HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with benign prostatic receives a new prescription of tamsulosin. Which intervention should the nurse use to monitor an adverse reaction?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, risks hypotension, causing dizziness or fainting. Monitoring blood pressure (
C) detects this adverse effect. Urine output (
A), bladder scans (
B), and weights (
D) are unrelated.
Question 2 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?
Correct Answer: A
Rationale: Terbinafine is hepatically metabolized; alcoholism (
A) suggests liver dysfunction, requiring baseline liver function tests to prevent toxicity. Thick/yellow toenails (
B) are expected. WBC (
C) is normal. Occupation (
D) is irrelevant.
Question 3 of 5
A client with hepatic encephalopathy is receiving lactulose. Which assessment provides the nurse with the nest information to evaluate the client’s therapeutic response to the drug?
Correct Answer: B
Rationale: Lactulose reduces ammonia absorption in hepatic encephalopathy. Serum electrolytes and ammonia levels (
B) assess therapeutic response. Glucose (
A), stool (
C), and hepatic enzymes (
D) are less direct.
Question 4 of 5
The nurse is providing instructions about a client’s new medication. How should the nurse explain the purpose of probenecid, a uricosuric drug?
Correct Answer: C
Rationale: Probenecid promotes uric acid excretion (
C), treating gout/hyperuricemia. It doesn’t reduce urination pain (
A), strengthen urinary system (
B), or directly prevent kidney stones (
D).
Question 5 of 5
The nurse administers risedronate to a client with osteoporosis at 07:00. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate requires an empty stomach and plain water (
D) for absorption. Milk (
B) contains calcium, reducing efficacy. Delaying for food (A,
C) is unnecessary.