BSN 315 HESI PRACTICE ONE QUESTION & ANSWERS PERFECTLY A+ GRADE (2026 NEWEST
UPDATED VERSIONS) NIGHTINGALE COLLEGE
BSN 315 HESI PRACTICE ONE Question & Answers
Perfectly A+ Grade (2026 Newest Updated Versions)
Nightingale College
Which nursing diagnosis is important to include in the plan of care for a client
receiving the angiotensin-2 receptor antagonist irbesartan (Avapro)?
Fluid volume deficit.
Risk for infection.
Risk for injury.
Impaired sleep patterns.
Rationale
Avapro is an antihypertensive agent, which acts by blocking vasoconstrictor
effects at various receptor sites. This can cause hypotension and dizziness,
placing the client at high risk for injury.
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?
Apply the patch at least 4 hours prior to departure.
Change the patch every other day while on the cruise.
Place the patch on a hairless area at the base of the skull.
Drink no more than 2 alcoholic drinks during the cruise.
Rationale
Scopolamine, an anticholinergic agent, is used to prevent motion sickness and
has a peak onset in 6 hours, so the client should be instructed to apply the patch
at least 4 hours before departure on the cruise ship. The duration of the
transdermal patch is 72 hours. Scolopamine blocks muscarinic receptors in the
pg. 1
, BSN 315 HESI PRACTICE ONE QUESTION & ANSWERS PERFECTLY A+ GRADE (2026 NEWEST
UPDATED VERSIONS) NIGHTINGALE COLLEGE
inner ear and to the vomiting center, so the best application site of the patch is
behind the ear. Anticholinergic medications are CNS depressants, so the client
should be instructed to avoid alcohol while using the patch.
Which instruction(s) should the nurse give to a female client who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas
vaginalis? (Select all that apply.)
Select all that apply
Some correct answers were not selected
Increase fluid intake, especially cranberry juice.
Do not abruptly discontinue the medication; taper use.
Check blood pressure daily to detect hypertension.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed.
Ensure that all sexual partners are treated at the same time.
Rationale
Increased fluid intake and cranberry juice are recommended for prevention and
treatment of urinary tract infections, which frequently accompany vaginal
infections. It is not necessary to taper use of this drug or to check the blood
pressure daily, as this condition is not related to hypertension. Flagyl can cause a
disulfiram-like reaction if taken in conjunction with ingestion of alcohol, so the
client should be instructed to avoid alcohol. All sexual partners should be treated
at the same time and condoms should be used until after treatment is completed
to avoid reinfection.
A client with hyperlipidemia receives a prescription for niacin (Niaspan). Which
client teaching is most important for the nurse to provide?
Expected duration of flushing.
Symptoms of hyperglycemia.
Diets that minimize GI irritation.
Comfort measures for pruritis.
pg. 2
, BSN 315 HESI PRACTICE ONE QUESTION & ANSWERS PERFECTLY A+ GRADE (2026 NEWEST
UPDATED VERSIONS) NIGHTINGALE COLLEGE
Rationale
Flushing of the face and neck, lasting up to an hour, is a frequent reason for
discontinuing niacin. Inclusion of this effect in client teaching may promote
compliance in taking the medication. While nutrition tips and managing pruritis
are worthwhile instructions to help clients minimize or cope with normal side
effects associated with niacin (Niaspan), flushing is intense and causes the most
concern for the client.
A female client with rheumatoid arthritis take ibuprofen (Motrin) 600 mg PO 4
times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg
PO is prescribed. Which information is most important for the nurse to include in
client teaching?
Use contraception during intercourse.
Ensure the Cytotec is taken on an empty stomach.
Encourage oral fluid intake to prevent constipation.
Take Cytotec 30 minutes prior to Motrin.
Rationale
Cytotec, a synthetic form of a prostaglandin, is classified as pregnancy Category
X and can act as an abortifacient, so the client should be instructed to use
contraception during intercourse to prevent loss of an early pregnancy. A
common side effect of Cytotec is diarrhea, so constipation prevention strategies
are usually not needed. Cytotec and Motrin should be taken together to provide
protective properties against gastrointestinal bleeding.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex)
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?
Review the client's hemoglobin results.
Notify the healthcare provider.
