HESI RN
HESI RN Pharmacology 106a 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?
Correct Answer: D
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. A neurological exam, glucagon administration, or vital signs assessment are secondary until glucose levels are verified.
Question 2 of 5
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
Correct Answer: C
Rationale: Isotretinoin is highly teratogenic, requiring discontinuation at least one month before conception to prevent birth defects. Breastfeeding, vitamin A, and liver monitoring are secondary concerns.
Question 3 of 5
During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?
Correct Answer: A
Rationale: Insomnia is a common, often temporary side effect of rivastigmine. Explaining this reassures the caregiver. Rivastigmine is for cognition, not sleep, and withholding or increasing the dose is inappropriate without provider guidance.
Question 4 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: C
Rationale: Calcium acetate binds phosphate in CKD, reducing serum phosphate levels, which indicates effectiveness. Calcium, potassium, and pH are not primary targets.
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.