HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
Correct Answer: B
Rationale: Pilocarpine causes miosis, reducing pupil dilation in low light, which impairs night vision. Increased fluid doesn’t cloud vision, lens opacity relates to cataracts, and pilocarpine constricts, not dilates, pupils.
Question 2 of 5
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
Correct Answer: B
Rationale: Pilocarpine causes miosis, reducing pupil dilation in low light, which impairs night vision. Increased fluid doesn’t cloud vision, lens opacity relates to cataracts, and pilocarpine constricts, not dilates, pupils.
Question 3 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement?
Correct Answer: D
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. A neurological exam, glucagon administration, or vital signs assessment are secondary until glucose levels are verified.
Question 4 of 5
A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan?
Correct Answer: D
Rationale: Black stools may indicate gastrointestinal bleeding, requiring immediate provider notification. Diarrhea/headache are less urgent, resuming NSAIDs risks further damage, and bland diets are outdated.
Question 5 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline reduces birth control pill effectiveness, requiring additional contraception. Timing separation, stopping birth control, or notifying about contraindications are incorrect actions.