HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?
Correct Answer: A
Rationale: Feverfew, in the Asteraceae family, risks allergic reactions in those allergic to chamomile/ragweed/yarrow (
A), a critical warning. NSAID interactions (
B), GI side effects (
C), and anxiety (
D) are secondary concerns.
Question 2 of 5
The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment, the nurse observes the client is alert and oriented but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication?
Correct Answer: B
Rationale: Acetaminophen (
B) is a common cause of drug-induced liver injury, leading to jaundice. Notifying the provider is critical. Omeprazole (
A) rarely causes liver issues. Captopril (
C) and prednisone (
D) are less likely to cause jaundice. Baseline liver function tests are key.
Question 3 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline reduces hormonal contraceptive efficacy (
B), requiring additional contraception (e.g., condoms). No contraindication exists (
A). Timing separation (
C) is irrelevant. Stopping birth control (
D) risks pregnancy.
Question 4 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: D
Rationale: Zolpidem, a sedative-hypnotic, treats insomnia. Sleeping soundly through the night (
D) indicates efficacy. Incontinence (
A), concentration (
B), and emotional outbursts (
C) are unrelated to its primary effect.
Question 5 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
Correct Answer: B
Rationale: Determining bowel movement frequency/consistency (
B) assesses the need for a laxative, preventing overuse or complications (e.g., diarrhea). Strength (
A), skin integrity (
C), and urge recognition (
D) are secondary.