HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?
Correct Answer: A
Rationale: Metformin increases the risk of lactic acidosis with contrast agents, requiring follow-up to hold the drug. Metal prostheses, prior CT scans, and sobriety are less critical for contrast safety.
Question 2 of 5
When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA), which statement should the nurse make regarding smoking?
Correct Answer: C
Rationale: Smoking post-surgery increases risks like delayed healing and respiratory complications. Educating the client to avoid smoking promotes recovery. Waiting an hour, smoking in the room, or using a wheelchair to smoke are inappropriate and unsafe.
Question 3 of 5
A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Bupropion may cause insomnia and weight loss, which clients should anticipate. Tyramine-free diets are relevant for MAOIs, not bupropion, and notifying about side effects is general advice, not specific.
Question 4 of 5
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?
Correct Answer: A
Rationale: Feverfew can increase bleeding risk with aspirin/NSAIDs, a critical interaction to highlight. Allergies, anxiety, and GI side effects are important but less urgent than drug interactions.
Question 5 of 5
The nurse discontinues the client's patient-controlled analgesia (PCA). Which statement about eye drops is correct?
Correct Answer: A
Rationale: The question context is unclear, as PCA discontinuation is unrelated to eye drops. Assuming it refers to a prior topic, choice A is plausible for certain eye drops (e.g., those increasing aqueous humor), but B is more specific to miotics like pilocarpine. Without context, A is marked correct per the data, though clarification is needed.