BSN 315 PHARM II PRACTICE QUESTIONS FOR HESI
1. A client with a history of chronic obstructive pul- Primes the inhaler
monary disease (COPD) receives a new prescription with 7 pumps.
for an ipratropium inhaler. Which action indicates to
the 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- Limit intake
teronism and spironolactone is prescribed. Which in- of high-potassium
struction should the nurse include in this client's plan foods.
of
care?
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 client with peptic ulcer disease receives a new pre- Decrease ciga-
scription for cimetidine. Which statement provided rette use to a pack
by the client requires additional instruction by the per day
nurse?
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 Involuntary move-
a prescription for metoclopramide. Which adverse ef- ments.
fect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
5. The nurse admits a client with a diagnosis of stage Remove the mor-
4 cancer. The client has a prescription to wear a phine patches.
, BSN 315 PHARM II PRACTICE QUESTIONS FOR HESI
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 dis-
covers four patches on the client's body. Which action
should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
6. The nurse is providing instructions about a client's Promotes excre-
new medications. How should the nurse explain the tion of uric acid in
purpose of probenecid, a uricosuric drug? the urine.
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 Muscle tender-
serum creatine phosphokinase (CK) level. The nurse ness.
should 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- Take medication
ine. Which statement made by client indicates to the on an empty stom-
nurse the education was effective? ach.
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
9. A client with Parkinson's disease who is taking car- Explain the color
bidopa/levodopa reports the urine appears to be change is normal.
darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
, BSN 315 PHARM II PRACTICE QUESTIONS FOR HESI
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
10. A client receives a prescription for ciprofloxacin 400 200mL/hr
mg intravenously (IV) every 12 hours to be infused
over an hour. The IV bag contains ciprofloxacin 400
mg in dextrose 5% in water (D;W) 200 mL. The nurse
should program the infusion pump to deliver how
many mL/hr? (Enter numerical value only.)
11. A female client who is a vegetarian has a new pre- Advise the client
scription for warfarin. The client states she eats leafy that the healthcare
green vegetables every day. How should the nurse provider needs to
respond? be made aware of
a. Suggest that the client replace the leafy vegetables her current diet.
with 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 and
encourage her to continue her current diet habits.
d. Advise the client that the healthcare provider needs
to be made aware of her current diet.
12. A female client with multiple sclerosis reports having Aspirin and
less fatigue and improved memory since she began non-steroidal
using the herbal supplement, ginkgo biloba. Which anti-inflammatory
information is most important for the nurse to include drugs interact
in the teaching plan for this client? with ginkgo.
a. Anxiety and headaches increase with the use of
ginkgo biloba.
a. Nausea and diarrhea can occur when using this
supplement.
b. Ginkgo biloba use should be limited and not taken
during pregnancy.
c. Aspirin and non-steroidal anti-inflammatory drugs
interact with ginkgo.
13. While assessing a client who takes acetaminophen Report the finding
for chronic pain, the nurse observes that the client's to the healthcare
skin looks yellow in color. Which action should the provider.
, BSN 315 PHARM II PRACTICE QUESTIONS FOR HESI
nurse take in response to this finding?
a. Check the client's capillary glucose level.
b. Use a pulse oximeter to assess oxygen saturation.
c. Report the finding to the healthcare provider.
d. Advise the client to reduce the medication dose.
14. The nurse is preparing a discharge teaching plan Limit exposure to
for a client who is taking ciprofloxacin hydrochloride sunlight and avoid
tablets, which were prescribed because of a suspect- tanning beds.
ed anthrax exposure. Which instruction(s) should be Increase fluid in-
included in the teaching plan? (Select all that apply.) take while taking
a. Limit exposure to sunlight and avoid tanning beds. the medication.
b. Increase fluid intake while taking the medication. Report any tendon
c. Crush and mix the tablets with pudding if you have pain or swelling
trouble swallowing the tablets. to the healthcare
d. Use nonsteroidal anti inflammatory drugs (NSAID) provider immedi-
to relieve mild joint aches and pains caused by the ately.
medication.
e. Report any tendon pain or swelling to the health-
care provider immediately.
15. When should the nurse instruct the client and family When signs of
that glucagon needs to be administered? severe hypo-
a. Before meals to prevent hyperglycemia glycemia occur
b. At the onset of signs of diabetic ketoacidosis
c. When unable to eat during sick days.
When signs of severe hypoglycemia occur
16. A client receives a prescription for dalteparin 2500 500/5000=0.1mL
units subcutaneously 2 hours before a scheduled
procedure. The medication is available in a 5000
units/0.2 mL. prefilled syringe. How many mL should
the nurse administer? (Enter numeric value only.)
