HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 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, a stimulant, can increase blood pressure, making hypertension a critical condition to review. Bronchitis, diabetes, and hypercholesterolemia are less directly impacted by methylphenidate.
Question 2 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 3 of 5
The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Sucralfate forms a protective barrier on ulcers and is most effective on an empty stomach. Electrolyte monitoring, Candida assessment, and once-daily dosing are not specific to sucralfate’s administration.
Question 4 of 5
A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?
Correct Answer: D
Rationale: Photosensitivity and dry mouth are common dicyclomine side effects. Providing management instructions (e.g., sunglasses, hard candy) promotes comfort and compliance. Checking administration, stopping the drug, or scheduling an appointment are secondary without severe symptoms.
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, a stimulant, can increase blood pressure, making hypertension a critical condition to review. Bronchitis, diabetes, and hypercholesterolemia are less directly impacted by methylphenidate.