HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with atrial fibrillation has been prescribed dabigatran. What instruction should the nurse include in this client’s teaching plan?
Correct Answer: B
Rationale: Dabigatran increases bleeding risk; avoiding NSAIDs (
B) reduces this risk. Spinach (
A) affects warfarin, not dabigatran. Routine bleeding tests (
C) aren’t required for dabigatran. Antidotes (
D) like idarucizumab are hospital-administered, not kept at home.
Question 2 of 5
After administering five doses of filgrastim, the nurse observes that the patient’s white blood cell count has increased from 2,500/mm^3 to 5,000/mm^3. What action should the nurse take?
Correct Answer: A
Rationale: Filgrastim stimulates white blood cell production. An increase from 2,500/mm^3 to 5,000/mm^3 (
A) indicates effectiveness, and the patient should be informed. Culture reports (
B) are unrelated to filgrastim’s action. Neutropenic precautions (
C) are unnecessary with improved counts. Vital signs (
D) don’t directly assess filgrastim’s efficacy.
Question 3 of 5
A patient with nasal congestion has been prescribed phenylephrine 10 mg by mouth every 4 hours. What patient condition should the nurse report to the healthcare provider before administering the medication?
Correct Answer: A
Rationale: Phenylephrine, a decongestant, can raise blood pressure, making hypertension (
A) a contraindication requiring provider consultation. Bronchitis (
B), diarrhea (
C), and edema (
D) are not directly affected by phenylephrine.
Question 4 of 5
A female patient with multiple sclerosis reports less fatigue and improved memory since she started using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this patient?
Correct Answer: C
Rationale: This question is identical to Question 39. Ginkgo biloba’s interaction with aspirin/NSAIDs (
C) increases bleeding risk, a critical teaching point. Other side effects (A,
D) and pregnancy limits (
B) are less urgent. Note: Duplicate question; consider removing.
Question 5 of 5
A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?
Correct Answer: A
Rationale: This question is identical to Question 29. Tamsulosin can cause hypotension (
A), necessitating blood pressure monitoring. Urine output (
B), bladder scans (
C), and weights (
D) don’t address adverse effects. Note: Duplicate question; consider removing.