Inquire about the reaction to sulfa.
Record the client's vital signs.
pg. 3
UPDATED VERSIONS) NIGHTINGALE COLLEGE
BSN 315 HESI PRACTICE ONE Question & Answers
Perfectly A+ Grade (2026 Newest Updated Versions)
Nightingale College
Which nursing diagnosis is important to include in the plan of care for a client
receiving the angiotensin-2 receptor antagonist irbesartan (Avapro)?
Fluid volume deficit.
Risk for infection.
Risk for injury.
Impaired sleep patterns.
Rationale
Avapro is an antihypertensive agent, which acts by blocking vasoconstrictor
effects at various receptor sites. This can cause hypotension and dizziness,
placing the client at high risk for injury.
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?
Apply the patch at least 4 hours prior to departure.
Change the patch every other day while on the cruise.
Place the patch on a hairless area at the base of the skull.
Drink no more than 2 alcoholic drinks during the cruise.
Rationale
Scopolamine, an anticholinergic agent, is used to prevent motion sickness and
has a peak onset in 6 hours, so the client should be instructed to apply the patch
at least 4 hours before departure on the cruise ship. The duration of the
transdermal patch is 72 hours. Scolopamine blocks muscarinic receptors in the
pg. 1
, BSN 315 HESI PRACTICE ONE QUESTION & ANSWERS PERFECTLY A+ GRADE (2026 NEWEST
UPDATED VERSIONS) NIGHTINGALE COLLEGE
inner ear and to the vomiting center, so the best application site of the patch is
behind the ear. Anticholinergic medications are CNS depressants, so the client
should be instructed to avoid alcohol while using the patch.
Which instruction(s) should the nurse give to a female client who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas
vaginalis? (Select all that apply.)
Select all that apply
Some correct answers were not selected
Increase fluid intake, especially cranberry juice.
Do not abruptly discontinue the medication; taper use.
Check blood pressure daily to detect hypertension.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed.
Ensure that all sexual partners are treated at the same time.
Rationale
Increased fluid intake and cranberry juice are recommended for prevention and
treatment of urinary tract infections, which frequently accompany vaginal
infections. It is not necessary to taper use of this drug or to check the blood
pressure daily, as this condition is not related to hypertension. Flagyl can cause a
disulfiram-like reaction if taken in conjunction with ingestion of alcohol, so the
client should be instructed to avoid alcohol. All sexual partners should be treated
at the same time and condoms should be used until after treatment is completed
to avoid reinfection.
A client with hyperlipidemia receives a prescription for niacin (Niaspan). Which
client teaching is most important for the nurse to provide?
Expected duration of flushing.
Symptoms of hyperglycemia.
Diets that minimize GI irritation.
Comfort measures for pruritis.
pg. 2
, BSN 315 HESI PRACTICE ONE QUESTION & ANSWERS PERFECTLY A+ GRADE (2026 NEWEST
UPDATED VERSIONS) NIGHTINGALE COLLEGE
Rationale
Flushing of the face and neck, lasting up to an hour, is a frequent reason for
discontinuing niacin. Inclusion of this effect in client teaching may promote
compliance in taking the medication. While nutrition tips and managing pruritis
are worthwhile instructions to help clients minimize or cope with normal side
effects associated with niacin (Niaspan), flushing is intense and causes the most
concern for the client.
A female client with rheumatoid arthritis take ibuprofen (Motrin) 600 mg PO 4
times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg
PO is prescribed. Which information is most important for the nurse to include in
client teaching?
Use contraception during intercourse.
Ensure the Cytotec is taken on an empty stomach.
Encourage oral fluid intake to prevent constipation.
Take Cytotec 30 minutes prior to Motrin.
Rationale
Cytotec, a synthetic form of a prostaglandin, is classified as pregnancy Category
X and can act as an abortifacient, so the client should be instructed to use
contraception during intercourse to prevent loss of an early pregnancy. A
common side effect of Cytotec is diarrhea, so constipation prevention strategies
are usually not needed. Cytotec and Motrin should be taken together to provide
protective properties against gastrointestinal bleeding.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex)
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?
Review the client's hemoglobin results.
Notify the healthcare provider.
Inquire about the reaction to sulfa.
Record the client's vital signs.
pg. 3
