HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: B
Rationale: Tamsulosin, an alpha-1 antagonist, can cause hypotension, especially when initiating treatment. Monitoring blood pressure is essential to detect significant drops that could lead to dizziness or fainting, ensuring client safety.
Question 2 of 5
A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?
Correct Answer: B
Rationale: Covering the site with an occlusive dressing can increase betamethasone absorption and side effects, and should only be done under specific medical guidance. This statement requires further teaching to ensure safe use.
Question 3 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: B
Rationale: Methotrexate and adalimumab suppress the immune system, increasing infection risk. Avoiding crowds and sick individuals reduces exposure to pathogens, making this the most critical instruction to prevent serious infections.
Question 4 of 5
The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?
Correct Answer: A
Rationale: Mydriatic medications dilate pupils, increasing light sensitivity. A dimly lit room reduces glare and discomfort, making it the best environment for the client’s comfort.
Question 5 of 5
A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: A worsening headache may indicate water retention or hyponatremia, serious complications of vasopressin therapy. This symptom requires immediate reporting for evaluation and potential treatment adjustment, unlike expected DI symptoms like low urine specific gravity, polydipsia, or polyuria.