HESI RN
HESI Pharmacology Practice Exam Questions
Question 1 of 5
A client with severe acne is seen in the clinic, and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the HCP if the client is taking which medication?
Correct Answer: A
Rationale: Isotretinoin is a metabolite of vitamin A, which can lead to toxicity when taken together. Therefore, it is crucial to avoid concurrent use of vitamin A supplements with isotretinoin. Contacting the HCP to discuss discontinuing vitamin A supplements is important to prevent potential adverse effects.
Question 2 of 5
The clinic nurse is reviewing a teaching plan for a client receiving antineoplastic medication. When implementing the plan, the nurse should advise the client:
Correct Answer: C
Rationale: In the context of a client receiving antineoplastic medication, it is crucial for them to consult with healthcare providers (HCPs) before receiving immunizations (Option C). Antineoplastic medications can suppress the immune system, making it essential to seek guidance from healthcare professionals to ensure that vaccinations are safe and effective for the client. Option A is incorrect because aspirin, a nonsteroidal anti-inflammatory drug, may increase the risk of bleeding when combined with antineoplastic medications, which can also affect blood clotting. Option B is incorrect because alcohol consumption can have adverse interactions with some antineoplastic drugs, leading to increased toxicity or reduced effectiveness. Option D is incorrect because while it is generally advisable for clients on antineoplastic medications to consult with HCPs before receiving vaccines, flu vaccines are typically safe and recommended, especially for individuals with compromised immune systems. However, the overall principle of consulting with healthcare providers before any medical intervention remains important in the context of antineoplastic therapy. Educationally, this question highlights the importance of medication safety and the need for clear communication between healthcare providers and clients when managing complex medication regimens, especially in cases where the immune system may be compromised. It underscores the critical role of healthcare professionals in guiding patient care to ensure optimal outcomes and minimize risks associated with drug interactions.
Question 3 of 5
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication?
Correct Answer: B
Rationale: The correct answer is B: Calcium level. Tamoxifen may increase calcium levels, leading to hypercalcemia. Symptoms of hypercalcemia include increased urine volume, excessive thirst, nausea, vomiting, constipation, muscle weakness, and bone pain. Monitoring serum calcium levels is essential to detect and manage this potential side effect.
Question 4 of 5
A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). The nurse assisting in caring for the client should take which action to monitor the effectiveness of treatment?
Correct Answer: B
Rationale: To monitor the effectiveness of infliximab (Remicade) treatment in a client with Crohn's disease, the nurse should observe the frequency and consistency of bowel movements. Infliximab is an immunomodulator that works to reduce inflammation in the colon, leading to improvements in bowel symptoms such as frequency and consistency. Monitoring these bowel patterns can provide valuable insight into the response to the medication and the overall management of Crohn's disease.
Question 5 of 5
An older client recently has been taking cimetidine (Tagamet). The nurse monitors the client for which most frequent central nervous system side effect of this medication?
Correct Answer: C
Rationale: Older clients are particularly vulnerable to central nervous system side effects of cimetidine. The most frequent side effect is confusion. It is crucial for nurses to be vigilant in monitoring for confusion as it can impact the client's safety and well-being. While tremors, dizziness, and hallucinations are possible side effects, confusion is the most common in older clients taking cimetidine.