HESI LPN
HESI Practice Test Pharmacology Questions
Question 1 of 5
What is important information to provide to a young adult female client planning to become pregnant?
Correct Answer: A
Rationale: It is crucial to advise the client to discontinue medication one month before planning to become pregnant to prevent potential harm to the fetus. This precaution is essential as certain medications can have adverse effects on the developing baby. By stopping the medication ahead of time, the client can reduce the risk of any complications during pregnancy.
Question 2 of 5
A client diagnosed with multiple sclerosis self-administers beta-1 interferon subcutaneously
Correct Answer: D
Rationale: Encouraging the client to continue taking the medication is crucial in the management of multiple sclerosis. Beta-1 interferon is a disease-modifying drug used to reduce the frequency and severity of relapses in multiple sclerosis. Discontinuing the medication without medical advice can lead to disease exacerbation. It is essential for the client to maintain regular dosing to achieve optimal therapeutic effects and disease control.
Question 3 of 5
When planning to administer the antiulcer GI agent sucralfate, what instruction should the nurse provide regarding administration?
Correct Answer: D
Rationale: The correct answer is D) Give sucralfate on an empty stomach. Rationale: Sucralfate works by forming a protective barrier over the ulcer, promoting healing. Administering sucralfate on an empty stomach allows it to adhere to the ulcer site without interference from food or other medications, maximizing its effectiveness. Option A is incorrect because sucralfate is typically administered multiple times a day, not just once. Option B is unrelated to sucralfate administration and is more relevant to antifungal medications. Option C is also incorrect as sucralfate is not known to cause significant electrolyte imbalances. Educational context: Understanding the timing of drug administration is crucial in pharmacology to ensure optimal therapeutic effects. In the case of sucralfate, giving it on an empty stomach is essential to its mode of action. Nurses must provide clear instructions to patients to maximize the benefits of the medication and promote healing of ulcers effectively.
Question 4 of 5
What should be obtained prior to starting olanzapine for a male client with bipolar disorder?
Correct Answer: D
Rationale: In pharmacology, it is crucial to obtain baseline measurements before initiating certain medications to monitor for potential side effects and assess treatment efficacy. In the case of starting olanzapine for a male client with bipolar disorder, obtaining a baseline weight is essential. Olanzapine is an atypical antipsychotic known to cause weight gain as a common side effect. Monitoring the client's weight at baseline provides a reference point to track any changes during treatment, allowing for early intervention if significant weight gain occurs, which is important for the client's overall health. Now, let's analyze why the other options are incorrect: - A) Complete blood count: While monitoring blood counts may be necessary for some medications, it is not a specific requirement prior to starting olanzapine for bipolar disorder. - B) Family history of hypertension: This information may be relevant for assessing cardiovascular risk factors but is not directly linked to the initiation of olanzapine. - C) History of erectile dysfunction: This is not a primary concern when starting olanzapine for bipolar disorder and is not a baseline parameter that needs to be assessed before initiating treatment. In an educational context, understanding the rationale behind obtaining specific baseline measurements before starting medications is crucial for healthcare providers to ensure safe and effective pharmacological interventions. This knowledge helps in individualizing treatment plans, monitoring for potential adverse effects, and promoting patient-centered care.
Question 5 of 5
A client who received a prescription for cyclosporine ophthalmic emulsion for dry eyes asks the practical nurse (PN) if it is safe to continue using artificial tears. What information should the PN provide?
Correct Answer: C
Rationale: The correct answer is to allow a 15-minute interval between the administration of cyclosporine and artificial tears. Cyclosporine, an ophthalmic emulsion that increases tear production, can be used in conjunction with artificial tears as long as the products are administered 15 minutes apart. This interval helps to prevent any potential interactions between the two products and ensures optimal effectiveness of cyclosporine for treating dry eyes.