HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?
Correct Answer: B
Rationale: Diphenhydramine causes significant drowsiness, posing a safety risk when driving. This instruction is critical to ensure the client’s safety and prevent accidents.
Question 2 of 5
A client has a prescription for heparin 1,000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: C
Rationale: Unfractionated heparin and low molecular weight heparin are not interchangeable. The nurse should notify the pharmacy to obtain the correct unfractionated heparin for IV administration to ensure the prescription is followed accurately.
Question 3 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Correct Answer: C
Rationale: Scopolamine is used to prevent nausea, not pain. The nurse should clarify this to manage the client’s expectations and address pain with appropriate analgesics.
Question 4 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Correct Answer: A
Rationale: Erythromycin may reduce the effectiveness of oral contraceptives. Using an additional form of contraception ensures protection against unintended pregnancy during antibiotic treatment.
Question 5 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: D
Rationale: Fluticasone propionate and salmeterol discus is a maintenance medication used twice daily to control asthma. Caregivers should ensure adherence to this schedule and not use it for acute attacks, which require a rescue inhaler.