HESI RN
RN HESI Pharmacology Exam Questions
Extract:
Question 1 of 5
A client recently diagnosed with Parkinson's disease receives a new prescription for carbidopa-levodopa, a dopaminergic drug. To reduce the client's risk for injury, which instruction should the nurse provide?
Correct Answer: C
Rationale: Carbidopa-levodopa can cause orthostatic hypotension, increasing fall risk. Caution during position changes prevents dizziness or fainting. Beds, rugs (tripping hazard), or assistive devices are not universally needed.
Question 2 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.
Question 3 of 5
To prevent deep vein thromboses following knee replacement surgery, an adult male client is receiving daily subcutaneous enoxaparin. Which laboratory result requires immediate action by the nurse? Reference Range: Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)] Platelets [150,000 to 400,000/mm² (150 to 400 × 10^9/L)] Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)] Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
Correct Answer: A
Rationale: A platelet count of 100,000/mm³ indicates thrombocytopenia, a potential enoxaparin side effect, increasing bleeding risk. Immediate action (notifying provider, monitoring for bleeding) is needed. Hematocrit, BUN, and creatinine are within normal ranges and do not require urgent intervention.
Question 4 of 5
Azithromycin is prescribed for a client with Chlamydia trachomatis. In providing client teaching about the medication, the nurse should emphasize the importance of reporting the onset of which symptom to the health care provider?
Correct Answer: C
Rationale: Yellow sclera indicates potential hepatotoxicity, a rare but serious azithromycin side effect requiring immediate reporting. Flatulence, nausea, and headache are common and mild; urinary frequency is unrelated.
Question 5 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Benzonatate suppresses cough by numbing respiratory passages. No coughing spells indicates effectiveness. Expectorating, nasal discharge, or sleep are not direct measures of antitussive action.