HESI RN
HESI RN Pharmacology Questions
Question 1 of 5
The nurse is administering subcutaneous enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse? Which laboratory result requires immediate action by the nurse?
Correct Answer: B
Rationale: A platelet count of 100,000/mm3 indicates thrombocytopenia, increasing bleeding risk with enoxaparin, an anticoagulant. Immediate action, such as notifying the provider, is needed to prevent hemorrhage.
Question 2 of 5
The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment the nurse observes the client is alert and oriented, but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication? Which scheduled medication should the nurse notify the healthcare provider about?
Correct Answer: A
Rationale: Jaundice indicates potential liver dysfunction, and acetaminophen is metabolized by the liver, posing a risk of hepatotoxicity. Notifying the provider ensures evaluation and possible adjustment of acetaminophen to prevent further liver damage.
Question 3 of 5
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing 'heartburn.' How should the nurse respond? How should the nurse respond?
Correct Answer: A
Rationale: Risedronate can cause esophageal irritation, leading to heartburn if not taken correctly (e.g., without water or not remaining upright). Asking the client to describe her administration technique identifies potential errors, guiding corrective instructions.
Question 4 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect? Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning by soothing irritated bladder mucosa. Explaining this effect helps the client understand its role in symptom relief, not infection treatment.
Question 5 of 5
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client? Which information is most important for the nurse to provide this client?
Correct Answer: D
Rationale: Isotretinoin is highly teratogenic, posing severe risks of fetal abnormalities. Discontinuing the medication at least one month before conception ensures it is cleared from the body, preventing harm to the fetus.