HESI RN
HESI Bsn 225 RN Pharmacology Questions
Question 1 of 5
The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take?
Correct Answer: C
Rationale: An INR of 2.8 is within the therapeutic range for atrial fibrillation, but monitoring for bleeding is critical as a routine precaution. Repeating the sample, giving the dose, or notifying the provider are less immediate.
Question 2 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: D
Rationale: Zolpidem is a sedative for insomnia, and sleeping soundly through the night indicates its effectiveness. Emotional outbursts, concentration, and incontinence are not primary targets of zolpidem.
Question 3 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Correct Answer: D
Rationale: Methylphenidate, a stimulant, can exacerbate hypertension, requiring careful review of blood pressure history. Hypercholesterolemia, bronchitis, and diabetes are less critical concerns.
Question 4 of 5
A client with peptic ulcer disease is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take?
Correct Answer: D
Rationale: Pantoprazole and sucralfate should be administered before breakfast to maximize acid suppression and ulcer protection. Delaying pantoprazole reduces efficacy, antacids interfere with sucralfate absorption, and sucralfate requires an empty stomach.
Question 5 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
Correct Answer: D
Rationale: Assessing bowel movement frequency and consistency is critical to determine the need for a laxative and monitor its effectiveness. Strength, skin integrity, and urge recognition are less directly related to laxative administration.