HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication? Which information should the nurse obtain prior to administering the medication?
Correct Answer: A
Rationale: Pyridostigmine, a cholinesterase inhibitor, is taken orally and can cause gastrointestinal side effects. Ensuring recent oral intake minimizes these effects and optimizes absorption, making it the most critical information to obtain before administration.
Question 2 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take? Which action is most important for the nurse to take?
Correct Answer: A
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia, risking tetany or arrhythmias. Notifying the provider immediately ensures prompt correction of the deficiency before administering methylprednisolone, which could exacerbate bone loss.
Question 3 of 5
A client with peptic ulcer disease (PUD) is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Pantoprazole reduces acid production, and sucralfate forms a protective barrier over ulcers, both most effective when given before meals. Administering both as scheduled addresses heartburn and promotes ulcer healing.
Question 4 of 5
The nurse is preparing to apply the client’s scheduled fentanyl transdermal patch. The nurse notes the previously applied patch is intact on the client’s upper back and the client reports no pain. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Fentanyl patches are replaced every 72 hours, with new patches applied to a different site to prevent skin irritation. Removing the old patch and applying the new one in a different location maintains effective pain control.
Question 5 of 5
A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Which observation indicates an adverse effect of gentamicin?
Correct Answer: B
Rationale: Gentamicin is associated with ototoxicity, which can manifest as decreased hearing due to damage to the inner ear. This adverse effect requires immediate attention to prevent permanent hearing loss.