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BSN 315 Pharm II Practice Questions for HESI Newest 2024/25
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BSN 315 Pharm II Practice Questions for HESI Newest 2024/25
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BSN 315 Pharm II Practice Questions forHESI Newest 2024/25
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A client with a history of chronic obstructive pulmonary disease (COPD) receives a new
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prescription for an ipratropium inhaler. Which action indicates to the nurse
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that additional teaching is needed?
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a. Primes the inhaler with 7 pumps.
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b. Attaches spacer device to the inhaler.
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c. Rinses the after each use.
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d. Stores the medication at room temperature.
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Primes the inhaler with 7 pumps.
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A client with heart failure (HF) develops hyperaldosteronism and spironolactone is
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prescribed. Which instruction should the nurse include in this client's plan of
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Cover your skin before going outside.
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Limit intake of high-potassium foods. ll ll ll ll ll
Replace salt with a salt substitute. ll ll ll ll
Monitor skin for excessive bruising.
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Limit intake of high-potassium foods.
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A client with peptic ulcer disease receives a new prescription for cimetidine. Which
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statement provided by the client requires additional instruction by the nurse?
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a. Notify the healthcare provider of lethargy.
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b. Monitor for any signs of sexual dysfunction.
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c. Decrease cigarette use to a pack per day.
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d. Take the medication an hour after antacids ll ll ll ll ll ll ll
Decrease cigarette use to a pack per day
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A client with chemotherapy induced nausea receives a prescription for metoclopramide.
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Which adverse effect is most important for the nurse to report?
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a. Diarrhea.
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b. Involuntary movements.
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c. Unusual irritability.
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d. Nausea. ll
Involuntary movements.
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The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription
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to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and
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difficult to arouse. While performing a head to toe assessment. the nurse discovers four
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patches on the client's body. Which action should the nurse take first?
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a. Monitor blood pressure.
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b. Administer a narcotic reversal drug.
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c. Remove the morphine patches.
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d. Apply oxygen face mask. ll ll ll
Remove the morphine patches.
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The nurse is providing instructions about a client's new medications. How should the nurse
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explain the purpose of probenecid, a uricosuric drug?
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a. Decreases pain and burning during urination.
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b. Prevents the formation of kidney stones.
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c. Increases the strength of the urine stream.
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d. Promotes excretion of uric acid in the urine. ll ll ll ll ll ll ll
Promotes excretion of uric acid in the urine.
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A client taking atorvastatin develops an increased serum creatine phosphokinase (CK)
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level. The nurse should assess the client for the onset of which problem?
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a. Excessive bruising.
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b. Muscle tenderness.
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c. Peripheral edema.
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d. Nausea and vomiting. ll
Muscle tenderness.
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A client receives a new prescription for levothyroxine. Which statement made by client
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indicates to the nurse the education was effective?
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a. Take medication on an empty stomach.
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b. Avoid the use of iron supplements
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c. Administer levothyroxine at bedtime ll ll ll ll ll ll
Consume foods that are high in iodine.
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Take medication on an empty stomach.
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A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine
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appears to be darker in color. Which action should the nurse take?
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a. Explain the color change is normal.
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b. Measure the client's urinary output.
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c. Obtain a specimen for a urine culture.
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d. Encourage an increase in oral intake. ll ll ll ll ll
Explain the color change is normal.
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A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours
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to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in
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water (D;W) 200 mL. The nurse should program the infusion pump to deliver how many
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mL/hr? (Enter numerical value only.)
200mL/hr
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A female client who is a vegetarian has a new prescription for warfarin. The client states
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she eats leafy green vegetables every day. How should the nurse respond?
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a. Suggest that the client replace the leafy vegetables with a protein source such as nuts or
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beans. ll ll ll ll ll ll ll ll ll ll ll ll ll ll
b. Confirm that her diet choices will help the medication be more effective in preventing
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blood clots.
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c. Commend the client for her healthy lifestyle and encourage her to continue her current
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diet habits.
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d. Advise the client that the healthcare provider needs to be made aware of her current diet.
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Advise the client that the healthcare provider needs to be made aware of her current diet.
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A female client with multiple sclerosis reports having less fatigue and improved memory
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since she began using the herbal supplement, ginkgo biloba. Which information is most
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important for the nurse to include in the teaching plan for this client?
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a. Anxiety and headaches increase with the use of ginkgo biloba.
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a. Nausea and diarrhea can occur when using this supplement.
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b. Ginkgo biloba use should be limited and not taken during pregnancy.
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c. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
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Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
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While assessing a client who takes acetaminophen for chronic pain, the nurse observes
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that the client's skin looks yellow in color. Which action should the nurse take in response
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to this finding?
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a. Check the client's capillary glucose level.
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b. Use a pulse oximeter to assess oxygen saturation.
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c. Report the finding to the healthcare provider.
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d. Advise the client to reduce the medication dose.
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Report the finding to the healthcare provider.
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The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin
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hydrochloride tablets, which were prescribed because of a suspected anthrax exposure.
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Which instruction(s) should be included in the teaching plan? (Select all that apply.)
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a. Limit exposure to sunlight and avoid tanning beds.
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b. Increase fluid intake while taking the medication.
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c. Crush and mix the tablets with pudding if you have trouble swallowing the tablets.
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d. Use nonsteroidal anti inflammatory drugs (NSAID) to relieve mild joint aches and pains
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caused by the medication.
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e. Report any tendon pain or swelling to the healthcare provider immediately.
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Limit exposure to sunlight and avoid tanning beds. ll ll ll ll ll ll
Increase fluid intake while taking the medication.
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Report any tendon pain or swelling to the healthcare provider immediately.
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When should the nurse instruct the client and family that glucagon needs to be
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administered?
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a. Before meals to prevent hyperglycemia
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b. At the onset of signs of diabetic ketoacidosis
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c. When unable to eat during sick days.
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When signs of severe hypoglycemia occur
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When signs of severe hypoglycemia occur
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A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before a
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scheduled procedure. The medication is available in a 5000 units/0.2 mL. prefilled syringe.
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How many mL should the nurse administer? (Enter numeric value only.)
500/5000=0.1mL
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A client with atrial fibrillation receives a new prescription for dabigatran. Which instruction
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should the nurse include in this client's teaching plan?
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a. Keep an antidote available in the event of hemorrhage.
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b. Continue obtaining scheduled laboratory bleeding tests.
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c. Eliminate spinach and other green vegetables in the diet.
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d. Avoid use of nonsteroidal anti-inflammatory drugs (NSAID)
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Avoid use of nonsteroidal anti-inflammatory drugs (NSAID)
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The healthcare provider prescribes the antibiotic tetracycline HI for an adult client that
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arrived at an outpatient clinic. Which instruction should the nurse include in the teaching
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plan for this client?
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