HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?
Correct Answer: A
Rationale: Baclofen commonly causes dizziness/fatigue (
A), especially initially. Avoiding hazardous activities (e.g., driving) ensures safety. Fluids/protein (
B) are unrelated. Stopping abruptly (
C) risks withdrawal. Emergency care (
D) is unnecessary unless symptoms worsen.
Question 2 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline reduces hormonal contraceptive efficacy (
B), requiring additional contraception (e.g., condoms). No contraindication exists (
A). Timing separation (
C) is irrelevant. Stopping birth control (
D) risks pregnancy.
Question 3 of 5
Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?
Correct Answer: D
Rationale: Furosemide, a loop diuretic, causes potassium loss. Encouraging potassium-rich foods like bananas, oranges, peaches (
D) prevents hypokalemia. Pasta/cereal (
A), dairy (
B), and meats (
C) are less potassium-rich.
Question 4 of 5
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
Correct Answer: D
Rationale: Isotretinoin is highly teratogenic, risking severe birth defects. Discontinuing 1 month before conception (
D) ensures clearance. Breastfeeding (
A), vitamin A (
B), and liver tests (
C) are secondary concerns.
Question 5 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Correct Answer: B
Rationale: Methylphenidate increases blood pressure/heart rate, risking exacerbation of hypertension (
B). Hypercholesterolemia (
A), diabetes (
C), and bronchitis (
D) are not primary concerns.