HESI RN
HESI Pharmacology Questions
Question 1 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: A
Rationale: Misoprostol risks fetal harm, requiring contraception (
B), pregnancy notification (
C), and a negative pregnancy test before starting (
D). Starting before menstruation (
A) is incorrect, needing teaching.
Question 2 of 5
After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent fatty stools and flatus. Which action should the nurse take?
Correct Answer: B
Rationale: Orlistat blocks dietary fat absorption, commonly causing fatty stools and flatus. Reviewing dietary intake (
B) assesses adherence to a low-fat diet, which can reduce these side effects. Stopping the drug (
A) is premature without evaluation. Increasing saturated fats (
C) worsens symptoms. Stool tests (D, E) are unnecessary as symptoms are expected.
Question 3 of 5
A client is scheduled for a spiral computed topography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?
Correct Answer: B
Rationale: Metformin risks lactic acidosis with contrast dye due to renal effects. Follow-up (
B) ensures temporary discontinuation. Prior CT (
A), prosthesis (
C), and sobriety (
D) are less critical.
Question 4 of 5
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?
Correct Answer: B
Rationale: Open-angle glaucoma requires lifelong eye drops to control intraocular pressure (
B), preventing optic nerve damage. Angle restoration (
A), temporary pressure reduction (
C), and pain/swelling (
D) are incorrect.
Question 5 of 5
A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse that the education was effective?
Correct Answer: A
Rationale: Levothyroxine is best absorbed on an empty stomach (
A), 30-60 minutes before eating, confirming effective education. Iron supplements (
B) reduce absorption but are secondary. Bedtime dosing (
C) is less optimal. High iodine foods (
D) may disrupt thyroid function.