HESI RN
HESI RN D441 Pharmacology 0A1 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: B
Rationale: Misoprostol is used to prevent ulcers, not timed with the menstrual cycle. Starting therapy based on the cycle is incorrect and requires teaching. Other statements reflect correct understanding of misoprostol’s risks and precautions in women of childbearing age.
Question 2 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: B
Rationale: Metoclopramide can cause extrapyramidal symptoms like involuntary movements (e.g., tardive dyskinesia), which are serious and may require medication adjustment or discontinuation. This adverse effect is more critical to report than diarrhea, irritability, or nausea.
Question 3 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Exploring what the client means by 'is not working' is the first step to clarify their concerns, symptoms, or misconceptions about carbidopa-levodopa’s effects. This guides further assessment and education, addressing the client’s specific issues before evaluating side effects or administration timing.
Question 4 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately?
Correct Answer: B
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity and cardiac arrhythmias. This value requires immediate reporting to prevent potentially life-threatening complications.
Question 5 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: C
Rationale: Amlodipine, a calcium channel blocker, is used to manage hypertension. Measuring blood pressure directly assesses its effectiveness in lowering blood pressure, the primary therapeutic goal.