HESI RN
RN HESI Pharmacology Exam Questions
Extract:
Question 1 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Benzonatate suppresses cough by numbing respiratory passages. No coughing spells indicates effectiveness. Expectorating, nasal discharge, or sleep are not direct measures of antitussive action.
Extract:
History and Physical
The client is a 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on post-op day 1.
Nurses' Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding noted at the site. Vital signs are heart rate 77 bpm, blood pressure 118/74 mmHg, respiratory rate 16 breaths/min.
Orders
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
1500:
• Docusate sodium 240 mg orally every am
• Naloxone 2 mg intravenously as needed for respiratory depression
• Ibuprofen 600 mg orally every 6 hours
Question 2 of 5
The charge nurse places a fall precautions sign on the client's door. What side effects of morphine could contribute to this client's fall risk? Select all that apply.
Correct Answer: B,C,D,E,F,G
Rationale: Nausea, orthostatic hypotension, sedation, euphoria, itching, and urinary retention can cause dizziness, weakness, or distraction, increasing fall risk. Seizures are rare with therapeutic morphine doses.
Extract:
Question 3 of 5
A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?
Correct Answer: A
Rationale: Somatropin requires refrigeration (2-8°
C) to maintain stability. Storing at room temperature is incorrect, needing education. Rotating sites, discarding cloudy solution, and subcutaneous administration are correct.
Extract:
History and Physical
• - Admit to the surgical floor
• - Clear liquid diet, advance as tolerated
• - Continuous cardiorespiratory monitoring
• - Morphine 1 mg/hr intravenously
• - Alert surgeon to signs of bleeding or infection in the surgical site
•
Orders
- Admit to the surgical floor
- Clear liquid diet, advance as tolerated
- Continuous cardiorespiratory monitoring
- Morphine 1 mg/hr intravenously
- Alert surgeon to signs of bleeding or infection in the surgical site
Question 4 of 5
The nurse is discussing the client's pain management with a student nurse. Morphine is a(n) ----------------------- and it activates----------------receptors and is used to relieve -------------- .
Correct Answer: A,B,E
Rationale: Morphine is a pure opioid agonist (not antagonist, correcting the provided answer), activating mu receptors for analgesia, primarily for severe pain (e.g., post-surgical). Agonist-antagonists, local anesthetics, kappa, NMDA, or other pain types are incorrect.
Extract:
Question 5 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Benzonatate suppresses cough by numbing respiratory passages. No coughing spells indicates effectiveness. Expectorating, nasal discharge, or sleep are not direct measures of antitussive action.