HESI RN
HESI RN Pharmacology 106a 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?
Correct Answer: A
Rationale: Feverfew can increase bleeding risk with aspirin/NSAIDs, a critical interaction to highlight. Allergies, anxiety, and GI side effects are important but less urgent than drug interactions.
Question 2 of 5
The nurse discontinues the client's patient-controlled analgesia (PCA). Which statement about eye drops is correct?
Correct Answer: A
Rationale: The question context is unclear, as PCA discontinuation is unrelated to eye drops. Assuming it refers to a prior topic, choice A is plausible for certain eye drops (e.g., those increasing aqueous humor), but B is more specific to miotics like pilocarpine. Without context, A is marked correct per the data, though clarification is needed.
Question 3 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?
Correct Answer: B
Rationale: Methylphenidate, a stimulant, can increase blood pressure, making hypertension a critical condition to review. Bronchitis, diabetes, and hypercholesterolemia are less directly impacted by methylphenidate.
Question 4 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?
Correct Answer: D
Rationale: Rising AST suggests hepatotoxicity from fluconazole, requiring the dose to be held and the provider notified for evaluation. Continuing the infusion, notifying the pharmacy, or submitting a report are secondary to addressing potential liver damage.
Question 5 of 5
Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?
Correct Answer: A
Rationale: Checking acid-base and electrolyte values is critical for digoxin toxicity, as imbalances like hypokalemia worsen toxicity. Changing routes, cardioversion, or potassium administration are not immediate without assessment.