HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client with a history of smoking cigarettes for many years arrives at the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Bupropion may cause insomnia and weight loss, which clients should anticipate. Tyramine-free diets are relevant for MAOIs, not bupropion, and notifying about side effects is general advice, not specific.
Question 2 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: D
Rationale: The options seem misaligned with the question, as they describe instructions, not symptoms. However, taking levothyroxine early in the day prevents insomnia, a symptom of excessive dosing (hyperthyroidism). Clients should report symptoms like insomnia, palpitations, or restlessness, indicating overdose. Fluid intake, standing slowly, or twice-weekly dosing are unrelated to overdose symptoms.
Question 3 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 4 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 Diarrhea/headache are less urgent, resuming NSAIDs risks further damage, and bland diets are outdated.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 5 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary item should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like pepperoni pizza (aged cheese, processed meats) to prevent hypertensive crisis. Catfish, beef tips, and shrimp are generally safe.