HESI RN
HESI Pharmacology 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: D
Rationale: Metoclopramide risks extrapyramidal symptoms (EPS) like involuntary movements (
D), potentially indicating tardive dyskinesia, requiring immediate reporting. Irritability (
A), diarrhea (
B), and nausea (
C) are less severe.
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
The nurse is preparing a client with Chronic Obstructive Pulmonary Disease (COPD) and a chronic productive cough for discharged home. Which prescribed medication should the nurse review with the client to manage this symptom?
Correct Answer: D
Rationale: Guaifenesin (
D), an expectorant, thins mucus, easing cough in COPD. Salmeterol (
A) and tiotropium (
B), bronchodilators, improve airflow but don’t address mucus. Prednisone (
C) reduces inflammation in exacerbations, not chronic cough.
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
A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: D
Rationale: Metoclopramide risks extrapyramidal symptoms (EPS) like involuntary movements (
D), potentially indicating tardive dyskinesia, requiring immediate reporting. Irritability (
A), diarrhea (
B), and nausea (
C) are less severe.