HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with hepatic encephalopathy is receiving lactulose. Which assessment provides the nurse with the nest information to evaluate the client’s therapeutic response to the drug?
Correct Answer: B
Rationale: Lactulose reduces ammonia absorption in hepatic encephalopathy. Serum electrolytes and ammonia levels (
B) assess therapeutic response. Glucose (
A), stool (
C), and hepatic enzymes (
D) are less direct.
Question 2 of 5
The nurse is providing instructions about a client’s new medication. How should the nurse explain the purpose of probenecid, a uricosuric drug?
Correct Answer: C
Rationale: Probenecid promotes uric acid excretion (
C), treating gout/hyperuricemia. It doesn’t reduce urination pain (
A), strengthen urinary system (
B), or directly prevent kidney stones (
D).
Question 3 of 5
The nurse administers risedronate to a client with osteoporosis at 07:00. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate requires an empty stomach and plain water (
D) for absorption. Milk (
B) contains calcium, reducing efficacy. Delaying for food (A,
C) is unnecessary.
Question 4 of 5
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several days. Which observations by the nurse indicate that the client may be experiencing an adverse effect of gentamicin?
Correct Answer: A
Rationale: Gentamicin risks ototoxicity, causing hearing loss (
A). Decreased BUN (
B) suggests improved kidney function, not an adverse effect. Normal WBC (
C) and photophobia (
D) are unrelated.
Question 5 of 5
A client who receives multiple antihypertensive multiple medications experiences syncope due to a drop in blood pressure to 70/40 mm Hg. Which is the rationale for the nurse’s decision to hold the client’s scheduled antihypertensive medications?
Correct Answer: D
Rationale: Multiple antihypertensives can have an additive effect, excessively lowering blood pressure (
D), causing syncope. Diuresis (
A), toxicity (
B), or antagonism (
C) are less likely.