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BSN 315 EXAM 2024 VERSION 2 HESI
PHARMACOLOGY WITH 130 EXAM
PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS / BSN 315 HESI PHARM
EXAM 2025 (NEWEST)
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instruction(s) should be included in the teaching plan?(Select all that apply.)
- Limit exposure to sunlight and avoid tanning beds.
- Increase fluid intake while taking the medication.
- Crush and mix the tablets with pudding if you have trouble swallowing the
- Use nonsteriodal anti-inflammitory drugs (NSAID) to relieve mild joint aches
- Report any tendon pain or swelling to the healthcare provider immediately. -
- Increase fluid intake while taking the medication.
- Report any tendon pain or swelling to the healthcare provider immediately.
tablets.
and pains caused by the medication.
ANSWER-A. Limit exposure to sunlight and avoid tanning beds.
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus to be used at home. When should the nurse instruct the client and family that glucagon needs to be administered?
- Before meals to prevent hyperglycemia
- At the onset of signs of diabetic ketoacidosis 1 / 4
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- When unable to eat during sick days.
- When signs of severe hypoglycemia occur - ANSWER-D. When signs of severe
hypoglycemia occur
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
- Primes the inhaler with 7 pumps.
- Attaches spacer device to the inhaler.
- Rinses the mouth after each use.
- Stores the medication at room temperature. - ANSWER-A. Primes the inhaler
with 7 pumps.
A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before a scheduled procedure. The medication is available in 5000 units/0.2 mL.prefilled syringe. How many mL should the nurse administer? (Enter numeric value only.) - ANSWER-A. 500/5000=0.1mL
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 infusion pump to deliver how many mL/hr?(Enter numerical value only.) - ANSWER-A. 200 mL/hr
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?
- Suggest that the client replace the leafy vegetables with a protein source such as
- Confirm that her diet choices will help the medication be more effective in
nuts or beans.
preventing blood clots. 2 / 4
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- Commend the client for her healthy lifestyle and encourage her to continue her
- Advise the client that the healthcare provider needs to be made aware of her
current diet habits.
current diet - ANSWER-D. Advise the client that the healthcare provider needs to be made aware of her current diet
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
- Initiate cardiopulmonary resuscitation (CPR)
- Administer a second dose of naloxone
- Prepare to assist with chest tube insertion
- Determine Glasgow Coma Scale score - ANSWER-A) Initiate cardiopulmonary
resuscitation (CPR)
A client with atrial fibrillation receives a new prescription for dabigatran. Which instruction should the nurse include in this client's teaching plan?
- Keep an antidote available in the event of hemorrhage.
- Continue obtaining scheduled laboratory bleeding tests.
- Eliminate spinach and other green vegetables in the diet.
- Avoid use of nonsteroidal anti-inflammatory drugs (NSAID) - ANSWER-D.
Avoid use of nonsteroidal anti-inflammatory drugs (NSAID)
The healthcare provider prescribes the antibiotic tetracycline HI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?
- Protect the skin from sunlight while taking the drug
- Take with orange juice to enhance GI absorption 3 / 4
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- Take with milk or antacids to prevent gastrointestinal irritation
- Return to the clinic weekly to obtain serum drug levels - ANSWER-A. Protect
the skin from sunlight while taking the drug
A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?
- Review the history for a past use of recreational drugs
- Determine when the last dose was administered
- Ask the client to rate the current level of pain using a pain scale
- Encourage the client to use diversional thoughts to manage pain - ANSWER-C)
Ask the client to rate the current level of pain using a pain scale
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
- Recent use of other antidepressants
- Family history of mental illness
- Weight change in the last month
- Liver function laboratory results - ANSWER-B) Family history of mental
illness
A client with hepatic encephalopathy is receiving lactulose. Which assessment provides the nurse with the best information to evaluate the client's therapeutic response to the drug?
- Serum hepatic enzymes
- Fingerstick glucose
- Serum electrolytes and ammonia
- Stool color and character - ANSWER-C) Serum electrolytes and ammonia
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