HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?
Correct Answer: B
Rationale: Sublingual nitroglycerin provides rapid relief for acute chest pain, complementing the sustained effect of the transdermal patch. Adding another patch risks overdose, withholding delays relief, and the patch’s slow onset doesn’t address acute pain.
Question 2 of 5
A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan?
Correct Answer: D
Rationale: Black stools may indicate gastrointestinal bleeding, requiring immediate provider notification. Diarrhea/headache are less urgent, resuming NSAIDs risks further damage, and bland diets are outdated.
Question 3 of 5
During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?
Correct Answer: A
Rationale: Insomnia is a common, often temporary side effect of rivastigmine. Explaining this reassures the caregiver. Rivastigmine is for cognition, not sleep, and withholding or increasing the dose is inappropriate without provider guidance.
Question 4 of 5
The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?
Correct Answer: B
Rationale: Involuntary movements and confusion suggest a serious issue, possibly medication toxicity or disease progression, requiring immediate emergency evaluation. Clinic visits, medication lists, or disease duration are secondary to urgent care.
Question 5 of 5
A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?
Correct Answer: B
Rationale: Tremors are a potential side effect of pregabalin, warranting provider notification for possible dose adjustment. Anti-anxiety drugs, glucose levels, and blood pressure readings are not directly related to addressing tremors.