HESI RN
RN HESI Pharmacology 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? Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: B
Rationale: Tamsulosin can cause orthostatic hypotension. Monitoring blood pressure detects this adverse reaction, ensuring client safety.
Question 2 of 5
A client has a prescription for heparin 5000 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? Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.
Question 3 of 5
A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: Oral terbinafine effectively treats toenail fungal infections by penetrating the nail bed, unlike topical antibiotics, which are ineffective for this condition.
Extract:
History and physical
A 23-year-old female presents to the emergency department with altered mental status. She is accompanied by her roommate. The roommate says that symptoms started around 0900 today and have progressively worsened. She says the client first appeared euphoric but would switch to being irritable. The client also reported diarrhea and nausea. The client is combative. The client has a history of major depressive disorder and is being treated with paroxetine 50 mg PO once daily.
Nurses notes
1830
The nurse notes significant diaphoresis. The client appears confused and disoriented to person, place, and time. Lung sounds are clear. No arrhythmia is noted. Palpated pulses are strong and bounding. Capillary refill is
Flowsheet
Day 1, 1830
Vital Signs
• Temperature 102°F (38.8°C)
• Heart rate 118 beats/minute
• Respirations 16 breaths/minute
• Blood pressure 168/94 mm Hg
• Oxygen saturation 97% on room air
• Height 5 feet, 4 inches (64 cm)
• Weight 136 pounds (61.6 kg)
Question 4 of 5
Which assessment findings require follow-up by the nurse? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Myoclonus, fever, hypertension, altered mental status, tachycardia, and diaphoresis suggest serotonin syndrome, requiring immediate follow-up.
Extract:
History and physical
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. The client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Nurses notes
0700: Laboratory specimens have been drawn and completed during a preadmission visit. After changing clothes and settling into bed, the client was placed on continuous monitoring. Admission process completed.
0800: Peripheral IV (PIV) started in the right antecubital with a 20-gauge catheter. IV fluids of 0.9% sodium chloride started at 50 mL/hr. Cardiac surgeon in to see the client and answer questions about the procedure.
0830: Client reports no known allergies. Vancomycin 1 gram in 250 mL 0.9% sodium chloride started at 125 mL/hr as endocarditis prophylaxis.
0840: Awaiting transfer to the operating room (OR). Vancomycin infusing at 125 mL/hr.
Question 5 of 5
The nurse would determine what actions to implement in an emergent situation. Drag from Word Choices to complete the sentence. "The client is at immediate risk for developing: ---------------,---------------------and-----------------------
Correct Answer: C,E,F
Rationale: The client’s bradycardia and atrial fibrillation increase risks for cardiac arrest, arrhythmias, and anaphylaxis (from vancomycin), requiring emergency preparedness.