HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) has been prescribed a new ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: A
Rationale: Ipratropium inhalers require 2-3 priming sprays for new devices, not 7 (
A), indicating a need for teaching. Room temperature storage (
B), mouth rinsing (
C), and spacer use (
D) are correct.
Question 2 of 5
A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?
Correct Answer: A
Rationale: This question is identical to Question 29. Tamsulosin can cause hypotension (
A), necessitating blood pressure monitoring. Urine output (
B), bladder scans (
C), and weights (
D) don’t address adverse effects. Note: Duplicate question; consider removing.
Question 3 of 5
A patient with peptic ulcer disease has been prescribed cimetidine. Which statement made by the patient indicates the need for further instruction by the nurse?
Correct Answer: C
Rationale: Cimetidine should be taken with meals or immediately after, not 1 hour after antacids (
C), which interferes with absorption. Reducing smoking (
A) is insufficient; cessation is ideal. Lethargy (
B) and sexual dysfunction (
D) are valid monitoring points.
Question 4 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: D
Rationale: Involuntary movements (
D), such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide, requiring immediate reporting. Diarrhea (
A) and irritability (
B) are less severe. Nausea (
C) is the treated condition, not an adverse effect.
Question 5 of 5
The nurse administers naloxone to a patient with opioid-induced respiratory depression. An hour later, the nurse finds the patient has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unresponsive. What action should the nurse take?
Correct Answer: D
Rationale: Severe respiratory depression (4 breaths/min), hypoxia (75% SpO₂), and unresponsiveness require immediate CPR (
D) to restore circulation/oxygenation. A second naloxone dose (
A) may be needed but is secondary. Chest tubes (
B) are irrelevant. Glasgow scoring (
C) delays critical intervention.