BSN 315
HESI PHARM 315 Exam Study Guide
Questions and Complete Solutions
Graded A 2025
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK)
level. The nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription
for atorvastatin is having the desired effect for a client at risk for coronary artery
disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
BSN 315
,BSN 315
The client states that she has had more severe asthma symptoms than usual in the past
week. Her forced expiratory volume has been 60-65% even with multiple doses of
albuterol for several days in a row. She came to the hospital feeling dizzy, lightheaded,
and complaining of “heart palpitations”. Upon assessment, no wheezes were found. Her
oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which condition the
client is most likely experiencing, two actions the nurse should take to address that
condition, and two parameters the nurse should monitor to assess the client’s progress.
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
The nurse provide discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for post herpetic neuralgia.
Which symptoms should the nurse tell the client to report to the healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-inflammatory
(NSAID) drug ibuprofen by mouth twice a day for several months. Which assessment is
most important for the nurse to complete?
BSN 315
,BSN 315
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
C. Determine presence of abdominal pain
The nurse administers risedrineate 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. Withhold the medication until the client's breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling the dose one hour after the client eats.
A. Instruct the client that it is necessary to take nothing but water with the medication.
Which action should the nurse implement to assess the effectiveness of calcium channel
blocker amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
D. Measure the clients blood pressure
A client is receiving tamsulosin an alpha adrenergic - blocking agent for the
management of urinary retention due to benign prostatic hyperplasia (BPH). Which
instruction is most important for the nurse to provide?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
BSN 315
, BSN 315
D. Reduce daily fluid intake
B. Stand and sit up slowly
A client with chemotherapy induced nausea receives a prescription
for metoclopramide. Which adverse effect is most important for the nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability
B. Involuntary movements
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels
A. Body mass index
Before administering the initial dose of sumatriptan succinate to a client with
a migraine headache, it is most important to determine if the client's history includes
which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease
D. Coronary artery disease
BSN 315
HESI PHARM 315 Exam Study Guide
Questions and Complete Solutions
Graded A 2025
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK)
level. The nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription
for atorvastatin is having the desired effect for a client at risk for coronary artery
disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
BSN 315
,BSN 315
The client states that she has had more severe asthma symptoms than usual in the past
week. Her forced expiratory volume has been 60-65% even with multiple doses of
albuterol for several days in a row. She came to the hospital feeling dizzy, lightheaded,
and complaining of “heart palpitations”. Upon assessment, no wheezes were found. Her
oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which condition the
client is most likely experiencing, two actions the nurse should take to address that
condition, and two parameters the nurse should monitor to assess the client’s progress.
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
The nurse provide discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for post herpetic neuralgia.
Which symptoms should the nurse tell the client to report to the healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-inflammatory
(NSAID) drug ibuprofen by mouth twice a day for several months. Which assessment is
most important for the nurse to complete?
BSN 315
,BSN 315
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
C. Determine presence of abdominal pain
The nurse administers risedrineate 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. Withhold the medication until the client's breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling the dose one hour after the client eats.
A. Instruct the client that it is necessary to take nothing but water with the medication.
Which action should the nurse implement to assess the effectiveness of calcium channel
blocker amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
D. Measure the clients blood pressure
A client is receiving tamsulosin an alpha adrenergic - blocking agent for the
management of urinary retention due to benign prostatic hyperplasia (BPH). Which
instruction is most important for the nurse to provide?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
BSN 315
, BSN 315
D. Reduce daily fluid intake
B. Stand and sit up slowly
A client with chemotherapy induced nausea receives a prescription
for metoclopramide. Which adverse effect is most important for the nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability
B. Involuntary movements
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels
A. Body mass index
Before administering the initial dose of sumatriptan succinate to a client with
a migraine headache, it is most important to determine if the client's history includes
which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease
D. Coronary artery disease
BSN 315
