HESI RN
HESI RN Pharmacology 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? Which condition should the nurse review the medical record for?
Correct Answer: C
Rationale: Methylphenidate, a stimulant, can increase blood pressure and heart rate, exacerbating hypertension. Reviewing the medical record for hypertension ensures safe administration and prevents cardiovascular complications.
Question 2 of 5
The nurse is reviewing the client’s laboratory results. Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? Which action should the nurse expect to implement?
Correct Answer: D
Rationale: Digoxin toxicity is often exacerbated by electrolyte imbalances, such as hypokalemia or hypercalcemia. Checking acid-base and electrolyte values identifies contributing factors, guiding appropriate interventions like withholding digoxin or correcting imbalances.
Question 3 of 5
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication? Which instruction should the nurse provide this client about taking the liquid medication?
Correct Answer: B
Rationale: Using a straw to ingest ferrous sulfate elixir minimizes contact with teeth, preventing staining, a common side effect. This instruction ensures effective administration while protecting dental health.
Question 4 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 5 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect? Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning by soothing irritated bladder mucosa. Explaining this effect helps the client understand its role in symptom relief, not infection treatment.