescriptionfor an ipratropium inhaler. Which action pumps.
.,., ., .,., .,., .,., .,., .,., .,.,
indicates tothe nurse
.,., .,., ., .,.,
that additional teaching is needed?
.,., .,., .,., .,.,
a. Primes the inhaler with 7 pumps. .,., .,., .,., .,., .,.,
b. Attaches spacer device to the inhaler. .,., .,., .,., .,., .,.,
c. Rinses the after each use. .,., .,., .,., .,.,
d. Stores the medication at room temperature. .,., .,., .,., .,., .,.,
2. A client with heart failure (HF) develops hyperaldos-
.,., .,., .,., .,., .,., .,., .,.,
teronism and spironolactone is prescribed. Which in- Limit intake
., .,., .,., .,., .,., ., .,., .,.,
structionshouldthenurseincludeinthisclient'splanof of high-
., ., ., ., ., ., ., ., ., ., .,.,
care? potassiumfoods. .,
Cover your skin before going .,., .,., .,., .,.,
outside. Limit intake of high-
.,., ., .,., .,., .,.,
potassium foods. Replace salt with a .,., ., .,., .,., .,.,
salt substitute.
.,., .,.,
Monitor skin for excessive bruising. .,., .,., .,., .,.,
3. A clientwithpeptic ulcer disease receives a new pre-
., ., ., ., ., ., ., ., .,
scription for cimetidine. Which statement provided
., .,., .,., .,., .,., .,., Decrease ciga- .,.,
by the client requires additional instruction by the
.,., .,., .,., .,., .,., .,., .,., .,., rette use to a
.,., .,. ., .,
nurse?
.,., packper day
., ., .,.,
a. Notify the healthcare provider of lethargy. .,., .,., .,., .,., .,.,
b. Monitor for any signs of sexual dysfunction. .,., .,., .,., .,., .,., .,.,
c. Decrease cigarette use to a pack per day. .,., .,., .,., .,., .,., .,., .,.,
d. Take the medication an hour after antacids .,., .,., .,., .,., .,., .,.,
4. A client with chemotherapy induced nausea receives a
.,., .,., .,., .,., .,., .,., .,
prescription for metoclopramide. Which adverse ef- Involuntarymove-
., ., ., ., ., ., .,
fect is most important for the nurse to report?
., .,., .,., ments. .,., .,., .,., .,., .,., .,., .,
a. Diarrhea.
b. Involuntary movements. .,.,
c. Unusual irritability. .,,
d. Nausea.
5. The nurse admits a client with a diagnosis of stage4
.,., .,., .,., .,., .,., .,., .,., .,., .,., .,
cancer.The client has a prescription to wear a
.,., ., .,., .,., .,., .,., .,., .,., .,., Remove the mor- .,., .,.,
phine patches.
., .,.,
.,., .,.,
, BSN 315 Pharm II Practice Questions for HESI
.,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz
.,., .,., .,.,
subcutaneous morphine sulfate patch for pain. The .,., .,., .,., .,., .,., .,.,
darker in
.,., .,.,
client is short of breath and difficult to
.,., .,., .,., .,., .,., .,., .,., .,.,
color.Which
.,., .,
arouse.Whileperforming a head to toe assessment.
.,., ., ., .,., .,., .,., .,., .,.,
action
.,.,
the nurse dis-
.,., .,., .,.,
should the
.,., .,.,
coversfourpatchesontheclient'sbody.Whichactionsh
., ., ., ., ., ., ., ., ., .,
nurse take?
.,., .,.,
ould the nurse take first? .,., .,., .,., .,.,
a. Explain
a. Monitor blood pressure. .,., .,.,
the color
.,., .,.,
b. Administer a narcotic reversal drug. .,., .,., .,., .,.,
change is
.,., .,.,
c. Remove the morphine patches. .,., .,., .,.,
normal.
.,.,
d. Apply oxygen face mask. .,., .,., .,.,
b. Measure
the .,.,
6. The nurse is providing instructions about a
.,., .,., .,., .,., .,., .,.,
client's
.,.,
client'snew medications.How should the nurse
.,., ., .,., ., .,., .,., .,.,
urinary
.,.,
explain thepurpose of probenecid, a uricosuric
.,., .,., ., .,., .,., .,., .,.,
output.
.,.,
drug?
.,.,
a. Decreases pain and burning during urination. .,., .,., .,., .,., .,.,
b. Prevents the formation of kidney stones. .,., .,., .,., .,., .,.,
c. Increases the strength of the urine stream. .,., .,., .,., .,., .,., .,.,
d. Promotes excretion of uric acid in the urine. .,., .,., .,., .,., .,., .,., .,.,
7. A client taking atorvastatin develops an increased
.,., .,., .,., .,., .,., .,.,
serum creatine phosphokinase (CK) level. The
.,., .,., .,., .,., .,., .,.,
nurseshould assess the client for the onset of which
.,., ., .,., .,., .,., .,., .,., .,., .,., .,.,
prob-lem?
