HESI RN
RN HESI Pharmacology 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? 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: C
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage, both potential side effects of NSAIDs like diclofenac. Alcohol exacerbates these risks, making it the most concerning factor to monitor.
Question 2 of 5
A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete? Which assessment is most important for the nurse to complete?
Correct Answer: A
Rationale: Long-term ibuprofen use can cause gastrointestinal complications, such as ulcers or bleeding. Abdominal pain may indicate these issues, making it the most critical assessment to monitor for potential adverse effects.
Question 3 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately? Which laboratory value should be reported to the healthcare provider immediately?
Correct Answer: B
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity by enhancing digoxin’s effects on the heart, potentially causing arrhythmias. This value requires immediate reporting.
Question 4 of 5
A client with nasal congestion receives a prescription for phenylephrine 10 mg PO every 4 hours. Which client condition should the nurse report to the healthcare provider before administering the medication? Which client condition should the nurse report to the healthcare provider before administering the medication?
Correct Answer: C
Rationale: Phenylephrine causes vasoconstriction, which can elevate blood pressure. In clients with hypertension, this can worsen the condition and lead to cardiovascular complications, necessitating reporting to the healthcare provider.
Question 5 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication? Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Orlistat reduces fat absorption to aid weight loss. Monitoring BMI, calculated from height and weight, directly assesses weight changes, making it the most relevant measure of the medication’s effectiveness.