HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
A client is using the nasal spray hormone calcitonin to reduce bone loss from osteoporosis. To reduce rhinitis associated with administration of the nasal spray, the nurse should provide the client with which instruction?
Correct Answer: A
Rationale: Alternating nostrils daily reduces local irritation and rhinitis from calcitonin nasal spray, allowing each nostril recovery time. Lying down doesn’t directly reduce rhinitis, and NSAIDs or antihistamines are not standard for managing this side effect.
Question 2 of 5
Which instruction should the nurse provide an unlicensed assistive personnel (UAP) who is assisting with the personal care of a client receiving clopidogrel?
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, so a soft toothbrush minimizes gum bleeding. Environment, rest, and bed elevation are unrelated to clopidogrel’s effects.
Question 3 of 5
An increase in which serum lab value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: D
Rationale: Atorvastatin lowers LDL and raises HDL to reduce coronary artery disease risk. An increase in HDL indicates a beneficial effect. Increased LDL, PT, or CK (indicating muscle damage) are not desired.
Question 4 of 5
A male client reports to the nurse that he is experiencing gastrointestinal (GI) distress from a high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement, which nursing action is most important for the nurse to implement?
Correct Answer: B
Rationale: Abruptly stopping corticosteroids risks adrenal insufficiency. Advising gradual tapering is critical. Assessing other effects, taking with food, or reviewing dosing are secondary.
Question 5 of 5
The nurse is preparing client teaching materials on commonly used medications. Which client is most likely to benefit from a client education packet about simvastatin?
Correct Answer: B
Rationale: Simvastatin lowers cholesterol, benefiting those with angina due to coronary artery disease risk. Vaginal infections, pregnancy (contraindicated), and bone cancer are unrelated.