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BSN 315 Pharm II Practice Questions for HESI Verified 100%
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BSN 315 Pharm II Practice Questions for HESI Verified 100%
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BSN 315 Pharm II Practice Questions forHESI Verified 100%
.A client being treated for an acute myocardial infarction is to receive the tissue
plasminogen activator altaplase (Activase). The nurse would be correct in providing
which explanation to the client regarding the purpose of this drug?
A. This drug is a nitrate that promotes vasodilation of the coronary arteries.
B. This drug is a clot buster that dissolves clots within a coronary artery.
C. This drug is a blood thinner that will help prevent the formation of a new clot.
D. This drug is a volume expander that improves myocardial perfusion by increasing
output. - ANSWER-This drug is a clot buster that dissolves clots within a coronary artery
.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?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink eight glasses of fluid a day. - ANSWER-D. Drink eight glasses of fluid a day.
.A nurse is caring for a pregnant patient who needs treatment for rosacea. The patient
asks the nurse about using topical corticosteroids for treatment. Which of the following
information should the nurse provide this patient?
A. The patient can safely use this type of medication
B. The patient can only use this medication in areas away from the abdomen
C. This medication causes teratogenic effects and should be avoided D. There is no
safety evidence of this medication during pregnancy, so it should be avoided -
ANSWER-There is no safety evidence of this medication during pregnancy, so it should
be avoided
.Dopamine (Intropin) is administered to a client who is hypotensive. Which finding
should the nurse identify as a therapeutic response?
A. Gain in weight
B. Increase in urine output
C. Improved gastric motility
D. Decrease in blood pressure - ANSWER-Increase in urine output
.During the initial nursing assessment history, a client tells the nurse that he is taking
tetracycline hydrochloride (Sumycin) for urethritis. Which medication taken concurrently
with Sumycin could interfere with its absorption?
A. Sucralfate (Carafate)
B. Hydrochlorothiazide (Diuril)
C. Acetaminophen (Tylenol)
D. Phenytoin (Dilantin) - ANSWER-Sucralfate (Carafate)
,.Isotretinoin is prescribed for a client with severe acne. Before administration of this
medication, the nurse anticipates that which laboratory test will be prescribed?
A. K levels
B. triglyceride levels
C. Hemoglobin A1C
D. total cholesterol level - ANSWER-total cholesterol level
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?
A. Take the medication in the morning before rising.
B. Take and record radial pulse rate daily.
C. Expect some vision changes caused by the medication.
D. Increase intake of foods rich in vitamin K. - ANSWER-Take and record radial pulse
rate daily.
A client has a new prescription for zolpidem, a hypnotic. The client tells the home health
nurse that he plans to take a dose of the medication during the day because he is
exhausted and needs to take a short afternoon nap prior to an evening activity in his
home. Which action should the nurse take?
a. Explain that the client needs to allow for sleep time of at least two hours.
b. Advise the client to take the medication with the noon meal.
c. Remind the client to drink plenty of fluids when taking the medication.
Encourage the client to wait until bedtime to take the medication - ANSWER-Encourage
the client to wait until bedtime to take the medication.
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?
a. Review the history for a past use of recreational drugs.
b. Determine when the last dose was administered.
c. Ask the client to rate the current level of pain using a pain scale.
d. Encourage the client to use diversional thoughts to manage pain. - ANSWER-Ask the
client to rate the current level of pain using a pain scale.
A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL. of normal
saline (NS) to be infused over 2 hours. The intravenous (IV) Administration set delivers
10 gtU/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical
value only. If rounding is required, round to the nearest whole number) - ANSWER-
42gtt/min
A client is receiving anti-infective drug therapy for a postoperative infection. Which
complaint should alert the nurse to the possibility that the client has contracted a
superinfection?
A. "My mouth feels sore"
B. "I have a headache."
, C. "My ears feel plugged up."
D. "I feel constipated" - ANSWER-"My mouth feels sore"
A client is receiving intravenous (IV) vancomycin and the nurse plans to draw blood for
a peak and trough to determine the serum level of the drug. Which collection times
provide the best determination of these levels?
a. Immediately after completion of the IV dose and 30 minutes before the next
administration of the medication.
b. One hour after completion of the IV dose and one hour before the next administration
of the medication.
c. Two hours after completion of the IV dose and two hours before the next
administration of the medication.
d. Thirty minutes into the administration of the IV dose and 30 minutes before the next
administration of the medication. - ANSWER-Immediately after completion of the IV
dose and 30 minutes before the next administration of the medication
A client receives a new prescription for levothyroxine. Which statement made by client
indicates to the nurse the education was effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine. - ANSWER-Take medication on an empty
stomach.
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-200mL/hr
A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before
a scheduled procedure. The medication is available in a 5000 units/0.2 mL. prefilled
syringe. How many mL should the nurse administer? (Enter numeric value only.) -
ANSWER-500/5000=0.1mL
A client receives a prescription for theophylline (Theo-Dur) PO to be initiated in the
morning after the dose of theophylline IV is complete. The nurse determines that a
theophylline level drawn yesterday was 22 mcg/mL. Based on this information, which
action should the nurse implement?
A. Hold the theophylline dose and notify the health care provider.
B. Start the client on a half-dose of theophylline PO.
C. The theophylline dose can be initiated as planned.
D. The client is not ready to be weaned from the IV to the PO route - ANSWER-Hold the
theophylline dose and notify the health care provider
A client receives an antihypertensive agent daily. Which action is most important for the
nurse to implement prior to administering the medication?
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