HESI RN
HESI RN 311 Pharmacology 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?
Correct Answer: D
Rationale: Priming ipratropium with 7 pumps (
D) is excessive; 2-4 sprays are sufficient, indicating a need for teaching. Rinsing mouth (
A), room temperature storage (
B), and spacer use (
C) are correct practices.
Question 2 of 5
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing heartburn. How should the nurse respond?
Correct Answer: C
Rationale: Heartburn with risedronate suggests improper administration (e.g., not enough water, not staying upright). Asking how it’s taken (
C) identifies errors. Antacids (
A) interfere with absorption. Water (
B) is part of correct use but not diagnostic. Emergency care (
D) is premature.
Question 3 of 5
A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement?
Correct Answer: C
Rationale: Tremors are a potential side effect of pregabalin (
C). Notifying the provider allows evaluation for dose adjustment or alternative therapy. Antianxiety drugs (
A) may mask symptoms without addressing the cause. Orthostatic hypotension (
B) is unrelated to tremors. Glucose levels (
D) are irrelevant without diabetes history.
Question 4 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: C
Rationale: This question is identical to Question 13. Calcium acetate lowers serum phosphate (
C) by binding it in the GI tract. It does not affect potassium (
A) or pH (
D) and may raise calcium (
B). Note: Duplicate question; consider removing.
Question 5 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: D
Rationale: This question is identical to Question 15. Zolpidem treats insomnia; sleeping soundly (
D) indicates efficacy. Incontinence (
A), concentration (
B), and outbursts (
C) are unrelated. Note: Duplicate question; consider removing.