Questions 9

HESI LPN

HESI LPN Test Bank

Pharmacology HESI 55 Questions 2023 Questions

Question 1 of 5

A practical nurse (PN) is reviewing teaching with the client and/or significant others about the concurrent use of benztropine and olanzapine to manage psychotic behavior. What information should the PN reinforce?

Correct Answer: C

Rationale: Benztropine, an anticholinergic drug, is used to control extrapyramidal symptoms associated with olanzapine use.

Question 2 of 5

A client with type 2 diabetes mellitus is prescribed dulaglutide. The nurse should monitor for which potential adverse effect?

Correct Answer: A

Rationale: The correct answer is 'Nausea.' Dulaglutide, a medication commonly used in the management of type 2 diabetes, can lead to gastrointestinal side effects such as nausea. While hypoglycemia and hyperglycemia are potential concerns in diabetes management, they are not typically associated with dulaglutide use. Pancreatitis is a serious adverse effect of some diabetes medications, but it is not a common side effect of dulaglutide.

Question 3 of 5

A client is prescribed phenobarbital 100 mg daily for the treatment of seizures. Which statement made by the client indicates an accurate understanding of the medication phenobarbital?

Correct Answer: A

Rationale: The correct answer is A. Phenobarbital should be taken at the same time every day to maintain blood levels and enhance compliance. Common side effects of phenobarbital include drowsiness, lethargy, dizziness, and nausea; therefore, it is best to take it before bedtime to minimize these effects and improve sleep quality.

Question 4 of 5

A client who takes metformin for diabetes mellitus type 2 is taking nothing by mouth (NPO) for surgery. What pre-op prescription should the practical nurse (PN) anticipate for this client's glucose management?

Correct Answer: D

Rationale: When a client taking metformin for diabetes mellitus type 2 is NPO for surgery, it is essential to manage their glucose levels effectively. In this scenario, the best approach is to prescribe regular insulin subcutaneously according to a sliding scale based on the client's blood glucose levels. This method allows for precise adjustment of insulin doses to maintain blood glucose within the target range while the client is unable to take oral medications.

Question 5 of 5

What class of laxative would the nurse recommend to a patient asking about the best way to prevent constipation?

Correct Answer: B

Rationale: Bulk-forming laxatives are recommended to prevent constipation because they are safe and considered the most natural option. These laxatives work by absorbing liquid in the intestines, forming a bulky, soft stool that is easier to pass, thereby helping to prevent constipation.

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