HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the client's skin and sclera. Which laboratory result should the nurse review? Which laboratory result should the nurse review?
Correct Answer: D
Rationale: Fatigue, nausea, dark urine, and jaundice suggest liver toxicity, a known risk of albendazole. Reviewing liver function tests (e.g., AST, ALT, bilirubin) assesses liver damage and guides management. Metabolic, thyroid, or renal panels are not directly related to these symptoms.
Question 2 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: D
Rationale: Naloxone’s short duration may not outlast the opioid’s effects, leading to recurrent respiratory depression. Administering a second dose reverses persistent opioid effects, improving respiration and arousal. CPR is premature, chest tubes are irrelevant, and Glasgow scoring is secondary to immediate reversal.
Question 3 of 5
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to be darker in color. Which action should the nurse take? Which action should the nurse take?
Correct Answer: B
Rationale: Carbidopa/levodopa can cause harmless darkening of urine due to its metabolites. Explaining this normal side effect reassures the client and prevents unnecessary interventions. Other actions like urine cultures or increased intake are not indicated unless additional symptoms suggest infection or dehydration.
Question 4 of 5
A client is receiving intravenous (IV) vancomycin and the nurse plans to draw blood for a peak and trough to determine the serum level of the medication. Which of the following collection times provide the best determination of these levels? Which collection times provide the best determination of these levels?
Correct Answer: B
Rationale: Peak vancomycin levels, reflecting maximum concentration, are best measured one hour after IV dose completion. Trough levels, indicating minimum concentration, are drawn one hour before the next dose. This timing ensures accurate monitoring of therapeutic levels and prevents toxicity.
Question 5 of 5
The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care? Which action should the nurse include in this client's plan of care?
Correct Answer: B
Rationale: Sucralfate forms a protective barrier over ulcers in an acidic environment, requiring administration on an empty stomach, one hour before meals or at bedtime. Once-daily dosing is insufficient, and electrolyte imbalances or Candida infections are not primary concerns with sucralfate.