HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with bipolar disorder admitted with severe depression and suicidal ideation receives a prescription for lithium carbonate, which instruction should the nurse provide to the client?
Correct Answer: A
Rationale: NSAIDs increase lithium levels, risking toxicity (
A). Iodine (
B) is not contraindicated, dental notifications (
C) are general, and glucose monitoring (
D) is unrelated.
Question 2 of 5
When caring for a client with diabetes insipidus who is receiving antidiuretic hormone intranasally, which serum lab test is most important for the nurse to monitor?
Correct Answer: C
Rationale: Antidiuretic hormone (ADH) conserves water in diabetes insipidus. Serum osmolality (
C) reflects hydration status and ADH efficacy. Platelets (
A), glucose (
B), and calcium (
D) are unrelated.
Question 3 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: C
Rationale: Ipratropium inhalers require priming with 2 sprays, not 7 (
C), indicating a need for teaching. Spacer use (
A), room temperature storage (
B), and rinsing mouth (
D) are correct.
Question 4 of 5
A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse that the education was effective?
Correct Answer: A
Rationale: Levothyroxine is best absorbed on an empty stomach (
A), 30-60 minutes before eating, confirming effective education. Iron supplements (
B) reduce absorption but are secondary. Bedtime dosing (
C) is less optimal. High iodine foods (
D) may disrupt thyroid function.
Question 5 of 5
A client with psychosis who is receiving an antipsychotic medication is continuously rubbing the back of the neck. Which nursing intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Neck rubbing suggests acute dystonia, an antipsychotic side effect. Benztropine (
C), an anticholinergic, relieves dystonia. Pillows (
A), heating pads (
B), and therapy (
D) don’t address the cause.