HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if missed is incorrect and requires instruction. Patients should take a missed dose as soon as remembered unless it’s close to the next dose, then skip it. Doubling doses can increase the risk of side effects without therapeutic benefit.
Question 2 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: D
Rationale: Rapid weight gain may indicate fluid retention or other serious complications with gabapentin use, requiring urgent evaluation. This symptom is more critical to report than photosensitivity, gastric irritation, or sexual dysfunction, which are less severe or less commonly associated.
Question 3 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: B
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage with NSAIDs like diclofenac. This history is the most concerning, requiring close monitoring for GI complications and hepatotoxicity during treatment.
Question 4 of 5
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: While antiretroviral therapy (ART) significantly reduces HIV transmission risk by lowering viral load, it does not completely prevent it. The client needs clarification that even with an undetectable viral load, transmission is possible, and preventive measures like safer sex practices are still necessary.
Question 5 of 5
A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of heartburn and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider?
Correct Answer: C
Rationale: A positive guaiac test indicates gastrointestinal bleeding, likely related to ibuprofen use, which can cause fatigue and dizziness due to anemia. This finding requires immediate reporting to address potential bleeding and prevent further complications.