.,., .,
a. Excessive bruising. .,.,
b. Muscle tenderness. .,.,
c. Peripheral edema. .,.,
d. Nausea and vomiting. .,., .,.,
8. A client receives a new prescription for levothyrox-
.,., .,., .,., .,., .,., .,., .,.,
ine.Which statement made by client indicates to
.,., ., .,., .,., .,., .,., .,., .,.,
thenurse the education was effective?
.,., ., .,., .,., .,., .,.,
a. Take medication on an empty stomach. .,., .,., .,., .,., .,.,
b. Avoid the use of iron supplements .,., .,., .,., .,., .,.,
c. Administer levothyroxine at .,., .,.,
bedtimeConsume foods that are high
.,., ., .,., .,., .,., .,.,
in iodine.
.,., .,.,
9. A client with Parkinson's disease who is taking car-
.,., .,., .,., .,., .,., .,., .,., .,.,
bidopa/levodopa reports the urine appears to be
.,., .,., .,., .,., .,., .,., .,.,
.,., .,.,
, BSN 315 Pharm II Practice Questions for HESI
.,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz
.,., .,., .,.,
Promotes excre- tion of uric acid inthe urine.
.,., .,., .,., .,., .,., .,., ., .,.,
Muscle tender-ness.
.,., .,
Take medication onanemptystom-ach.
.,., .,., ., ., ., .,
Explain the color change is normal.
.,., .,., .,., .,., .,.,
.,., .,.,
, BSN 315 Pharm II Practice Questions for HESI .,., .,., .,., .,., .,., .,., .,.,
Study online at https://quizlet.com/_evrdzz .,., .,., .,.,
c. Obtain a specimen for a urine culture. .,., .,., .,., .,., .,., .,.,
for chronic
.,., .,.,
d. Encourage an increase in oral intake. .,., .,., .,., .,., .,.,
pain,the
.,., .,
nurse
.,.,
10. A client receives a prescription for ciprofloxacin
.,., .,., .,., .,., .,., .,.,
observes
.,.,
400mg intravenously (IV) every 12 hours to be
.,., ., .,., .,., .,., .,., .,., .,., .,.,
that the
.,., .,.,
infused over an hour. The IV bag contains
.,., .,., .,., .,., .,., .,., .,., .,.,
client'sskin
.,., .,
ciprofloxacin 400 mg in dextrose 5% in water (D;W)
.,., .,., .,., .,., .,., .,., .,., .,., .,.,
looks
.,.,
200 mL.The nurseshould program the infusion
.,., .,., ., .,., ., .,., .,., .,.,
yellow in
.,., .,.,
pump to deliver how many mL/hr? (Enter numerical
.,., .,., .,., .,., .,., .,., .,., .,.,
color.Which
.,., .,
value only.)
.,., .,.,
action
.,.,
should the
.,., .,.,
11. A female client who is a vegetarian has a new pre-
.,., .,., .,., .,., .,., .,., .,., .,., .,., .,.,
scription for warfarin.The client states she eats
.,., .,., .,., ., .,., .,., .,., .,.,
leafygreen vegetables every day. How should the
.,., ., .,., .,., .,., .,., .,., .,.,
nurse respond?
.,., .,.,
a. Suggestthattheclientreplacetheleafyvegetableswit ., ., ., ., ., ., ., .,
h a protein source such as nuts or beans.
.,., .,., .,., .,., .,., .,., .,., .,.,
b. Confirm that her diet choices will help the medica- .,., .,., .,., .,., .,., .,., .,., .,.,
tion be more effective in preventing blood clots.
., .,., .,., .,., .,., .,., .,., .,.,
c. Commend the client for her healthy lifestyle .,., .,., .,., .,., .,., .,.,
andencourage her to continue her current diet
.,., ., .,., .,., .,., .,., .,., .,.,
habits.
.,.,
d. Advisetheclientthatthehealthcareproviderneedsto ., ., ., ., ., ., ., .,
be made aware of her current diet.
.,., .,., .,., .,., .,., .,., .,.,
12. Afemaleclientwithmultiplesclerosisreportshavingles
., ., ., ., ., ., ., .,
s fatigue and improved memory since she began
.,., .,., .,., .,., .,., .,., .,.,
using the herbal supplement, ginkgo biloba. Which
.,., .,., .,., .,., .,., .,., .,.,
informationismostimportantforthenursetoincludein
.,., ., ., ., ., ., ., ., ., .,
the teaching plan for this client?
.,., .,., .,., .,., .,., .,.,
a. Anxiety and headaches increase with the use .,., .,., .,., .,., .,., .,.,
ofginkgo biloba.
.,., ., .,.,
a. Nausea and diarrhea can occur when using .,., .,., .,., .,., .,., .,.,
thissupplement.
.,., .,
b. Ginkgo biloba use should be limited and not .,., .,., .,., .,., .,., .,., .,.,
takenduring pregnancy.
.,., ., .,.,
c. Aspirin and non-steroidal anti-inflammatory .,., .,., .,.,
drugsinteract with ginkgo.
.,., ., .,., .,.,
13. While assessing a client who takes acetaminophen .,., .,., .,., .,., .,., .,.,
.,., .,.,
