HESI RN
RN HESI Pharmacology Questions
Question 1 of 5
A client has a prescription for heparin 5000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client’s medication drawer. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.
Question 2 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client’s caregivers? Which instruction should the nurse provide to this client’s caregivers?
Correct Answer: A
Rationale: The fluticasone propionate and salmeterol discus is a maintenance medication designed for twice-daily use, approximately 12 hours apart. Using it more frequently increases the risk of side effects without additional benefit. It is not intended for acute asthma attacks, which require a short-acting bronchodilator like albuterol.
Question 3 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply. Which actions should the nurse implement?
Correct Answer: B,C,E
Rationale: Providing an NSAID could worsen bleeding, and a variance report is premature without evidence of error. A soft bristle toothbrush reduces gum irritation, reviewing coagulation lab values ensures proper anticoagulant dosing, and reporting to the provider addresses potential adverse effects.
Question 4 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse? Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if a dose is missed is incorrect and dangerous, as it can increase the risk of toxicity. The client should take the missed dose as soon as remembered, unless it’s nearly time for the next dose, then continue the regular schedule.
Question 5 of 5
The nurse observes that a client has become lethargic 30 minutes after receiving an opioid injection for pain. Which vital sign should the nurse obtain first? Which vital sign should the nurse obtain first?
Correct Answer: B
Rationale: Opioids can cause respiratory depression, a life-threatening side effect. Assessing respiratory rate first ensures the client’s airway and breathing are adequate.