HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed? Which action indicates that additional teaching is needed?
Correct Answer: A
Rationale: Priming the ipratropium inhaler with 7 pumps is excessive, wasting medication. It requires only one spray to prime when first used or after 3 days. This action indicates a need for further teaching. Rinsing the mouth, proper storage, and using a spacer are correct practices.
Question 2 of 5
A client with benign prostatic BPH hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction? Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension, increasing fall risk. Measuring blood pressure regularly monitors for this adverse reaction, ensuring safety. Bladder scans and urine output assess BPH symptoms, not tamsulosin side effects, and weights are unrelated.
Question 3 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 laboratory result should the nurse review? Which laboratory result should the nurse review?
Correct Answer: D
Rationale: Fatigue, nausea, dark urine, and jaundice suggest liver toxicity, a known risk of albendazole. Reviewing liver function tests (e.g., AST, ALT, bilirubin) assesses liver damage and guides management. Metabolic, thyroid, or renal panels are not directly related to these symptoms.
Question 4 of 5
A client with psychosis who is receiving an antipsychotic medication is continually rubbing the back of the neck. Which nursing intervention is best for the nurse to implement? Which nursing intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Rubbing the back of the neck suggests extrapyramidal side effects (EPS), such as dystonia, from the antipsychotic medication. Benztropine, an anticholinergic, counteracts EPS by reducing muscle stiffness and spasms, providing rapid relief. Other interventions like heating pads or pillows may offer comfort but do not address the underlying EPS cause, and physical therapy is not an acute solution.
Question 5 of 5
A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse that the education was effective? Which statement made by the client indicates to the nurse that the education was effective?
Correct Answer: A
Rationale: Levothyroxine is best absorbed on an empty stomach, at least 30 minutes before breakfast, to ensure optimal efficacy. High-iodine foods may affect thyroid function, bedtime dosing risks insomnia, and iron supplements should be taken separately but not avoided entirely, making the empty stomach statement the most accurate indicator of effective education.