HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid? Which dietary choices should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, can cause hypertensive crisis if combined with tyramine-rich foods like pepperoni. Instructing the client to avoid pepperoni pizza prevents this dangerous interaction, especially given the client’s uncontrolled hypertension.
Question 2 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.
Question 3 of 5
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing 'heartburn.' How should the nurse respond? How should the nurse respond?
Correct Answer: A
Rationale: Risedronate can cause esophageal irritation, leading to heartburn if not taken correctly (e.g., without water or not remaining upright). Asking the client to describe her administration technique identifies potential errors, guiding corrective instructions.
Question 4 of 5
The healthcare provider prescribes enoxaparin sodium 80 mg SUBQ twice daily. The nurse is preparing a preloaded 1 mL syringe labeled, 'enoxaparin sodium injection, USP 60 mg/0.6 mL.' How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.) How many mL should the nurse administer?
Correct Answer: 0.8
Rationale: Dose = 80 mg; concentration = 60 mg/0.6 mL = 100 mg/mL; volume = 80 mg ÷ 100 mg/mL = 0.8 mL.
Question 5 of 5
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Transdermal nitroglycerin provides sustained release but may not act quickly enough for acute angina. Administering sublingual nitroglycerin, which acts rapidly, while keeping the patch in place, effectively relieves chest pain.