BSN 315 HESI PHARMACOLOGY EXAM
VERSION 3 LATEST 2024 WITH 250 EXAM
PREP QUESTIONS AND CORRECT
ANSWERS / BSN 315 HESI PHARM EXAM
2025 (NEWEST)
A client is taking clonazepam, benztropine, haloperidol, and divalproex. The nurse
suspects that the client is experiencing akathisia because the client is rocking back
and forth in the chair and having difficulty still. Which medication is most likely to
be the cause of this condition?
Haloperidol
The nurse assesses a client with intermittent claudication who is receiving
pentoxifylline. Which assessment should the nurse perform to determine the
effectiveness of the medication?
Monitor numeric pain scale
A client with muscle spasticity receives a prescription for baclofen. Teaching is?
Take medication with meals
The mother of a newborn asks the nurse why her infant needs the vitamin K
injection. Which information should the nurse provide?
Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.
2 multiple choice options
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole 20 mg capsule daily. When providing this client with discharge
teaching, the nurse should include which instruction?
take at the same time each day one hour before eating a meal
A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12 hours. The
pg. 1
,client asks the nurse why she is receiving betamethasone. Which information
should the nurse use to explain the action of the medication?
stimulates fetal surfactant production
A client receives a new prescription for pentazocine, a mixed opioid agonist-
antagonist after an opioid agonist is discontinued. Which is the advantage for the
client when the new prescription is implemented?
used to decrease substance abuse disorder
2 multiple choice options
The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client?
the infection is difficult to eradicate and requires prolonged therapy for 3 to 6
months
A client receives a new prescription for an angiotensin-converting enzyme (ACE)
inhibitor. Which client history contraindicates its use?
renal artery stenosis
Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.)
Mood swings, increased weight gain
RATIONALE: Dexamethasone is a long-acting glucocorticoid prescribed for
neurosurgical procedures because it suppresses inflammation and has a low
sodium-retaining ability, which is important in averting cerebral edema. However,
the medication does produce the following side effects such as: mood swings, an
increase in appetite, resulting in weight gain, hyperglycemia (serum glucose level
above 120 mg/dl) which is related to the gluconeogenesis properties of
corticosteroids, delayed in wound healing related to immune suppression
properties, and complete blood count resulting in a decreased in WBC and
hemoglobin (less than 12mg/dl). When a client is receiving dexamethasone, they
should be monitored for these side effects.
pg. 2
,A client is taking sulfisoxazole for a urinary tract infection (UTI) and complains of
nausea and gastric upset since starting the medication. Which additional adverse
reaction should the nurse instruct the client to report?
rash
What pathophysiological action supports the expected outcome for a client with
chronic cancer pain who is treated with imipramine, a tricyclic antidepressant?
decreases transmission of pain impulses by altering serotonin and norepinephrine
activity at nerve synapses
2 multiple choice options
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report?
Involuntary movement
A client is scheduled for a CT scan with contrast to evaluate for pulmonary
embolism. Which information in the clients history requires follow-up by the
nurse?
Takes metformin for type 2 diabetes mellitus
A client recently diagnosed with multiple sclerosis who self-administers beta-1a
interferon reports feeling increasingly depressed. Which action should the nurse
implement?
Notify the healthcare provider of the findings immediately
A female with a history of peptic ulcer disease receives a prescription for
misoprostol. What information provided shows need for further teaching?
Use condoms and a backup method of birth control to prevent pregnancy
Which of the following agents would increase sedation caused by morphine?
A. ethanol
B. diazepam
C. chlorpromazine
pg. 3
, D. clomipramine
E. All of the above
All of the above
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?
There is no safety evidence of this medication during pregnancy, so it should be
avoided.
After starting an IV dose of sulfamethoxazole (Bactrim), the nurse notes that the
patient is having difficulty breathing, his face is flushed, and he complains of back
pain. Which type of hypersensitivity reaction is this patient most likely
experiencing?
Anaphylactic
Which of the following is considered a contraindication for administration of
Furosemide (Lasix)?
Decrease urine output
A nurse is preparing to administer a dose of warfarin to a patient. Based on the
nurses knowledge of this drug, the nurse knows to monitor for which of the
following side effects?
Black stools
The home care nurse visits a client recently diagnosed with diabetes mellitus who
is taking Humulin NPH insulin daily. The client asks the nurse how to store the
unopened vials of insulin. The nurse should tell the client to take which action?
Refrigerate the insulin
The nurse is teaching a client how to mix regular insulin and NPH insulin in the
same syringe. Which action, if performed by the client, indicates the need for
further teaching?
Withdraws the NPH insulin first
pg. 4
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