HESI RN
Nightdale College HESI Pharmacology RN Questions
Question 1 of 5
A client with nasal congestion receives a prescription for phenylephrine 10 mg by mouth every 4 hours. Which client condition should the nurse report to the healthcare provider before administering the medication? Which condition should the nurse report to the healthcare provider before administering the medication?
Correct Answer: C
Rationale: Phenylephrine, a vasoconstrictor, can elevate blood pressure, exacerbating hypertension and risking cardiovascular complications. Reporting this condition to the provider ensures safe administration. Diarrhea, bronchitis, or edema are not contraindications for phenylephrine.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed? Which action indicates that additional teaching is needed?
Correct Answer: A
Rationale: Priming the ipratropium inhaler with 7 pumps is excessive, wasting medication. It requires only one spray to prime when first used or after 3 days. This action indicates a need for further teaching. Rinsing the mouth, proper storage, and using a spacer are correct practices.
Question 3 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client? Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: Ginkgo biloba’s antiplatelet effects increase bleeding risk when combined with aspirin or NSAIDs, a critical interaction for clients with multiple sclerosis who may use these for pain. This is the most important teaching point to prevent serious bleeding complications.
Question 4 of 5
The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug? How should the nurse explain the purpose of probenecid?
Correct Answer: D
Rationale: Probenecid increases uric acid excretion in urine, reducing blood levels and preventing gout attacks. It does not affect urinary pain, urine stream strength, or kidney stone formation (it may increase stone risk), making uric acid excretion the correct purpose.
Question 5 of 5
The nurse is caring for a client who is taking diclofenac, a nonsteroidal anti-inflammatory (NSAID) drug for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review? Which laboratory value is most important for the nurse to review?
Correct Answer: D
Rationale: Pale appearance and fatigue suggest anemia, a potential complication of diclofenac due to gastrointestinal bleeding. Reviewing hemoglobin levels confirms anemia and guides further management. Glucose, protein, or sodium are not directly related to these symptoms or NSAID side effects.