HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: C
Rationale: Baclofen manages chronic spasticity; discontinuing when spasms cease (
C) risks withdrawal and recurrence, needing teaching. Stool softeners (
A), alcohol avoidance (
B), and meal timing (
D) are correct.
Question 2 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 3 of 5
A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse that the education was effective?
Correct Answer: A
Rationale: Levothyroxine is best absorbed on an empty stomach (
A), 30-60 minutes before eating, confirming effective education. Iron supplements (
B) reduce absorption but are secondary. Bedtime dosing (
C) is less optimal. High iodine foods (
D) may disrupt thyroid function.
Question 4 of 5
Two months after taking nitrofurantoin for a bacterial infection, a client reports the onset of severe, watery diarrhea to the home care nurse. How should the nurse respond?
Correct Answer: B
Rationale: Nitrofurantoin can cause severe diarrhea, potentially indicating C. difficile infection. Explaining it as an adverse effect needing evaluation (
B) is priority. Completion status (
A) is secondary, antidiarrheals (
C) may worsen infection, and reinfection (
D) is premature.
Question 5 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets which were prescribed because of a suspected anthrax exposure. Which instructions should be included in the teaching plan?
Correct Answer: A,D
Rationale: Ciprofloxacin, a fluoroquinolone, risks tendonitis/tendon rupture (
A), requiring immediate reporting, especially in older adults or those on corticosteroids. It causes photosensitivity (
D), necessitating sun protection. NSAIDs (
B) increase seizure risk, not recommended. Crushing tablets (
C) alters efficacy and is contraindicated.