HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse that the education was effective?
Correct Answer: A
Rationale: Levothyroxine is best absorbed on an empty stomach (
A), 30-60 minutes before eating, confirming effective education. Iron supplements (
B) reduce absorption but are secondary. Bedtime dosing (
C) is less optimal. High iodine foods (
D) may disrupt thyroid function.
Question 2 of 5
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head-to-toe assessment, the nurse discovers four patches on the client’s body. Which action should the nurse take first?
Correct Answer: A
Rationale: Multiple morphine patches suggest overdose, causing respiratory depression and sedation. Removing patches (
A) stops further absorption, the priority. Blood pressure (
B), oxygen (
C), and reversal (
D) follow.
Question 3 of 5
Which nursing action had the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct Answer: C
Rationale: Codeine causes sedation and dizziness, increasing fall risk. Instructing assistance for ambulation (
C) prioritizes safety. Onset time (
A), constipation prevention (
B), and pain relief reporting (
D) are secondary.
Question 4 of 5
A client is scheduled for a spiral computed topography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?
Correct Answer: B
Rationale: Metformin risks lactic acidosis with contrast dye due to renal effects. Follow-up (
B) ensures temporary discontinuation. Prior CT (
A), prosthesis (
C), and sobriety (
D) are less critical.
Question 5 of 5
A client with benign prostatic receives a new prescription of tamsulosin. Which intervention should the nurse use to monitor an adverse reaction?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, risks hypotension, causing dizziness or fainting. Monitoring blood pressure (
C) detects this adverse effect. Urine output (
A), bladder scans (
B), and weights (
D) are unrelated.