HESI Pharm II – 315 exam with answers
The nurse is caring for a client who has taken atenolol for 2 years.
The healthcare provider recently changed the medication to
Enalapril to manage the client's BP. Which instruction should the
nurse provide the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
D) Rise slowly when getting out of bed or chair - CORRECT
ANSWERS ✔✔D) Rise slowly when getting out of bed or chair
A female client calls the clinic and talks with the nurse to inquire
about a possible reaction after taking amoxicillin for 5 days. She
reports having vaginal discomfort, itching, and white discharge.
The nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have
subsided.
B) Continue taking the medication until finished until the
symptoms subside.
,C) Consult with a healthcare provider about another treatment for
this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the
secretions. - CORRECT ANSWERS ✔✔C) Consult with healthcare
provider about another treatment for this effect.
The nurse is making early morning rounds on a group of clients
when a client begins exhibiting symptoms of an acute asthma
attack. The nurse administers a PRN prescription for a Beta 2
receptor agonist agent. Which client response should the nurse
expect? [Select all apply]
A) Tachycardia.
B) Increased blood pressure.
C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
E) Reduce fever airway inflammation. - CORRECT ANSWERS
✔✔C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
A client prescribed atenolol has a blood pressure of 120/68 mmHg,
,displaying sinus bradycardia with a rate of 58 beats/minute, and a
P-R interval of 0.24. Which action should the nurse take?
A) Lower the head of the bed and assess the client for orthostatic
vital sign changes.
B) Give the medication as prescribed and continue to monitor the
client.
C) Prepare to administer atropine sulfate IV push.
D) Hold the prescribed dose and contact the healthcare provider. -
CORRECT ANSWERS ✔✔B) Give the medication as prescribed
and continue to monitor the client.
The nurse is preparing the 0900 doses of losartan (Cozaar), an
angiotensin II receptor blocker (ARB), for a client with
hypertension and heart failure. The nurse reviews the client's
laboratory results and notes that the client's serum potassium
level is 5.9 mEq/L. Which action should the nurse take first?
A) Withhold the scheduled dose. B) Check the client's apical pulse.
C) Notify the healthcare provider.
D) Repeat the serum potassium level. - CORRECT ANSWERS
, ✔✔A) Withhold the scheduled dose.
Upon admission to the emergency center, an adult client with acute
status asthmaticus is prescribed this series of medications. In which
order should the nurse administer the prescribed medications?
(Arrange from first to last.)
Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Gentamicin (Garamycin) IM.
Prednisone (Deltasone) orally. - CORRECT ANSWERS
✔✔Albuterol (Proventil) puffs. Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally. Gentamicin (Garamycin) IM.
An adult client is given a prescription for a scopolamine patch
(Transderm Scop) to prevent motion sickness while on a cruise.
Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours prior to departure.
B) Change the patch every other day while on the cruise.
C) Place the patch on a hairless area at the base of the skull.
The nurse is caring for a client who has taken atenolol for 2 years.
The healthcare provider recently changed the medication to
Enalapril to manage the client's BP. Which instruction should the
nurse provide the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
D) Rise slowly when getting out of bed or chair - CORRECT
ANSWERS ✔✔D) Rise slowly when getting out of bed or chair
A female client calls the clinic and talks with the nurse to inquire
about a possible reaction after taking amoxicillin for 5 days. She
reports having vaginal discomfort, itching, and white discharge.
The nurse should discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have
subsided.
B) Continue taking the medication until finished until the
symptoms subside.
,C) Consult with a healthcare provider about another treatment for
this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the
secretions. - CORRECT ANSWERS ✔✔C) Consult with healthcare
provider about another treatment for this effect.
The nurse is making early morning rounds on a group of clients
when a client begins exhibiting symptoms of an acute asthma
attack. The nurse administers a PRN prescription for a Beta 2
receptor agonist agent. Which client response should the nurse
expect? [Select all apply]
A) Tachycardia.
B) Increased blood pressure.
C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
E) Reduce fever airway inflammation. - CORRECT ANSWERS
✔✔C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
A client prescribed atenolol has a blood pressure of 120/68 mmHg,
,displaying sinus bradycardia with a rate of 58 beats/minute, and a
P-R interval of 0.24. Which action should the nurse take?
A) Lower the head of the bed and assess the client for orthostatic
vital sign changes.
B) Give the medication as prescribed and continue to monitor the
client.
C) Prepare to administer atropine sulfate IV push.
D) Hold the prescribed dose and contact the healthcare provider. -
CORRECT ANSWERS ✔✔B) Give the medication as prescribed
and continue to monitor the client.
The nurse is preparing the 0900 doses of losartan (Cozaar), an
angiotensin II receptor blocker (ARB), for a client with
hypertension and heart failure. The nurse reviews the client's
laboratory results and notes that the client's serum potassium
level is 5.9 mEq/L. Which action should the nurse take first?
A) Withhold the scheduled dose. B) Check the client's apical pulse.
C) Notify the healthcare provider.
D) Repeat the serum potassium level. - CORRECT ANSWERS
, ✔✔A) Withhold the scheduled dose.
Upon admission to the emergency center, an adult client with acute
status asthmaticus is prescribed this series of medications. In which
order should the nurse administer the prescribed medications?
(Arrange from first to last.)
Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Gentamicin (Garamycin) IM.
Prednisone (Deltasone) orally. - CORRECT ANSWERS
✔✔Albuterol (Proventil) puffs. Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally. Gentamicin (Garamycin) IM.
An adult client is given a prescription for a scopolamine patch
(Transderm Scop) to prevent motion sickness while on a cruise.
Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours prior to departure.
B) Change the patch every other day while on the cruise.
C) Place the patch on a hairless area at the base of the skull.
