HESI RN
RN HESI Pharmacology Exam Questions
Extract:
Question 1 of 5
A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?
Correct Answer: D
Rationale: Pilocarpine lowers intraocular pressure in glaucoma by increasing aqueous humor outflow. Reviewing eye pressure measurements directly assesses effectiveness. Visual acuity, drainage, and eyelid swelling are unrelated.
Question 2 of 5
The nurse is teaching a client with type 1 diabetes mellitus (DM) about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is administered at 0800, when is the client most likely to experience hypoglycemia?
Correct Answer: B
Rationale: Glargine insulin has no pronounced peak, providing steady coverage for 24 hours, minimizing hypoglycemia risk at specific times. Midmorning, midafternoon, or midnight are not tied to glargine’s profile.
Extract:
History and Physical
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Nurses' Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding noted at the site.
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Orders
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Question 3 of 5
What actions should the nurse take to ensure safety during morphine administration? Select all that apply.
Correct Answer: A,D,E
Rationale: Morphine risks respiratory depression; checking respiratory rate, having a resuscitation bag, and reviewing medications for interactions ensure safety. ECG, suctioning, and restraints are unnecessary without specific indications.
Extract:
Question 4 of 5
Review H and P, and nurse’s note. Identify from the choices below which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Correct Answer:
Rationale: The provided answer (methemoglobinemia) is unlikely, as asthma medications don’t typically cause it. Asthma exacerbation is more likely given the history. Actions: Take vital signs (
A) and give albuterol (
C) address acute symptoms. Monitor heart rate/rhythm (
B) and breath sounds (
D) assess response. CBC and methemoglobin are irrelevant.
Question 5 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, treats insomnia. Sleeping soundly indicates effectiveness. Incontinence, concentration, and outbursts are unrelated to zolpidem’s action.