HESI RN
HESI RN 311 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?
Correct Answer: D
Rationale: Phenazopyridine provides analgesia for irritated bladder mucosa (
D), relieving pain/burning in cystitis. It is not an antibiotic (
A), not specifically post-intercourse (
B), and lacks antispasmodic effects (
C). It’s taken after meals to reduce GI upset.
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: This question is identical to Question 13. Calcium acetate lowers serum phosphate (
C) by binding it in the GI tract. It does not affect potassium (
A) or pH (
D) and may raise calcium (
B). Note: Duplicate question; consider removing.
Question 3 of 5
A client is receiving miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is the risk for injury. This nursing problem is based on which etiology?
Correct Answer: A
Rationale: Miotics (e.g., pilocarpine) cause pupil constriction, reducing night vision (
A), increasing injury risk in low-light conditions. Photophobia (
B), tearing (
C), and color perception (
D) are less directly linked to injury.
Question 4 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 dietary phosphate in CKD, reducing serum phosphate levels (
C), the desired effect. It does not lower potassium (
A) or pH (
D). It may increase calcium (
B), but this is not the goal.
Question 5 of 5
A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement?
Correct Answer: C
Rationale: Tremors are a potential side effect of pregabalin (
C). Notifying the provider allows evaluation for dose adjustment or alternative therapy. Antianxiety drugs (
A) may mask symptoms without addressing the cause. Orthostatic hypotension (
B) is unrelated to tremors. Glucose levels (
D) are irrelevant without diabetes history.