HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?
Correct Answer: A
Rationale: Using a straw prevents tooth staining from ferrous sulfate. Undiluted swallowing risks staining, milk reduces absorption due to calcium, and antacids interfere with iron absorption.
Question 2 of 5
A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan?
Correct Answer: D
Rationale: Black stools may indicate gastrointestinal bleeding, requiring immediate provider notification. Diarrhea/headache are less urgent, resuming NSAIDs risks further damage, and bland diets are outdated.
Question 3 of 5
The nurse discontinues the client's patient-controlled analgesia (PCA). Which statement about eye drops is correct?
Correct Answer: A
Rationale: The question context is unclear, as PCA discontinuation is unrelated to eye drops. Assuming it refers to a prior topic, choice A is plausible for certain eye drops (e.g., those increasing aqueous humor), but B is more specific to miotics like pilocarpine. Without context, A is marked correct per the data, though clarification is needed.
Question 4 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?
Correct Answer: D
Rationale: Rising AST suggests hepatotoxicity from fluconazole, requiring the dose to be held and the provider notified for evaluation. Continuing the infusion, notifying the pharmacy, or submitting a report are secondary to addressing potential liver damage.
Question 5 of 5
The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?
Correct Answer: B
Rationale: Tetracycline increases photosensitivity, requiring sun protection. Orange juice, milk, and antacids reduce absorption, and weekly serum levels are not typically needed.