HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, manifesting as confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. Neurological exams or vital signs are secondary, and glucagon is premature without confirmed low glucose.
Question 2 of 5
The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion? Which manifestation should the nurse identify as a reason to stop the infusion?
Correct Answer: A
Rationale: A scratchy throat may signal an allergic reaction to piperacillin-tazobactam, a penicillin derivative, potentially progressing to anaphylaxis. Stopping the infusion immediately prevents severe complications. Other manifestations like bradycardia or hypertension are not typical allergic responses and require monitoring but not immediate cessation.
Question 3 of 5
Rivastigmine, a cholinesterase inhibitor, is prescribed for a female client with early stage Alzheimer's disease. The client's daughter tells the nurse that she plans to start administering the drug when her mother's symptoms are no longer manageable, in hopes that her mother will not have to go to a nursing home. How should the nurse respond? How should the nurse respond?
Correct Answer: C
Rationale: Rivastigmine is most effective in early Alzheimer’s, slowing cognitive decline and delaying institutionalization. Explaining the need for early use corrects the daughter’s misconception, optimizing outcomes. Confirming disease progression or assessing mental status does not address the timing error, and affirming delayed use is incorrect.
Question 4 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? Which information is most important for the nurse to obtain?
Correct Answer: B
Rationale: Duloxetine is metabolized by the liver, and hepatotoxicity is a rare but serious risk. Obtaining liver function test results is critical to ensure safe administration, as impaired liver function increases the risk of toxicity. Other factors like weight changes or antidepressant use are relevant but secondary to liver function.
Question 5 of 5
A client with a seizure disorder is seen at the clinic for a follow-up visit and a prescription renewal for phenytoin. Which assessment finding warrants immediate intervention by the nurse? Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Double vision indicates phenytoin toxicity, which can impair coordination and increase fall risk. Immediate intervention, such as notifying the provider and checking serum levels, prevents complications like ataxia or seizures. Gums and insomnia are less urgent side effects.