BSN 315 Pharm II Practice Questions for HESI

BSN 315 Pharm II Practice Questions for HESI Latest Update 2024-2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+

A 43-year-old female client is prescribed thyroid replacement hormone following a thyroidectomy. Which adverse effects should the nurse instruct the client to report immediately to the healthcare provider?

• Tinnitus and dizziness.
• Tachycardia and chest pain.
• Dry skin and intolerance to cold.

D) Weight gain and increased appetite. - CORRECT ANSWER: B) Tachycardia and

chest pain.

A Category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client?

• Use a reliable form of birth control.
• Avoid exposure to ultra violet light.
• Refuse this medication if planning pregnancy.
• Abstain from intercourse while on this drug. - CORRECT ANSWER: A) Use a reliable

form of birth control.

A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse provide?

• "Yes, it is an oral insulin and has the same actions and properties as intermediate

insulin."

• "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same

manner as insulin."

• "No, it is not an oral insulin and can be used only when some beta cell function is

present."

• "No, it is not an oral insulin, but it is effective for those who are resistant to injectable

insulins." - CORRECT ANSWER: C) "No, it is not an oral insulin and can be used only when some beta cell function is present."

A client being discharged home is prescribed an antibiotic with a dosage three times higher than it was administered when the client was in the hospital. Which route of administration should the nurse anticipate will be prescribed for the greatest first-pass effect?

• Oral.
• Sublingual. 1 / 3

• Intravenous.

D) Subcutaneous. - CORRECT ANSWER: A) Oral.

A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month?

• Perfusion scan.
• Prothrombin Time (PT).
• Activated partial thromboplastin (aPTT).

D) Serum Coumadin level (SCL). - CORRECT ANSWER: B) Prothrombin Time (PT).

A client being treated for hyperthyroidism with propylthiouracil (PTU) asks the nurse how the medication works. Which is the best response to give the client?

• It decreases the amount of thyroid-stimulating hormone circulating in the blood.
• It increases the amount of thyroid-stimulating hormone circulating in the blood.
• It enhances the amount of T4 and diminishes the amount of T3 produced by the

thyroid.

• It inhibits the synthesis of T3 and T4 by the thyroid gland. - CORRECT ANSWER: D)

It inhibits the synthesis of T3 and T4 by the thyroid gland.

A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 mL/hour. The nurse notes that the client's urinary output has been 20 mL/hour for the last 2 hours. Which intervention should the nurse initiate?

• Stop the infusion of dopamine.
• Change the normal saline to a keep open rate.
• Replace the urinary catheter.
• Notify the healthcare provider of the urinary output. - CORRECT ANSWER: D) Notify

the healthcare provider of the urinary output.

A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis.The nurse prepares for intravenous administration of edrophonium chloride (Tensilon).What is the expected outcome for this client following administration of this pharmacologic agent?

• Progressive difficulty with swallowing.
• Decreased respiratory effort.
• Improvement in generalized fatigue.

D) Decreased muscle weakness. - CORRECT ANSWER: D) Decreased muscle

weakness.

A client is admitted to the hospital for new onset of supraventricular tachycardia (SVT) and is prescribed digoxin. For which laboratory finding should the nurse notify the healthcare provider immediately? 2 / 3

• Potassium level of 3.1 mEq/L.
• Sodium level of 132 mEq/L.
• Calcium level of 8.6 mg/dL.

D) Magnesium level of 1.2 mEq/L. - CORRECT ANSWER: A) Potassium level of 3.1

mEq/L.

A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has completed discharge teaching regarding medication administration. Which morning schedule would indicate to the nurse that the client teaching has been effective?

• Take medication, go for a 30 minute morning walk, then eat breakfast.
• Take medication, rest in bed for 30 minutes, eat breakfast, go for morning walk.
• Take medication with breakfast, then take a 30 minute morning walk.
• Go for a 30 minute morning walk, eat breakfast, then take medication. - CORRECT

ANSWER: A) Take medication, go for a 30 minute morning walk, then eat breakfast.

A client is experiencing anaphylaxis from an insect sting. Which medication should the nurse administer?

• Dopamine
• Ephedrine
• Epinephrine.

D) Diphenhydramine. - CORRECT ANSWER: C) Epinephrine.

A client is prescribed 1 mcg/kg/min of dobutamine hydrochloride via IV infusion. Which client's condition would benefit the most from an administration of dobutamine hydrochloride?

• Shock.
• Asthma.
• Hypotension.

D) Heart failure. - CORRECT ANSWER: D) Heart failure.

A client is prescribed aluminum hydroxide for peptic ulcer disease. Which statement by the client demonstrates an understanding of the action of the medication?

• It decreases the production of gastric secretions.
• It produces an adherent barrier over the ulcer.
• It helps maintain a gastric pH of 3.5 or above.
• It slows down the gastric motor activity. - CORRECT ANSWER: C) It helps maintain

a gastric pH of 3.5 or above.

A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs?

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