BSN 315 Pharmacology II HESI Assignment Exam 2025

A client with osteoarthritis receives a new prescription for celecoxib orally for symptom management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse to implement prior to administering the first dose? a) Review the client's hemoglobin results. b) Notify the healthcare provider. c) Inquire about the reaction to sulfa. d) Record the client's vital signs. - Correct Ans-b) Notify the healthcare provider. 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? a) Tachycardia b) Increased blood pressure c) Rapid resolution of wheezing d) Improved pulse oximetry values e) Reduced fever and airway inflammation - Correct Ans-a) Tachycardia c) Rapid resolution of wheezing d) Improved pulse oximetry values Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved? a) Dependent edema reduced from +3 to +1 b) Serum HDL increased from 35 to 55 mg/dl c) Pulse rate reduced from 150 to 90 beats/minute d) Blood pressure reduced from 160/90 to 130/80 mmHg - Correct Ans-d) Blood pressure reduced from 160/90 to 130/80 mmHg The nurse is assessing the effectiveness of high-dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. Which action should the nurse implement? a) Refer the client to an audiologist for evaluation of her hearing. b) Advise the client that this is a common side effect of aspirin therapy. c) Notify the healthcare provider of this finding immediately. d) Ask the client to turn off her hearing aid during the exam. - Correct Ans-c) Notify the healthcare provider of this finding immediately. BSN315 BSN315 The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan? a) Quit taking the medication if dizziness occurs. b) Do not get up quickly. Always rise slowly. c) Take the medication with food only. d) Increase your intake of potassium-rich foods. - Correct Ans-b) Do not get up quickly. Always rise slowly. Which medications should the nurse caution the client about taking while receiving an opioid analgesic? a) Antacids b) Benzodiazepines c) Antihypertensives d) Oral antidiabetics - Correct Ans-b) Benzodiazepines A client who has been taking levodopa PO TID to control the symptoms of Parkinson's disease has a new prescription for sustained-release levodopa/carbidopa PO BID. The client took his levodopa at 0800. Which instruction should the nurse include in the teaching plan for this client? a) "Take the first dose of levodopa-carbidopa today, as soon as your prescription is filled." b) "Since you already took your levodopa, wait until tomorrow to take the levodopa carbidopa." c) "Take both drugs for the first week, then switch to only the levodopa-carbidopa." d) "You can begin taking the levodopa-carbidopa this evening, but do not take any more levodopa." - Correct Ans-d) "You can begin taking the levodopa-carbidopa this evening, but do not take any more levodopa." An adult client is given a prescription for a scopolamine patch 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. d) Drink no more than 2 alcoholic drinks during the cruise. - Correct Ans-a) Apply the patch at least 4 hours prior to departure. The nurse is assessing a client prior to administering the prescribed dose of atenolol PO. The client's blood pressure is 120/68 mmHg, and the telemetry monitor shows sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Based on this assessment, what intervention should the nurse implement? BSN315 BSN315 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 IVP. d) Hold the prescribed dose and contact the healthcare provider. - Correct Ans-b) Give the medication as prescribed and continue to monitor the client. When assessing an adolescent who recently overdosed on acetaminophen, it is most important for the nurse to assess for pain in which area of the body? a) Flank b) Abdomen c) Chest d) Head - Correct Ans-b) Abdomen A client with heart failure is prescribed spironolactone. Which information is most important for the nurse to provide to the client about diet modifications? a) Do not add salt to foods during preparation. b) Refrain from eating foods high in potassium. c) Restrict fluid intake to 1000 ml per day. d) Increase intake of milk and milk products. - Correct Ans-b) Refrain from eating foods high in potassium. Which method of medication administration provides the client with the greatest first pass effect? a) Oral b) Sublingual c) Intravenous d) Subcutaneous - Correct Ans-a) Oral Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan? a) Fluid volume deficit b) Risk for infection c) Risk for injury d) Impaired sleep patterns - Correct Ans-c) Risk for injury 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.) a) Prednisone orally b) Gentamicin IM c) Albuterol puffs BSN315 BSN315 d) Salmeterol - Correct Ans-c) Albuterol puffs d) Salmeterol a) Prednisone orally b) Gentamicin IM A client asks the nurse if glipizide is an oral insulin. Which response should the nurse provide? a) "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin." b) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as insulin." c) "No, it is not an oral insulin and can be used only when some beta cell function is present." d) "No, it is not an oral insulin, but it is effective for those who are resistant to injectable insulins." - Correct Ans-c) "No, it is not an oral insulin and can be used only when some beta cell function is present." The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which prescription should the nurse prepare to administer to this client? a) Dopamine b) Ephedrine c) Epinephrine d) Diphenhydramine - Correct Ans-c) Epinephrine A postoperative client has been receiving a continuous IV infusion of meperidine 35 mg/hr for four days. The client has a PRN prescription for meperidine 100 mg PO every 3 hours. The nurse notes that the client has become increasingly restless, irr