HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing the client’s pain level using a pain scale (
C) is the first step to quantify pain and guide appropriate dosing. Determining the last dose (
A) and reviewing drug history (
B) are secondary. Diversional thoughts (
D) are a non-pharmacological adjunct, not the priority.
Question 2 of 5
A client with type I diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the client and family to administer glucagon?
Correct Answer: B
Rationale: This question is identical to Question 25. Glucagon is for severe hypoglycemia (
B), not hyperglycemia (
A), sick days (
C), or ketoacidosis (
D). Note: Duplicate question; consider removing.
Question 3 of 5
Rivastigmine, a cholinesterase inhibitor, is prescribed for a female patient with early-stage Alzheimer’s Disease. The patient’s daughter tells the nurse that she plans to start administering the drug when her mother’s symptoms worsen, hoping to avoid nursing home placement. How should the nurse respond?
Correct Answer: B
Rationale: Rivastigmine is most effective early in Alzheimer’s (
B) to slow symptom progression. Delaying until worsening (
A) reduces benefits. Mental status assessment (
C) informs but doesn’t guide timing. Discussing disease progression (
D) is secondary to medication timing.
Question 4 of 5
The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease. What should be included in this patient’s care plan?
Correct Answer: B
Rationale: Sucralfate forms a protective barrier over ulcers and should be given on an empty stomach (
B), 1 hour before meals or at bedtime, for optimal efficacy. Once-daily dosing (
A) is incorrect; it’s typically 4 times daily. Candida infection (
C) and electrolyte imbalances (
D) are not associated with sucralfate.
Question 5 of 5
A female patient who follows a vegetarian diet has recently been prescribed warfarin. She mentions that she consumes leafy green vegetables daily. What should be the nurse’s response?
Correct Answer: C
Rationale: Leafy greens, high in vitamin K, can reduce warfarin’s anticoagulant effect. Informing the provider (
C) ensures dose adjustment. Praising (
A) or assuring enhanced efficacy (
B) ignores the interaction. Substituting vegetables (
D) is unnecessary with proper monitoring.