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 n...
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?
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.
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?
,A. Maintain a drug administration record.
B. Fill all prescriptions at one pharmacy.
C. Allow one person to give the medications.
D. 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?
A. Fatigue and muscle weakness
B. Anxiety and heart palpitations
C. Abdominal cramping and diarrhea
D. 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?
A. Monitor the client frequently for urinary retention.
B. Assess respiratory status and breathe sounds often.
,C. Monitor blood pressure each shift to screen for hypertension.
D. 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?
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.
Question:
Which parameter is most important for the nurse to check prior to
administering a subcutaneous injection of heparin?
A. Heart rate
B. Urinary output
C. Activated partial thromboplastin time (aPTT)
D. Prothrombin time (PT) and international normalized ratio (INR)
, 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?
A. Thirty minutes after the dose is administered
B. Immediately before giving the next dose
C. When the next electrolyte levels are drawn
D. 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?
A. Vitamin K1 (AquaMEPHYTON)
B. Protamine sulfate
C. Warfarin sodium (Coumadin)
D. Prothrombin
Answer:
Protamine sulfate
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