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BSN HESI 315 Pharmacology Exam V1 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale

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BSN HESI 315 Pharmacology Exam V1 (Latest 2024/ 2025 Update) Questions and Verified Answers|100% Correct| Grade A- Nightingale Q: The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which of the following is documented in the client's history? A. Pancreatitis B. Diabetes mellitus C. Myocardial infarction D. Chronic obstructive pulmonary disease Answer: A. Pancreatitis Q: Hormone replacement therapy with levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much of the hormonal agent, levothyroxine? A. Intolerance to cold B. Constipation C. Restlessness D. Decreased appetite Answer: C. Restlessness Q: A client with peptic ulcer disease receives a new prescription for cimeti- dine. Which statement provided by the client requires additional instruction by the nurse? A. Take the medication an hour after antacids. B. Notify the healthcare provider of lethargy. C. Decrease cigarette use to a pack per day. D. Monitor for any signs of sexual dysfunction. Answer: C. Decrease cigarette use to a pack per day. Q: The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion? A: Scratchy throat. B: Pupillary constriction. C: Bradycardia. D: Hypertension. Answer: A. Scratchy throat. Q: 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? A. Determine Glasgow Coma Scale score. B. Initiate cardiopulmonary resuscitation (CPR). C. Prepare to assist with chest tube insertion. D. Administer a second dose of naloxone. Answer: D: Administer a second dose of naloxone. Q: Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address? A. Employed as a construction worker. B. Reported history of alcoholism. C. White blood cell count of 8,500/mm3 (8.5 x 10^9/L). D. Toenails appear thick and yellow. Answer: B: Reported history of alcoholism. Q: A client is diagnosed with myasthenia gravis receives a prescription for the anticholinesterase medication pyridostigmine. Which intervention should the nurse implement when preparing to administer this medication? Answer: Administer the medication thirty minutes prior to meals. Q: A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction? A. Perform a bladder scan. B. Assess urine output. C. Measure blood pressure. D. Monitor daily weights. Answer: C: Measure blood pressure. Q: After administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement? A. Administer both prescribed medications as scheduled. B. Hold the calcium carbonate, but administer the calcitriol as scheduled. C. Hold both medications until contacting the healthcare provider. D. Hold the calcitriol, but administer the calcium carbonate as scheduled. Answer: C: Hold both medications until contacting the healthcare provider. Q: Rivastigmine, a cholinesterase inhibitor, is prescribed for a female client with early stage Alzheimer's disease. The client's daughter tells the nurse that she plans to start administering the drug when her mother's symptoms are no longer manageable, in hopes that her mother will not have to go to a nursing home. How should the nurse respond? A. Confirm that the daughter is aware of the progressive nature of the disease. B. Affirm the decision to use the medication when the symptoms start to worsen. C. Explain that the drug should be used early in the course of the disease process. D. Assess the client's current mental status before deciding to support the decision. Answer: C: Explain that the drug should be used early in the course of the disease process. Q: A client with psychosis who is receiving an antipsychotic medication is continually rubbing the back of the neck. Which nursing intervention is best for the nurse to implement? A. Provide the client a heating pad to place on the neck. B. Obtain a prescription for physical therapy services. C. Give a PRN prescription for benztropine. D. Obtain an extra pillow for the client to use at night. Answer: C: Give a PRN prescription for benztropine.

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BSNlHESIl315lPharmacologylExamlV1l
(LatestlUpdate)lQuestionslandlVerifiedl
Answers|100%lCorrect|lGradelA-
lNightingale

Q:lThelnurselislreviewinglthelhistorylandlphysicallexaminationloflalclientlwholwilllbelreceivi
nglasparaginasel(Elspar),lanlantineoplasticlagent.lThelnurselconsultslwithlthelregisteredlnurselre
gardingltheladministrationloflthelmedicationliflwhichloflthelfollowinglisldocumentedlinlthelclie
nt'slhistory?
A.lPancreatitis
B.lDiabeteslmellitus
C.lMyocardiallinfarction
D.lChroniclobstructivelpulmonaryldisease

Answer:
A.lPancreatitis


Q:lHormonelreplacementltherapylwithllevothyroxinelsodiumlislprescribedlforlalclientlwithlhy
pothyroidism.lThelnurselshouldlinstructlthelclientltolreportlwhichlsymptomlbecauselitlindicatesl
thatlthelclientlisltakingltoolmuchloflthelhormonallagent,llevothyroxine?
A.lIntoleranceltolcold
B.lConstipation
l
C.lRestlessness
D.lDecreasedlappetite

Answer:
C.lRestlessness


Q:lAlclientlwithlpepticlulcerldiseaselreceiveslalnewlprescriptionlforlcimeti-
ldine.lWhichlstatementlprovidedlbylthelclientlrequiresladditionallinstructionlbylthelnurse?
A.lTakelthelmedicationlanlhourlafterlantacids.lB.lNotifylthelhealthcarelproviderlofllethargy.lC.l
Decreaselcigaretteluseltolalpacklperlday.
D.lMonitorlforlanylsignsloflsexualldysfunction.

