BSN 315 HESI PHARMACOLOGY EXAM NIGHTGALE NEWEST 2025
ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT DETAILED
ANSWERS
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 Answer) - 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 Answer) - 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?
,[Type here]
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 Answer) - 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 Answer) - c) Notify the
healthcare provider of this finding immediately.
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.
, [Type here]
d) Increase your intake of potassium-rich foods. - (Correct Answer) - 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 Answer) - 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 Answer) - 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?
ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT DETAILED
ANSWERS
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 Answer) - 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 Answer) - 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?
,[Type here]
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 Answer) - 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 Answer) - c) Notify the
healthcare provider of this finding immediately.
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.
, [Type here]
d) Increase your intake of potassium-rich foods. - (Correct Answer) - 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 Answer) - 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 Answer) - 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?
