HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?
Correct Answer: A
Rationale: Famotidine reduces gastric acid, alleviating epigastric pain, indicating effectiveness. Nighttime awakenings, stool tests, and weight loss are not direct measures of famotidine’s efficacy.
Question 2 of 5
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
Correct Answer: B
Rationale: Pilocarpine causes miosis, reducing pupil dilation in low light, which impairs night vision. Increased fluid doesn’t cloud vision, lens opacity relates to cataracts, and pilocarpine constricts, not dilates, pupils.
Question 3 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning from irritated bladder mucosa. It does not kill bacteria, calm spasms, or require specific timing related to intercourse.
Question 4 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: D
Rationale: The options seem misaligned with the question, as they describe instructions, not symptoms. However, taking levothyroxine early in the day prevents insomnia, a symptom of excessive dosing (hyperthyroidism). Clients should report symptoms like insomnia, palpitations, or restlessness, indicating overdose. Fluid intake, standing slowly, or twice-weekly dosing are unrelated to overdose symptoms.
Question 5 of 5
A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?
Correct Answer: A
Rationale: Using a straw prevents tooth staining from ferrous sulfate. Undiluted swallowing risks staining, milk reduces absorption due to calcium, and antacids interfere with iron absorption.