Answer:
C.lDecreaselcigaretteluseltolalpacklperlday.

,Q:lThelnurselinitiateslanlinfusionloflpiperacillin-
tazobactamlforlalclientlwithlalurinaryltractlinfection.lFivelminuteslintolthelinfusion,lthelclientlre
portslnotlfeelinglwell.lWhichlclientlmanifestationlshouldlthelnurselidentifylaslalreasonltolstoplt
helinfusion?
A:lScratchylthroat.
B:lPupillarylconstriction.lC:lBradycardia.
D:lHypertension.

Answer:
A.lScratchylthroat.


Q:lThelnurseladministerslnaloxoneltolalclientlwithlopioid-
inducedlrespiratoryldepression.lOnelhourllater,lnursinglassessmentlrevealslthatlthelclientlhaslalr
espiratorylratelofl4lbreaths/minute,loxygenlsaturationlofl75%,landlislunableltolbelaroused.lWhi
chlactionlshouldlthelnurselimplement?
A.lDeterminelGlasgowlComalScalelscore.
B.lInitiatelcardiopulmonarylresuscitationl(CPR).lC.lPrepareltolassistlwithlchestltubelinsertion.
D.lAdministerlalsecondldoseloflnaloxone.

Answer:
D:lAdministerlalsecondldoseloflnaloxone.


Q:lBeforeladministeringlalnewlylprescribedldoseloflterbinafinelHCLltolalclientlwithlalfungallt
oenaillinfection,lwhichlassessmentlfindinglislmostlimportantlforlthelnurseltoladdress?
A.lEmployedlaslalconstructionlworker.lB.lReportedlhistoryloflalcoholism.
C.lWhitelbloodlcelllcountlofl8,500/mm3l(8.5lxl10^9/L).
D.lToenailslappearlthicklandlyellow.

Answer:
B:lReportedlhistoryloflalcoholism.
l


Q:lAlclientlisldiagnosedlwithlmyasthenialgravislreceiveslalprescriptionlforlthelanticholinestera
selmedicationlpyridostigmine.lWhichlinterventionlshouldlthelnurselimplementlwhenlpreparinglt
oladministerlthislmedication?

Answer:
Administerlthelmedicationlthirtylminuteslpriorltolmeals.

, Q:lAlclientlwithlbenignlprostaticlhyperplasialreceiveslalnewlprescriptionlofltamsulosin.lWhic
hlinterventionlshouldlthelnurselperformltolmonitorlforlanladverselreaction?
A.lPerformlalbladderlscan.lB.lAssesslurineloutput.
C.lMeasurelbloodlpressure.
D.lMonitorldailylweights.

Answer:
C:lMeasurelbloodlpressure.


Q:lAfterladministeringloralldosesloflcalcitriollandlcalciumlcarbonateltolalclientlwithlhypopara
thyroidism,lthelnurselnoteslthatlthelclient'sltotallcalciumllevellisl14lmg/dLl(3.5lmmol/L).lWhic
hlactionlshouldlthelnurselimplement?
A.lAdministerlbothlprescribedlmedicationslaslscheduled.
B.lHoldlthelcalciumlcarbonate,lbutladministerlthelcalcitriollaslscheduled.lC.lHoldlbothlmedicati
onsluntillcontactinglthelhealthcarelprovider.
D.lHoldlthelcalcitriol,lbutladministerlthelcalciumlcarbonatelaslscheduled.

Answer:
C:lHoldlbothlmedicationsluntillcontactinglthelhealthcarelprovider.


Q:lRivastigmine,lalcholinesteraselinhibitor,lislprescribedlforlalfemalelclientlwithlearlylstagelA
lzheimer'sldisease.lThelclient'sldaughterltellslthelnurselthatlshelplansltolstartladministeringltheld
ruglwhenlherlmother'slsymptomslarelnollongerlmanageable,linlhopeslthatlherlmotherlwilllnotlh
aveltolgoltolalnursinglhome.lHowlshouldlthelnurselrespond?
A.lConfirmlthatltheldaughterlislawareloflthelprogressivelnaturelofltheldisease.lB.lAffirmltheldec
isionltoluselthelmedicationlwhenlthelsymptomslstartlto
worsen.
C.lExplainlthatltheldruglshouldlbelusedlearlylinlthelcourselofltheldiseaselprocess.
D.lAssesslthelclient'slcurrentlmentallstatuslbeforeldecidingltolsupportltheldecision.

Answer:
C:lExplainlthatltheldruglshouldlbelusedlearlylinlthelcourselofltheldiseaselprocess.
l


Q:lAlclientlwithlpsychosislwholislreceivinglanlantipsychoticlmedicationlislcontinuallylrubbin
glthelbackloflthelneck.lWhichlnursinglinterventionlislbestlforlthelnurseltolimplement?
A.lProvidelthelclientlalheatinglpadltolplacelonlthelneck.lB.lObtainlalprescriptionlforlphysicallth
erapylservices.lC.lGivelalPRNlprescriptionlforlbenztropine.
D.lObtainlanlextralpillowlforlthelclientltoluselatlnight.

Answer:
C:lGivelalPRNlprescriptionlforlbenztropine.

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