HESI RN
RN HESI Pharmacology Exam Questions
Extract:
Question 1 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?
Correct Answer: B
Rationale: Orlistat blocks dietary fat absorption, aiding weight loss. Monitoring body mass index (BMI) assesses weight reduction and program success. Depression, calorie counts, and protein levels are unrelated to orlistat’s direct effects.
Question 2 of 5
A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?
Correct Answer: A
Rationale: Somatropin requires refrigeration (2-8°
C) to maintain stability. Storing at room temperature is incorrect, needing education. Rotating sites, discarding cloudy solution, and subcutaneous administration are correct.
Question 3 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, interacts with tyramine-rich foods like pepperoni (aged meat) and cheese on pizza, risking hypertensive crisis. Beef, shrimp, and catfish are low in tyramine and safe.
Question 4 of 5
The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?
Correct Answer: D
Rationale: Sevelamer binds dietary phosphorus in the gut, reducing absorption in CKD to prevent hyperphosphatemia. Taking with meals ensures binding. Reflux, acid buffering, and indigestion are unrelated.
Extract:
History and Physical
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Nurses' Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding noted at the site.
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Orders
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Question 5 of 5
What actions should the nurse take to ensure safety during morphine administration? Select all that apply.
Correct Answer: A,D,E
Rationale: Morphine risks respiratory depression; checking respiratory rate, having a resuscitation bag, and reviewing medications for interactions ensure safety. ECG, suctioning, and restraints are unnecessary without specific indications.