HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client with atrial fibrillation receives a new prescription for dabigatran. Which instruction should the nurse include in this client's teaching plan? Which instruction should the nurse include in this client's teaching plan?
Correct Answer: D
Rationale: Dabigatran, a direct thrombin inhibitor, increases bleeding risk. NSAIDs inhibit platelet aggregation, exacerbating this risk. Instructing the client to avoid NSAIDs is critical to prevent bleeding complications. Unlike warfarin, dabigatran does not require dietary restrictions like avoiding vitamin K-rich foods, routine bleeding tests, or home antidotes.
Question 2 of 5
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem? Which problem should the nurse assess the client for the onset of?
Correct Answer: A
Rationale: Elevated CK levels indicate muscle damage, a sign of myopathy, a rare but serious side effect of atorvastatin. Assessing for muscle tenderness is critical to detect myopathy early, which can progress to rhabdomyolysis if untreated. Other symptoms like nausea or bruising are not directly related to CK elevation.
Question 3 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? Which information is most important for the nurse to obtain?
Correct Answer: B
Rationale: Duloxetine is metabolized by the liver, and hepatotoxicity is a rare but serious risk. Obtaining liver function test results is critical to ensure safe administration, as impaired liver function increases the risk of toxicity. Other factors like weight changes or antidepressant use are relevant but secondary to liver function.
Question 4 of 5
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to be darker in color. Which action should the nurse take? Which action should the nurse take?
Correct Answer: B
Rationale: Carbidopa/levodopa can cause harmless darkening of urine due to its metabolites. Explaining this normal side effect reassures the client and prevents unnecessary interventions. Other actions like urine cultures or increased intake are not indicated unless additional symptoms suggest infection or dehydration.
Question 5 of 5
Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address? Which assessment finding is most important for the nurse to address?
Correct Answer: B
Rationale: Terbinafine is hepatotoxic, and a history of alcoholism suggests potential liver damage, increasing the risk of adverse effects. Addressing this history is critical to assess liver function before administration. Other findings, like occupation or normal WBC, are less relevant to the medication's safety.