HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?
Correct Answer: A
Rationale: Furosemide can cause hypokalemia, leading to palpitations and leg cramps, which may indicate cardiac arrhythmias. Placing the client on cardiac monitoring is the priority to assess for serious cardiac issues and ensure prompt intervention if needed.
Question 2 of 5
The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?
Correct Answer: A
Rationale: Mydriatic medications dilate pupils, increasing light sensitivity. A dimly lit room reduces glare and discomfort, making it the best environment for the client’s comfort.
Question 3 of 5
A client receives a prescription for penicillin 2 million units IM. The available vial is labeled, '600,000 units/2 mL.' How many mL should the nurse administer? (Enter numeric value only.)
Correct Answer: 4
Rationale: Required dose: 2 million units. Concentration: 600,000 units/2 mL = 300,000 units/mL. Volume = 2 million units / 300,000 units/mL = 4 mL.
Question 4 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if missed is incorrect and requires instruction. Patients should take a missed dose as soon as remembered unless it’s close to the next dose, then skip it. Doubling doses can increase the risk of side effects without therapeutic benefit.
Question 5 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?
Correct Answer: D
Rationale: Risedronate must be taken with plain water and no food or other beverages for at least 30 minutes to ensure proper absorption. Milk can interfere with absorption, so the nurse should instruct the client accordingly.