HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 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: Tamsulosin, an alpha-blocker, can cause hypotension and dizziness (
A), requiring blood pressure monitoring. Urine output (
B) and bladder scans (
C) assess BPH, not adverse effects. Daily weights (
D) monitor fluid status, not tamsulosin risks.
Question 2 of 5
A patient is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The intravenous (IV) administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion?
Correct Answer: 42
Rationale: Infusion rate: 500 mL / 2 hr = 250 mL/hr. Drops per minute: (250 mL/hr × 10 gtt/mL) / 60 min = 41.67, rounded to 42 gtt/min. This ensures accurate delivery of azithromycin.
Question 3 of 5
Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro?
Correct Answer: C
Rationale: Insulin lispro, a rapid-acting insulin, peaks quickly and should be given with meals (
C) to match food intake and prevent hypoglycemia. Assessing for hypoglycemia (
A) and keeping glucose sources (
D) are important but secondary. Six-hour glucose checks (
B) are too infrequent.
Question 4 of 5
A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera. Which laboratory result should the nurse review?
Correct Answer: B
Rationale: Albendazole can cause hepatotoxicity, indicated by fatigue, nausea, dark urine, and jaundice. Reviewing liver function tests (
B) assesses damage. Thyroid (
A), renal (
C), and metabolic panels (
D) are unrelated to these symptoms.
Question 5 of 5
A patient who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. During the patient’s history taking, the nurse finds out that the patient has been self-administering St. John’s Wort, an herbal preparation, on a friend’s advice. What information is most significant about this finding?
Correct Answer: A
Rationale: St. John’s Wort induces CYP3A4, reducing cyclosporine levels (
A), risking transplant rejection. It doesn’t affect sodium (
B) or reduce corticosteroid needs (
C). Depression treatment (
D) is secondary to the transplant risk.