HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client? Which information is most important for the nurse to include in a teaching plan for this client?
Correct Answer: A
Rationale: Feverfew can interact with aspirin and NSAIDs, increasing bleeding risk due to its anticoagulant properties. This interaction is critical to include in the teaching plan to prevent adverse effects, especially since the client is using feverfew for migraines, where NSAIDs are commonly used.
Question 2 of 5
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing 'heartburn.' How should the nurse respond? How should the nurse respond?
Correct Answer: A
Rationale: Risedronate can cause esophageal irritation, leading to heartburn if not taken correctly (e.g., without water or not remaining upright). Asking the client to describe her administration technique identifies potential errors, guiding corrective instructions.
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? Which action should the nurse take?
Correct Answer: D
Rationale: Insomnia is a common initial side effect of rivastigmine, a cholinesterase inhibitor, which may resolve as the body adjusts. Explaining this to the caregiver manages expectations and encourages continued adherence.
Question 4 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition? Which condition should the nurse review the medical record for?
Correct Answer: C
Rationale: Methylphenidate, a stimulant, can increase blood pressure and heart rate, exacerbating hypertension. Reviewing the medical record for hypertension ensures safe administration and prevents cardiovascular complications.
Question 5 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? Which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: D
Rationale: Calcium acetate is a phosphate binder used in CKD to lower elevated phosphate levels. A decrease in phosphate levels indicates the medication is effectively binding phosphate in the gut, preventing hyperphosphatemia complications.