HESI RN
Nightdale College HESI Pharmacology RN 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? Which action should the nurse implement first?
Correct Answer: D
Rationale: Assessing the client’s pain level using a pain scale provides objective data to determine the appropriate dose and urgency of pain management. This guides safe administration, ensuring the dose matches the pain intensity. Checking prior doses or history is secondary, and diversional strategies are not the first step.
Question 2 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: D
Rationale: Naloxone’s short duration may not outlast the opioid’s effects, leading to recurrent respiratory depression. Administering a second dose reverses persistent opioid effects, improving respiration and arousal. CPR is premature, chest tubes are irrelevant, and Glasgow scoring is secondary to immediate reversal.
Question 3 of 5
A client with a seizure disorder is seen at the clinic for a follow-up visit and a prescription renewal for phenytoin. Which assessment finding warrants immediate intervention by the nurse? Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Double vision indicates phenytoin toxicity, which can impair coordination and increase fall risk. Immediate intervention, such as notifying the provider and checking serum levels, prevents complications like ataxia or seizures. Gums and insomnia are less urgent side effects.
Question 4 of 5
When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)? Which client should the nurse closely monitor for development of acute kidney injury (AKI)?
Correct Answer: D
Rationale: Vancomycin is nephrotoxic, particularly with prolonged use or high doses, increasing AKI risk. Close monitoring of renal function, serum levels, and urine output is essential. Lorazepam, digoxin, and sucralfate have minimal renal impact and lower AKI risk.
Question 5 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client? Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: Ginkgo biloba’s antiplatelet effects increase bleeding risk when combined with aspirin or NSAIDs, a critical interaction for clients with multiple sclerosis who may use these for pain. This is the most important teaching point to prevent serious bleeding complications.