HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? Which instruction is most important for the nurse to provide?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension, increasing fall risk. Instructing the client to stand and sit up slowly minimizes dizziness and enhances safety, making it the most critical instruction.
Question 2 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition? Which condition should the nurse review the medical record for?
Correct Answer: C
Rationale: Methylphenidate, a stimulant, can increase blood pressure and heart rate, exacerbating hypertension. Reviewing the medical record for hypertension ensures safe administration and prevents cardiovascular complications.
Question 3 of 5
The nurse is reviewing the client’s laboratory results. Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? Which action should the nurse expect to implement?
Correct Answer: D
Rationale: Digoxin toxicity is often exacerbated by electrolyte imbalances, such as hypokalemia or hypercalcemia. Checking acid-base and electrolyte values identifies contributing factors, guiding appropriate interventions like withholding digoxin or correcting imbalances.
Question 4 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? Which assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Assessing the frequency and consistency of bowel movements provides critical information about the client's bowel function, establishing a baseline to determine the need for a laxative and evaluate its effectiveness. This helps avoid overmedication or complications like diarrhea or fecal impaction, making it the most important assessment before administering a laxative.
Question 5 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect? Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning by soothing irritated bladder mucosa. Explaining this effect helps the client understand its role in symptom relief, not infection treatment.