HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.) The nurse should program the infusion pump to deliver how many mL/hr?
Correct Answer: 200
Rationale: The IV bag contains 200 mL to be infused over 1 hour. Infusion rate = 200 mL ÷ 1 hour = 200 mL/hr.
Question 2 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client? Which instructions should the nurse provide the client?
Correct Answer: A
Rationale: Methotrexate and adalimumab suppress the immune system, increasing infection risk. Avoiding crowds and sick individuals is critical to prevent infections.
Question 3 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client? Which instruction should the nurse provide to the client?
Correct Answer: C
Rationale: Erythromycin can reduce the effectiveness of oral contraceptives by increasing the metabolism of the hormones, leading to a higher risk of unintended pregnancy. Using an additional form of contraception, such as condoms, is recommended to prevent unintended pregnancy while taking both medications.
Question 4 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first? Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest cardiac issues, making cardiac monitoring the priority.
Question 5 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? Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: B
Rationale: Gabapentin can cause fluid retention, leading to rapid weight gain, which may signal serious issues like heart or kidney problems. This symptom requires prompt reporting to the healthcare provider for further evaluation.