HESI RN
HESI RN 301 Pharmacology Final Exam 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: B
Rationale: Doubling allopurinol after a missed dose risks toxicity; take the missed dose if time permits or skip it. Reducing caffeine/acid, taking with food, and drinking water are correct.
Question 2 of 5
Digoxin and furosemide were prescribed for a client with chronic heart failure, and the home health nurse is evaluating the client's self-care knowledge of these drugs. Which statement indicates that the client has a good understanding about the use of these drugs?
Correct Answer: A
Rationale: Nausea and appetite loss are signs of digoxin toxicity, requiring provider notification, showing good understanding. Furosemide is taken regularly, not symptom-based, and blood pressure or weight-based dose adjustments need medical guidance.
Question 3 of 5
Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?
Correct Answer: C
Rationale: Misoprostol can induce uterine contractions and miscarriage, making pregnancy a critical contraindication to assess before administration. Antiemetic use, aspirin allergy, and glaucoma history are less directly relevant.
Question 4 of 5
Based on the capillary glucose measurement, a client is to receive 10 units of regular insulin. The client's medication drawer contains one vial of a 70/30 mixture of regular insulin and isophane insulin. How should the nurse prepare the prescribed dose?
Correct Answer: C
Rationale: A 70/30 vial contains 30% regular insulin, so 10 units yields only 3 units regular insulin. Withholding until regular insulin is available ensures accurate dosing.
Question 5 of 5
Which instruction should the nurse provide an unlicensed assistive personnel (UAP) who is assisting with the personal care of a client receiving clopidogrel?
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, so a soft toothbrush minimizes gum bleeding. Environment, rest, and bed elevation are unrelated to clopidogrel’s effects.