HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client with a history of smoking cigarettes for many years arrives to 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? Which information should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Bupropion, used for smoking cessation, commonly causes insomnia and weight loss. Informing the client about these side effects ensures they can monitor and report them, facilitating safe use and adherence to the treatment plan.
Question 2 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition? Which condition should the nurse review the medical record for?
Correct Answer: C
Rationale: Methylphenidate, a stimulant, can increase blood pressure and heart rate, exacerbating hypertension. Reviewing the medical record for hypertension ensures safe administration and prevents cardiovascular complications.
Question 3 of 5
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow up by the nurse? Which information in the client’s history requires follow up by the nurse?
Correct Answer: B
Rationale: Metformin can increase the risk of lactic acidosis when combined with iodinated contrast media, especially if renal function is compromised. Follow-up is needed to consider temporarily discontinuing metformin before and after the CT scan to prevent this serious complication.
Question 4 of 5
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem? Which problem in the client's history is most important to determine?
Correct Answer: B
Rationale: Sumatriptan, a triptan, causes vasoconstriction, which can precipitate myocardial ischemia in clients with coronary artery disease. Checking for this condition prevents serious cardiovascular events.
Question 5 of 5
Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative? Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?
Correct Answer: C
Rationale: Bulk-forming laxatives absorb water to soften stool and promote bowel movements. Following administration with an additional glass of water ensures adequate hydration, preventing intestinal obstruction and enhancing efficacy.