HESI RN
HESI 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: C
Rationale: Ipratropium inhalers require priming with 2 sprays, not 7 (
C), indicating a need for teaching. Spacer use (
A), room temperature storage (
B), and rinsing mouth (
D) are correct.
Question 2 of 5
The nurse is planning to administer the antiulcer GI agent sucralfate to a client with a peptic ulcer disease. Which action should the nurse include in this client’s plan of care?
Correct Answer: D
Rationale: Sucralfate coats ulcer tissue, requiring an empty stomach (
D) for optimal adhesion (1 hour before or 2 hours after meals). Daily dosing (
A) is incorrect; it’s typically 4 times daily. Candida (
B) and electrolytes (
C) are unrelated.
Question 3 of 5
The nurse is preparing a client with Chronic Obstructive Pulmonary Disease (COPD) and a chronic productive cough for discharged home. Which prescribed medication should the nurse review with the client to manage this symptom?
Correct Answer: D
Rationale: Guaifenesin (
D), an expectorant, thins mucus, easing cough in COPD. Salmeterol (
A) and tiotropium (
B), bronchodilators, improve airflow but don’t address mucus. Prednisone (
C) reduces inflammation in exacerbations, not chronic cough.
Question 4 of 5
A client taking atorvastatin becomes an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?
Correct Answer: D
Rationale: Atorvastatin can cause myopathy, indicated by elevated CK levels. Muscle tenderness (
D) suggests muscle damage, requiring assessment. Nausea (
A), bruising (
B), and edema (
C) are not typical.
Question 5 of 5
The home health nurse observes a client self-administering an epinephrine injection using an auto-injector pen. Which client action requires intervention by the nurse?
Correct Answer: C
Rationale: Epinephrine auto-injectors are single-use; cleaning for re-use (
C) risks infection or malfunction. Thigh administration (
A) is correct. Injecting through clothing (
B) may reduce efficacy but is less critical.
Choice D is a duplicate and addressed by C.