HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: B
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage with NSAIDs like diclofenac. This history is the most concerning, requiring close monitoring for GI complications and hepatotoxicity during treatment.
Question 2 of 5
A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?
Correct Answer: B
Rationale: Diphenhydramine causes significant drowsiness, posing a safety risk when driving. This instruction is critical to ensure the client’s safety and prevent accidents.
Question 3 of 5
A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?
Correct Answer: A
Rationale: The timing of dextroamphetamine-amphetamine administration is critical, as taking it late in the day can cause insomnia due to its stimulant effects. Assessing the dose timing helps identify if adjustments are needed to improve sleep, making it the most important initial assessment.
Question 4 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Correct Answer: C
Rationale: Scopolamine is used to prevent nausea, not pain. The nurse should clarify this to manage the client’s expectations and address pain with appropriate analgesics.
Question 5 of 5
A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of heartburn and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider?
Correct Answer: C
Rationale: A positive guaiac test indicates gastrointestinal bleeding, likely related to ibuprofen use, which can cause fatigue and dizziness due to anemia. This finding requires immediate reporting to address potential bleeding and prevent further complications.