HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
A client who has dysphagia after a cerebral vascular accident (CVA) receives a new prescription for lansoprazole capsules via nasogastric tube (NGT). Which action should the nurse implement prior to administering the medication?
Correct Answer: A
Rationale: Lansoprazole granules are mixed with water for NGT administration to ensure proper delivery. Tablets are unsuitable, crushing alters efficacy, and applesauce is inappropriate for tube administration.
Question 2 of 5
A client who has dysphagia after a cerebral vascular accident (CVA) receives a new prescription for lansoprazole capsules via nasogastric tube (NGT). Which action should the nurse implement prior to administering the medication?
Correct Answer: A
Rationale: Lansoprazole granules are mixed with water for NGT administration to ensure proper delivery. Tablets are unsuitable, crushing alters efficacy, and applesauce is inappropriate for tube administration.
Question 3 of 5
The nurse is caring for a client who has a finger stick blood glucose level of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the nurse is informed that morning meal trays will be 30 minutes late. Which action should the nurse take?
Correct Answer: C
Rationale: Acarbose, an alpha-glucosidase inhibitor, must be taken with the first bite of a meal to manage postprandial glucose. Holding it until the meal arrives ensures proper timing and efficacy. Administering early, notifying the provider, or rechecking glucose are unnecessary.
Question 4 of 5
The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?
Correct Answer: A
Rationale: Tetracycline increases photosensitivity, requiring sun protection. Orange juice, milk, and antacids reduce absorption, and weekly serum levels aren’t typically needed.
Question 5 of 5
Rivastigmine, a cholinesterase inhibitor, is prescribed for a female client with early stage Alzheimer's Disease. The client's daughter tells the nurse that she plans to start administering the drug when her mother's symptoms are no longer manageable, in hopes that her mother will not have to go to a nursing home. How should the nurse respond?
Correct Answer: D
Rationale: Rivastigmine is most effective early in Alzheimer’s to manage symptoms and slow progression. Delaying until symptoms worsen reduces efficacy. Assessing mental status or confirming disease progression is secondary to correcting the timing misconception.