HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client who is newly diagnosed with diabetes insipidus (DI) is receiving synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider? Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Worsening headache may indicate water intoxication or hyponatremia, serious complications of vasopressin therapy, requiring immediate reporting.
Question 2 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse? Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if a dose is missed is incorrect and dangerous, as it can increase the risk of toxicity. The client should take the missed dose as soon as remembered, unless it’s nearly time for the next dose, then continue the regular schedule.
Question 3 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson’s disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first? Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Exploring the client’s concern clarifies specific issues, guiding subsequent interventions to address effectiveness or side effects.
Question 4 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate must be taken with water on an empty stomach to ensure absorption and prevent esophageal irritation. Milk interferes with absorption.
Question 5 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply. Which actions should the nurse implement?
Correct Answer: B,C,E
Rationale: Providing an NSAID could worsen bleeding, and a variance report is premature without evidence of error. A soft bristle toothbrush reduces gum irritation, reviewing coagulation lab values ensures proper anticoagulant dosing, and reporting to the provider addresses potential adverse effects.