BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
1. A client with a history of chronic obstructive pulmonary disease (COPD) re-
ceives a new prescription 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.: Primes the inhaler with 7 pumps.
2. A client with heart failure (HF) develops hyperaldosteronism and spironolac-
tone is prescribed. Which instruction should the nurse include in this client's
plan 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.: Limit intake of high-potassium foods.
3. A client with peptic ulcer disease receives a new prescription for cimetidine.
Which statement provided by the client requires additional instruction by the
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: Decrease cigarette use to a pack per day
4. A client with chemotherapy induced nausea receives a prescription for meto-
clopramide. Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.: Involuntary movements.
5. The nurse admits a client with a diagnosis of stage 4 cancer. The client has
a prescription to wear a subcutaneous morphine sulfate patch for pain. The
client is short of breath and difficult to arouse. While performing a head to toe
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
assessment. the nurse discovers 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.: Remove the morphine patches.
6. The nurse is providing instructions about a client's new medications. How
should the nurse explain the purpose of probenecid, a uricosuric 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.: Promotes excretion of uric acid in the urine.
7. A client taking atorvastatin develops an increased serum creatine phospho-
kinase (CK) level. The nurse should assess the client for the onset of which
problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.: Muscle tenderness.
8. A client receives a new prescription for levothyroxine. Which statement made
by client indicates to the nurse the education was effective?
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.: Take medication on an empty stomach.
9. A client with Parkinson's disease who is taking carbidopa/levodopa reports
the urine appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.: Explain the color change is normal.
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
10. A client receives a prescription for ciprofloxacin 400 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 infu-
sion pump to deliver how many mL/hr? (Enter numerical value only.): 200mL/hr
11. A female client who is a vegetarian has a new prescription for warfarin. The
client states she eats leafy green vegetables every day. How should the nurse
respond?
a. Suggest that the client replace the leafy vegetables with a protein source
such as nuts or beans.
b. Confirm that her diet choices will help the medication 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.: 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 less fatigue and im-
proved memory since she began using the herbal supplement, ginkgo biloba.
Which information is most important for the nurse to include in the teaching
plan for this client?
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.: As-
pirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
13. While assessing a client who takes acetaminophen for chronic pain, the
nurse observes that the client's skin looks yellow in color. Which action should
the 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.: Report the finding to the healthcare
provider.
Study online at https://quizlet.com/_evrdzz
1. A client with a history of chronic obstructive pulmonary disease (COPD) re-
ceives a new prescription 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.: Primes the inhaler with 7 pumps.
2. A client with heart failure (HF) develops hyperaldosteronism and spironolac-
tone is prescribed. Which instruction should the nurse include in this client's
plan 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.: Limit intake of high-potassium foods.
3. A client with peptic ulcer disease receives a new prescription for cimetidine.
Which statement provided by the client requires additional instruction by the
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: Decrease cigarette use to a pack per day
4. A client with chemotherapy induced nausea receives a prescription for meto-
clopramide. Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.: Involuntary movements.
5. The nurse admits a client with a diagnosis of stage 4 cancer. The client has
a prescription to wear a subcutaneous morphine sulfate patch for pain. The
client is short of breath and difficult to arouse. While performing a head to toe
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
assessment. the nurse discovers 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.: Remove the morphine patches.
6. The nurse is providing instructions about a client's new medications. How
should the nurse explain the purpose of probenecid, a uricosuric 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.: Promotes excretion of uric acid in the urine.
7. A client taking atorvastatin develops an increased serum creatine phospho-
kinase (CK) level. The nurse should assess the client for the onset of which
problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.: Muscle tenderness.
8. A client receives a new prescription for levothyroxine. Which statement made
by client indicates to the nurse the education was effective?
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.: Take medication on an empty stomach.
9. A client with Parkinson's disease who is taking carbidopa/levodopa reports
the urine appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.: Explain the color change is normal.
, BSN 315 Pharm II Practice Questions for HESI
Study online at https://quizlet.com/_evrdzz
10. A client receives a prescription for ciprofloxacin 400 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 infu-
sion pump to deliver how many mL/hr? (Enter numerical value only.): 200mL/hr
11. A female client who is a vegetarian has a new prescription for warfarin. The
client states she eats leafy green vegetables every day. How should the nurse
respond?
a. Suggest that the client replace the leafy vegetables with a protein source
such as nuts or beans.
b. Confirm that her diet choices will help the medication 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.: 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 less fatigue and im-
proved memory since she began using the herbal supplement, ginkgo biloba.
Which information is most important for the nurse to include in the teaching
plan for this client?
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.: As-
pirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
13. While assessing a client who takes acetaminophen for chronic pain, the
nurse observes that the client's skin looks yellow in color. Which action should
the 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.: Report the finding to the healthcare
provider.
