BSN 315 HESI RN Specialty Pharmacology Exam Practice (Latest Update 2024 / 2025) Questions & Answers | 100% Correct | Grade A - Nightingale
Question:
A 67-year-old client is discharged from the hospital with a prescription for digoxin (Lanoxin), 0.25 mg daily. Which instruction should the nurse include in this client's discharge teaching plan?
- Take the medication in the morning before rising.
- Take and record radial pulse rate daily.
- Expect some vision changes caused by the medication.
- Increase intake of foods rich in vitamin K.
Answer:
Take and record radial pulse rate daily.
Question:
A pediatric client is discharged home with multiple prescriptions for medications. Which information should the nurse provide that is most helpful to the parents when managing the medication regimens? 1 / 4
- Maintain a drug administration record.
- Fill all prescriptions at one pharmacy.
- Allow one person to give the medications.
- Give all medications in small volumes.
Answer:
Maintain a drug administration record.
Question:
A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ). When teaching about the side effects of this drug, which symptoms are most important for the nurse to instruct the client to report?
- Fatigue and muscle weakness
- Anxiety and heart palpitations
- Abdominal cramping and diarrhea
- Confusion and personality changes
Answer:
Fatigue and muscle weakness
Question:
When providing nursing care for a client receiving pyridostigmine bromide (Mestinon) for myasthenia gravis, which nursing intervention has the highest priority?
- Monitor the client frequently for urinary retention.
- Assess respiratory status and breathe sounds often. 2 / 4
- Monitor blood pressure each shift to screen for hypertension.
- Administer most medications after meals to decrease gastrointestinal
irritation.
Answer:
Assess respiratory status and breathe sounds often.
Question:
A client is being discharged with a prescription for sulfasalazine (Azulfidine) to treat ulcerative colitis. Which instruction should the nurse provide to this client prior to discharge?
- Maintain good oral hygiene.
- Take the medication 30 minutes before a meal.
- Discontinue use of the drug gradually.
- Drink eight glasses of fluid a day.
Answer:
- Drink eight glasses of fluid a day.
Question:
Which parameter is most important for the nurse to check prior to administering a subcutaneous injection of heparin?
- Heart rate
- Urinary output
- Activated partial thromboplastin time (aPTT)
- Prothrombin time (PT) and international normalized ratio (INR) 3 / 4
Answer:
Activated partial thromboplastin time (aPTT)
Question:
The nurse plans to draw blood samples for the determination of peak and trough levels of gentamicin sulfate (Garamycin) in a client receiving IV doses of this medication. When should the nurse plan to obtain the peak level?
- Thirty minutes after the dose is administered
- Immediately before giving the next dose
- When the next electrolyte levels are drawn
- Sixty minutes after the dose is administered
Answer:
Thirty minutes after the dose is administered
Question:
A client receiving a continuous infusion of heparin IV starts to hemorrhage from an arterial access site. Which medication should the nurse anticipate administering to prevent further heparin-induced hemorrhaging?
- Vitamin K1 (AquaMEPHYTON)
- Protamine sulfate
- Warfarin sodium (Coumadin)
- Prothrombin
Answer:
Protamine sulfate
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