HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?
Correct Answer: C
Rationale: Montelukast is a maintenance drug taken daily, typically in the evening (
C), to prevent asthma symptoms by reducing airway inflammation. It is not for acute attacks (A,
D). It does not replace inhalers (
B), which remain critical for asthma control.
Question 2 of 5
The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?
Correct Answer: B
Rationale: Sucralfate requires an empty stomach, 1 hour before meals (
B), to coat ulcers/stomatitis effectively. Documenting refusal (
A) is premature without education. Post-meal dosing (C,
D) reduces efficacy due to food interference.
Question 3 of 5
Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?
Correct Answer: C
Rationale: Digoxin toxicity risks hyperkalemia and arrhythmias. Checking acid-base and electrolyte values (
C) guides treatment (e.g., digoxin-specific Fab). Potassium (
A) may worsen hyperkalemia. Cardioversion (
B) is not primary. Changing routes (
D) is irrelevant; digoxin is stopped.
Question 4 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?
Correct Answer: C
Rationale: Heartburn with risedronate suggests improper administration (e.g., not enough water, not staying upright). Asking how it’s taken (
C) identifies errors. Antacids (
A) interfere with absorption. Water (
B) is part of correct use but not diagnostic. Emergency care (
D) is premature.
Question 5 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: A
Rationale: Benzonatate suppresses cough reflex; denying coughing spells (
A) indicates efficacy. Sleep (
B) may improve indirectly. Expectorating secretions (
C) and nasal discharge (
D) are unrelated, as benzonatate is not an expectorant or decongestant.