HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect? Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning by soothing irritated bladder mucosa. Explaining this effect helps the client understand its role in symptom relief, not infection treatment.
Question 2 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Rising AST levels suggest potential hepatotoxicity from fluconazole. Holding the dose and notifying the provider ensures timely evaluation and prevents further liver damage, prioritizing client safety.
Question 3 of 5
A female client with mild depression reports to the nurse of recently starting St. John's wort. Which information provided by the client requires further instruction? Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John’s wort induces cytochrome P450 enzymes, reducing the efficacy of hormonal contraceptives. The client’s statement that no additional contraception is needed is incorrect, requiring instruction to use alternative methods to prevent pregnancy.
Question 4 of 5
During a home visit, the nurse assesses a client with Alzheimer's Disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Insomnia is a common initial side effect of rivastigmine, a cholinesterase inhibitor, which may resolve as the body adjusts. Explaining this to the caregiver manages expectations and encourages continued adherence.
Question 5 of 5
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication? Which instruction should the nurse provide this client about taking the liquid medication?
Correct Answer: B
Rationale: Using a straw to ingest ferrous sulfate elixir minimizes contact with teeth, preventing staining, a common side effect. This instruction ensures effective administration while protecting dental health.