HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse that the education was effective? Which statement made by the client indicates to the nurse that the education was effective?
Correct Answer: A
Rationale: Levothyroxine is best absorbed on an empty stomach, at least 30 minutes before breakfast, to ensure optimal efficacy. High-iodine foods may affect thyroid function, bedtime dosing risks insomnia, and iron supplements should be taken separately but not avoided entirely, making the empty stomach statement the most accurate indicator of effective education.
Question 2 of 5
Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address? Which assessment finding is most important for the nurse to address?
Correct Answer: B
Rationale: Terbinafine is hepatotoxic, and a history of alcoholism suggests potential liver damage, increasing the risk of adverse effects. Addressing this history is critical to assess liver function before administration. Other findings, like occupation or normal WBC, are less relevant to the medication's safety.
Question 3 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, manifesting as confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. Neurological exams or vital signs are secondary, and glucagon is premature without confirmed low glucose.
Question 4 of 5
The nurse is caring for a client who is taking diclofenac, a nonsteroidal anti-inflammatory (NSAID) drug for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review? Which laboratory value is most important for the nurse to review?
Correct Answer: D
Rationale: Pale appearance and fatigue suggest anemia, a potential complication of diclofenac due to gastrointestinal bleeding. Reviewing hemoglobin levels confirms anemia and guides further management. Glucose, protein, or sodium are not directly related to these symptoms or NSAID side effects.
Question 5 of 5
A client with benign prostatic BPH hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction? Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension, increasing fall risk. Measuring blood pressure regularly monitors for this adverse reaction, ensuring safety. Bladder scans and urine output assess BPH symptoms, not tamsulosin side effects, and weights are unrelated.