HESI RN
HESI Pharmacology Questions
Question 1 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 2 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets which were prescribed because of a suspected anthrax exposure. Which instructions should be included in the teaching plan?
Correct Answer: A,D
Rationale: Ciprofloxacin, a fluoroquinolone, risks tendonitis/tendon rupture (
A), requiring immediate reporting, especially in older adults or those on corticosteroids. It causes photosensitivity (
D), necessitating sun protection. NSAIDs (
B) increase seizure risk, not recommended. Crushing tablets (
C) alters efficacy and is contraindicated.
Question 3 of 5
A client who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the client’s skin and sclera. Which lab results should the nurse review?
Correct Answer: D
Rationale: Albendazole is hepatically metabolized and can cause liver damage, indicated by fatigue, nausea, dark urine, and jaundice (yellowing skin/sclera). Liver function tests (
D) assess damage severity (e.g., elevated AST/ALT). Renal (
A), thyroid (
B), and metabolic (
C) panels are unrelated to these symptoms.
Question 4 of 5
Which assessment data indicated to the nurse that a client is having an anaphylactic reaction to a medication?
Correct Answer: D
Rationale: Anaphylaxis is a severe allergic reaction involving multiple systems. Wheezing and dyspnea (
D) indicate respiratory involvement, a hallmark of anaphylaxis, requiring urgent intervention. Urticaria/pruritis (
A) are common but less specific. Insomnia/irritability (
B) and tinnitus/diplopia (
C) are unrelated.
Question 5 of 5
The nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Insulin glargine, a long-acting insulin, requires daily subcutaneous injection at a consistent dose. Teaching self-injection skills (
A) ensures proper administration. Dosing is not based on pre-meal glucose (
B). Glargine treats hyperglycemia, not hypoglycemia (
C). Ketoacidosis requires medical intervention, not dose increases (
D).