HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client has a prescription for heparin 5000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client’s medication drawer. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.
Question 2 of 5
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse? Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Stopping lorazepam abruptly if effects are not immediate can lead to withdrawal symptoms and rebound anxiety. The nurse should instruct the client to follow the prescribed regimen and consult the provider before discontinuing.
Question 3 of 5
The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results? Select all that apply. What question(s) can the nurse ask the client based on the laboratory results?
Correct Answer: A,D,E
Rationale: Supplements, reduced urine output, and salt substitutes can affect BUN levels and kidney function, relevant to laboratory results evaluation.
Question 4 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.
Question 5 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize? Which instruction should the nurse emphasize?
Correct Answer: D
Rationale: Oxybutynin reduces sweating, increasing the risk of dehydration and overheating during exercise. Emphasizing hydration and heat precautions is critical for safety.