17. A client with atrial fibrillation receives a new pre- Avoid use of non-
scription for dabigatran. Which instruction should the steroidal anti-in-
nurse include in this client's teaching plan? flammatory drugs
a. Keep an antidote available in the event of hemor- (NSAID)
rhage.
b. Continue obtaining scheduled laboratory bleeding
1. A client with a history of chronic obstructive pul- Primes the inhaler
monary disease (COPD) receives a new prescription with 7 pumps.
for an ipratropium inhaler. Which action indicates to
the 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- Limit intake
teronism and spironolactone is prescribed. Which in- of high-potassium
struction should the nurse include in this client's plan foods.
of
care?
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 client with peptic ulcer disease receives a new pre- Decrease ciga-
scription for cimetidine. Which statement provided rette use to a pack
by the client requires additional instruction by the per day
nurse?
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 Involuntary move-
a prescription for metoclopramide. Which adverse ef- ments.
fect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
5. The nurse admits a client with a diagnosis of stage Remove the mor-
4 cancer. The client has a prescription to wear a phine patches.
, BSN 315 PHARM II PRACTICE QUESTIONS FOR HESI
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 dis-
covers four patches on the client's body. Which action
should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
6. The nurse is providing instructions about a client's Promotes excre-
new medications. How should the nurse explain the tion of uric acid in
purpose of probenecid, a uricosuric drug? the urine.
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 Muscle tender-
serum creatine phosphokinase (CK) level. The nurse ness.
should 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- Take medication
ine. Which statement made by client indicates to the on an empty stom-
nurse the education was effective? ach.
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
9. A client with Parkinson's disease who is taking car- Explain the color
bidopa/levodopa reports the urine appears to be change is normal.
darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
, BSN 315 PHARM II PRACTICE QUESTIONS FOR HESI
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
10. A client receives a prescription for ciprofloxacin 400 200mL/hr
mg intravenously (IV) every 12 hours to be infused
over an hour. The IV bag contains ciprofloxacin 400
mg in dextrose 5% in water (D;W) 200 mL. The nurse
should program the infusion pump to deliver how
many mL/hr? (Enter numerical value only.)
11. A female client who is a vegetarian has a new pre- Advise the client
scription for warfarin. The client states she eats leafy that the healthcare
green vegetables every day. How should the nurse provider needs to
respond? be made aware of
a. Suggest that the client replace the leafy vegetables her current diet.
with 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 and
encourage her to continue her current diet habits.
d. Advise the client that the healthcare provider needs
to be made aware of her current diet.
12. A female client with multiple sclerosis reports having Aspirin and
less fatigue and improved memory since she began non-steroidal
using the herbal supplement, ginkgo biloba. Which anti-inflammatory
information is most important for the nurse to include drugs interact
in the teaching plan for this client? with ginkgo.
a. Anxiety and headaches increase with the use of
ginkgo biloba.
a. Nausea and diarrhea can occur when using this
supplement.
b. Ginkgo biloba use should be limited and not taken
during pregnancy.
c. Aspirin and non-steroidal anti-inflammatory drugs
interact with ginkgo.
13. While assessing a client who takes acetaminophen Report the finding
for chronic pain, the nurse observes that the client's to the healthcare
skin looks yellow in color. Which action should the provider.
, BSN 315 PHARM II PRACTICE QUESTIONS FOR HESI
nurse take in response to this finding?
a. Check the client's capillary glucose level.
b. Use a pulse oximeter to assess oxygen saturation.
c. Report the finding to the healthcare provider.
d. Advise the client to reduce the medication dose.
14. The nurse is preparing a discharge teaching plan Limit exposure to
for a client who is taking ciprofloxacin hydrochloride sunlight and avoid
tablets, which were prescribed because of a suspect- tanning beds.
ed anthrax exposure. Which instruction(s) should be Increase fluid in-
included in the teaching plan? (Select all that apply.) take while taking
a. Limit exposure to sunlight and avoid tanning beds. the medication.
b. Increase fluid intake while taking the medication. Report any tendon
c. Crush and mix the tablets with pudding if you have pain or swelling
trouble swallowing the tablets. to the healthcare
d. Use nonsteroidal anti inflammatory drugs (NSAID) provider immedi-
to relieve mild joint aches and pains caused by the ately.
medication.
e. Report any tendon pain or swelling to the health-
care provider immediately.
15. When should the nurse instruct the client and family When signs of
that glucagon needs to be administered? severe hypo-
a. Before meals to prevent hyperglycemia glycemia occur
b. At the onset of signs of diabetic ketoacidosis
c. When unable to eat during sick days.
When signs of severe hypoglycemia occur
16. A client receives a prescription for dalteparin 2500 500/5000=0.1mL
units subcutaneously 2 hours before a scheduled
procedure. The medication is available in a 5000
units/0.2 mL. prefilled syringe. How many mL should
the nurse administer? (Enter numeric value only.)
17. A client with atrial fibrillation receives a new pre- Avoid use of non-
scription for dabigatran. Which instruction should the steroidal anti-in-
nurse include in this client's teaching plan? flammatory drugs
a. Keep an antidote available in the event of hemor- (NSAID)
rhage.
b. Continue obtaining scheduled laboratory bleeding
