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FREE PHARMACOLOGY AND STUDY GAMES ABOUT
PRACTICE HESI BSN315 EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -71 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of contrast media. Which pharmacologic agent is of greatest use in this situation?
Answer:
Epinephrine Question 2: Which statement by a client warrants further instruction by the nurse about the changing insulin needs of a diabetic client during pregnancy?
Answer:
"I will increase my insulin dosage by 5 units each month during the first trimester." Question 3: The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea?
Answer:
Colchicine.
Question 4: A pt in the terminal stage of cancer has a script for morphine to control pain. The client awakens, moans in severe pain &asks for an increase in the morphine dosage. The client's respirations are 10 bpm what is the best action for the nurse to implement?
Answer:
Titrate the morphine dose upward until the client has adequate pain relief.Question 5: While reviewing the client's (EMR), the nurse assesses a client who is at risk for a possible interaction with an (OTC) decongestant. Which client health history should the nurse report to the healthcare provider concerning the OTC medication?
Answer:
Closed angle glaucoma.Chronic hypertension.Question 6: The healthcare provider discontinues prednisone, a glucocorticoid, for a client with chronic obstructive pulmonary disease. Which instructions should the nurse give the client about the regimen to follow?
Answer:
The dose must be tapered over the course of 7 to 10 days.Question 7: A client is receiving fentanyl via an epidural infusion. Which side effect should the nurse anticipate in the first 24 hours of epidural analgesia?
Answer:
urinary retention Question 8: What pathophysiological action supports the expected outcome for a client with chronic cancer pain who is treated with imipramine, a tricyclic antidepressant?
Answer:
Decreases transmission of pain impulses by altering serotonin and norepinephrine activity at nerve synapses.Question 9: Based on the C&S, the HCP prescribes an IV aminoglycoside antibiotic and dc's the current prescription for another broad-spectrum antibiotic. The MAR indicates that the client received the dc'd med 2 hours ago. Which action should the nurse implement?
Answer:
Administer the initial dose of the aminoglycoside antibiotic as soon as possible.
Question 10: A healthcare provider prescribes cefadroxil for a client with a postoperative infection. It is most important for the nurse to assess for which additional drug allergy before administering this prescription?
Answer:
Penicillins.Question 11: When assessing a client prior to the administration of digoxin, which data is most important for the nurse to consider?
Answer:
Irregular apical pulse with a rate of 87.Question 12: Miotic drug therapy for the treatment of glaucoma is based chiefly upon which physiologic action?The nurse should expect the healthcare provider to prescribe which treatment regimen for a client with a peptic ulcer caused by Helicobacter pylori ?
Answer:
Enhancing aqueous humor outflow.Question 13: Which findings should the nurse identify in an adult client with possible chronic salicylate intoxication?
Answer:
Tinnitus and hearing loss.Question 14: A client receives a prescription for sulfamethoxazole-trimethoprim for a urinary tract infection (UTI). Which instruction should the nurse provide the client?
Answer:
Drink at least 8 glasses of water a day.Question 15: A female client receives a prescription for cefadroxil for a urinary tract infection.The client informs the nurse that she is currently taking oral contraceptives (OCP). Which information is important for the nurse to share with the client?
Answer:
Use an additional form of contraception until your menstrual cycle.Question 16: A client is beginning therapy with montelukast PO 10 mg once a day in the evening. The client asks the nurse, "When should I begin to feel better?" How should the nurse respond?
Answer:
Peak is 3-4 hours with duration of 24 hours.
Question 17: An emergency department triage nurse is interviewing a female client who has a history of epilepsy with tonic-clonic seizures controlled by phenytoin. Which information is most significant in planning this client's care?
Answer:
She ran out of her medication 4 days ago.Question 18: Which side effects should the nurse monitor for a client who is receiving dexamethasone following neurosurgery? (Select all that apply.)
Answer:
Mood Swings Delayed incisional wound healing increased weight gain Serum hemoglobin level of 9 mg/dl.Question 19: The nurse should instruct a client to avoid which product while taking carisoprodol for muscle spasms?
Answer:
Alcoholic beverages.Question 20: A client who takes a statin and gemfibrozil for hyperlipidemia reports the onset of muscle pain and weakness. Which additional assessment is most important for the nurse to obtain?
Answer:
Serum liver enzymes.Question 21: A client with chronic schizophrenia illness is admitted after taking risperidone 10 mg/day for 3 months. The nurse implements a daily assessment using the "Abnormal Involuntary Movement Scale" Which findings should the nurse report to the HCP?
Answer:
Tremors and muscle twitching.Question 22: A child is taking methylphenidate hydrochloride for (ADHD). The mother tells the nurse that she gives the medication at bedtime so it is "working" during school the next morning. Which modification to the plan should the nurse recommend to this mother?
Answer:
Administer at least six hours before bedtime.
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