HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: C
Rationale: Calcium acetate binds phosphate in CKD, reducing serum phosphate levels, which indicates effectiveness. Calcium, potassium, and pH are not primary targets.
Question 2 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: C
Rationale: Calcium acetate binds phosphate in CKD, reducing serum phosphate levels, which indicates effectiveness. Calcium, potassium, and pH are not primary targets.
Question 3 of 5
What are the signs and symptoms of hypothyroidism?
Correct Answer: A,C,D
Rationale: A: Decreased appetite results from reduced metabolism in hypothyroidism. C: Intolerance to cold occurs due to decreased heat production. D: Constipation is caused by slowed gastrointestinal motility. B: Restlessness is associated with hyperthyroidism, not hypothyroidism.
Question 4 of 5
A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?
Correct Answer: B
Rationale: Tremors are a potential side effect of pregabalin, warranting provider notification for possible dose adjustment. Anti-anxiety drugs, glucose levels, and blood pressure readings are not directly related to addressing tremors.
Question 5 of 5
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
Correct Answer: B
Rationale: Pilocarpine causes miosis, reducing pupil dilation in low light, which impairs night vision. Increased fluid doesn’t cloud vision, lens opacity relates to cataracts, and pilocarpine constricts, not dilates, pupils.