HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
A client who receives multiple antihypertensive multiple medications experiences syncope due to a drop in blood pressure to 70/40 mm Hg. Which is the rationale for the nurse’s decision to hold the client’s scheduled antihypertensive medications?
Correct Answer: D
Rationale: Multiple antihypertensives can have an additive effect, excessively lowering blood pressure (
D), causing syncope. Diuresis (
A), toxicity (
B), or antagonism (
C) are less likely.
Question 2 of 5
A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: C
Rationale: Baclofen manages chronic spasticity; discontinuing when spasms cease (
C) risks withdrawal and recurrence, needing teaching. Stool softeners (
A), alcohol avoidance (
B), and meal timing (
D) are correct.
Question 3 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run a marathon. Which instruction should the nurse emphasize?
Correct Answer: C
Rationale: Oxybutynin causes dry mouth and reduced sweating, increasing dehydration and overheating risks (
C), critical for marathon training. Crowds (
A), bruising (
B), and sun injury (
D) are not primary concerns.
Question 4 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 lab results should the nurse review?
Correct Answer: D
Rationale: Albendazole is hepatically metabolized and can cause liver damage, indicated by fatigue, nausea, dark urine, and jaundice (yellowing skin/sclera). Liver function tests (
D) assess damage severity (e.g., elevated AST/ALT). Renal (
A), thyroid (
B), and metabolic (
C) panels are unrelated to these symptoms.
Question 5 of 5
Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the total level of calcium is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement?
Correct Answer: D
Rationale: A calcium level of 14 mg/dL (3.5 mmol/L) indicates hypercalcemia (normal: 8.5-10.2 mg/dL). Calcitriol and calcium carbonate increase calcium levels, risking toxicity. Holding both and contacting the provider (
D) is safest.