HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: B
Rationale: Metoclopramide can cause extrapyramidal symptoms like involuntary movements (e.g., tardive dyskinesia), which are serious and may require medication adjustment or discontinuation. This adverse effect is more critical to report than diarrhea, irritability, or nausea.
Question 2 of 5
A client has a prescription for heparin 1,000 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?
Correct Answer: C
Rationale: Unfractionated heparin and low molecular weight heparin are not interchangeable. The nurse should notify the pharmacy to obtain the correct unfractionated heparin for IV administration to ensure the prescription is followed accurately.
Question 3 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: B
Rationale: Misoprostol is used to prevent ulcers, not timed with the menstrual cycle. Starting therapy based on the cycle is incorrect and requires teaching. Other statements reflect correct understanding of misoprostol’s risks and precautions in women of childbearing age.
Question 4 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 5 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?
Correct Answer: B
Rationale: Oxybutynin can cause dry mouth and reduced sweating, increasing dehydration and overheating risks during intense exercise like marathon training. Emphasizing hydration and cooling measures is critical to ensure the client’s safety and performance.