HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse? Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Stopping lorazepam abruptly if effects are not immediate can lead to withdrawal symptoms and rebound anxiety. The nurse should instruct the client to follow the prescribed regimen and consult the provider before discontinuing.
Extract:
History and physical
A 23-year-old female presents to the emergency department with altered mental status. She is accompanied by her roommate. The roommate says that symptoms started around 0900 today and have progressively worsened. She says the client first appeared euphoric but would switch to being irritable. The client also reported diarrhea and nausea. The client is combative. The client has a history of major depressive disorder and is being treated with paroxetine 50 mg PO once daily.
Nurses notes
1830
The nurse notes significant diaphoresis. The client appears confused and disoriented to person, place, and time. Lung sounds are clear. No arrhythmia is noted. Palpated pulses are strong and bounding. Capillary refill is
Flowsheet
Day 1, 1830
Vital Signs
• Temperature 102°F (38.8°C)
• Heart rate 118 beats/minute
• Respirations 16 breaths/minute
• Blood pressure 168/94 mm Hg
• Oxygen saturation 97% on room air
• Height 5 feet, 4 inches (64 cm)
• Weight 136 pounds (61.6 kg)
Question 2 of 5
Which assessment findings require follow-up by the nurse? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Myoclonus, fever, hypertension, altered mental status, tachycardia, and diaphoresis suggest serotonin syndrome, requiring immediate follow-up.
Extract:
Question 3 of 5
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.) The nurse should program the infusion pump to deliver how many mL/hr?
Correct Answer: 200
Rationale: The IV bag contains 200 mL to be infused over 1 hour. Infusion rate = 200 mL ÷ 1 hour = 200 mL/hr.
Question 4 of 5
A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete? Which assessment is most important for the nurse to complete?
Correct Answer: A
Rationale: Long-term ibuprofen use can cause gastrointestinal complications, such as ulcers or bleeding. Abdominal pain may indicate these issues, making it the most critical assessment to monitor for potential adverse effects.
Question 5 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse? Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Smoking exacerbates peptic ulcers and hinders healing. Reducing to a pack per day is insufficient; complete cessation is recommended.