HESI RN
HESI Pharmacology Exam 2 Questions
Extract:
Question 1 of 5
A client on alcohol withdrawal protocol suddenly begins to have a seizure in his bed. After several minutes the seizure has not ended and the nurse suspects the client is suffering from status epilepticus. What is the priority action the nurse will take?
Correct Answer: A
Rationale: Status epilepticus requires immediate seizure cessation to prevent brain damage. IV lorazepam is the priority to stop the seizure. Lowering to the floor, waiting, or calling a code delays critical intervention.
Extract:
Patient Data
The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine.
History and PhysicalOrders
prescription for captopril 25mg by mouth twice a day
Find information about a client below.
Exhibits
The client is in the provider’s office for a physical. He states that he has been monitoring his blood pressure, but it is continuing to go up.
Question 2 of 5
The physician has given the client a prescription for captopril.Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. Captopril is a ------------ that works by------------------.
Correct Answer: B,E
Rationale: Captopril is an angiotensin-converting enzyme (ACE) inhibitor, blocking the conversion of angiotensin I to II, relaxing blood vessels, and lowering blood pressure. Non-steroidal, angiotensin II receptor blockers, and aldosterone antagonists are different classes.
Extract:
Question 3 of 5
The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?
Correct Answer: B
Rationale: Tetracycline causes photosensitivity, increasing sunburn risk. Instructing the client to protect their skin from sunlight prevents skin damage. Orange juice, milk, or antacids reduce absorption, and serum levels are not routinely monitored for tetracycline.
Question 4 of 5
After receiving five doses of filgrastim, the nurse notes that the client’s white blood cell count has increased from 2,500/mm3 (2.5 x 10^9/L) to 5,000/mm3 (5 x 10^9/L). Which action should the nurse implement? White Blood Cell (WBC) [Reference Range: 5000 to 10,000/mm3 (5 to 10 x 10^9/L)]
Correct Answer: D
Rationale: Filgrastim stimulates white blood cell production. An increase from 2,500 to 5,000/mm3 indicates effectiveness, though still at the lower normal range. Informing the client reinforces adherence. Culture reports, vital signs, or neutropenic precautions are unnecessary without infection signs.
Question 5 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Duloxetine is metabolized by the liver, and hepatotoxicity is a rare but serious risk. Obtaining liver function test results ensures safe administration, as impaired liver function increases toxicity risk. Family history, weight changes, or other antidepressant use are relevant but secondary to liver function.