HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem? Which problem should the nurse assess the client for the onset of?
Correct Answer: A
Rationale: Elevated CK levels indicate muscle damage, a sign of myopathy, a rare but serious side effect of atorvastatin. Assessing for muscle tenderness is critical to detect myopathy early, which can progress to rhabdomyolysis if untreated. Other symptoms like nausea or bruising are not directly related to CK elevation.
Question 2 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: D
Rationale: Naloxone’s short duration may not outlast the opioid’s effects, leading to recurrent respiratory depression. Administering a second dose reverses persistent opioid effects, improving respiration and arousal. CPR is premature, chest tubes are irrelevant, and Glasgow scoring is secondary to immediate reversal.
Question 3 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse? Which statement requires additional instruction by the nurse?
Correct Answer: C
Rationale: Smoking impairs cimetidine’s effectiveness and delays ulcer healing, requiring complete cessation, not just reduction. The client’s statement about reducing cigarette use indicates a misunderstanding, needing further instruction. Other statements about antacids, lethargy, and sexual dysfunction are correct.
Question 4 of 5
When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)? Which client should the nurse closely monitor for development of acute kidney injury (AKI)?
Correct Answer: D
Rationale: Vancomycin is nephrotoxic, particularly with prolonged use or high doses, increasing AKI risk. Close monitoring of renal function, serum levels, and urine output is essential. Lorazepam, digoxin, and sucralfate have minimal renal impact and lower AKI risk.
Question 5 of 5
The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug? How should the nurse explain the purpose of probenecid?
Correct Answer: D
Rationale: Probenecid increases uric acid excretion in urine, reducing blood levels and preventing gout attacks. It does not affect urinary pain, urine stream strength, or kidney stone formation (it may increase stone risk), making uric acid excretion the correct purpose.