HESI RN
RN HESI Pharmacology Exam Questions
Extract:
Question 1 of 5
A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?
Correct Answer: A
Rationale: Somatropin requires refrigeration (2-8°
C) to maintain stability. Storing at room temperature is incorrect, needing education. Rotating sites, discarding cloudy solution, and subcutaneous administration are correct.
Extract:
History and Physical
The client is a 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on post-op day 1.
Nurses' Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding noted at the site. Vital signs are heart rate 77 bpm, blood pressure 118/74 mmHg, respiratory rate 16 breaths/min.
Orders
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
1500:
• Docusate sodium 240 mg orally every am
• Naloxone 2 mg intravenously as needed for respiratory depression
• Ibuprofen 600 mg orally every 6 hours
Question 2 of 5
The charge nurse places a fall precautions sign on the client's door. What side effects of morphine could contribute to this client's fall risk? Select all that apply.
Correct Answer: B,C,D,E,F,G
Rationale: Nausea, orthostatic hypotension, sedation, euphoria, itching, and urinary retention can cause dizziness, weakness, or distraction, increasing fall risk. Seizures are rare with therapeutic morphine doses.
Extract:
Question 3 of 5
The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?
Correct Answer: D
Rationale: Sevelamer binds dietary phosphorus in the gut, reducing absorption in CKD to prevent hyperphosphatemia. Taking with meals ensures binding. Reflux, acid buffering, and indigestion are unrelated.
Question 4 of 5
Which assessment finding requires nursing intervention prior to the administration of a prescribed dose of digoxin to an adult?
Correct Answer: A
Rationale: Digoxin slows heart rate; a pulse of 50 beats/min indicates bradycardia, requiring the nurse to withhold the dose and notify the provider to prevent toxicity. Irregular rhythm, murmurs, or pulmonic site auscultation are not contraindications.
Question 5 of 5
A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
Correct Answer: B
Rationale: St. John's wort reduces oral contraceptive efficacy by inducing liver enzymes, increasing pregnancy risk. Additional contraception is needed, requiring further instruction. Hard candy for dry mouth, insomnia, and sun sensitivity are accurate and do not need correction.