HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to be darker in color. Which action should the nurse take? Which action should the nurse take?
Correct Answer: B
Rationale: Carbidopa/levodopa can cause harmless darkening of urine due to its metabolites. Explaining this normal side effect reassures the client and prevents unnecessary interventions. Other actions like urine cultures or increased intake are not indicated unless additional symptoms suggest infection or dehydration.
Question 2 of 5
When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)? Which client should the nurse closely monitor for development of acute kidney injury (AKI)?
Correct Answer: D
Rationale: Vancomycin is nephrotoxic, particularly with prolonged use or high doses, increasing AKI risk. Close monitoring of renal function, serum levels, and urine output is essential. Lorazepam, digoxin, and sucralfate have minimal renal impact and lower AKI risk.
Question 3 of 5
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate? Which response is accurate?
Correct Answer: D
Rationale: Open-angle glaucoma is a chronic condition requiring lifelong eye drop use to maintain normal intraocular pressure and prevent optic nerve damage. The drops are not for temporary pressure reduction, pain/swelling, or angle restoration, making long-term pressure control the accurate response.
Question 4 of 5
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client? Which nursing action has the highest priority?
Correct Answer: A
Rationale: Codeine, an opioid, causes drowsiness and dizziness, increasing fall risk. Instructing the client to request assistance when ambulating prioritizes safety, preventing injuries. Other actions, like administering laxatives or informing about onset, are important but secondary to immediate safety concerns.
Question 5 of 5
Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address? Which assessment finding is most important for the nurse to address?
Correct Answer: B
Rationale: Terbinafine is hepatotoxic, and a history of alcoholism suggests potential liver damage, increasing the risk of adverse effects. Addressing this history is critical to assess liver function before administration. Other findings, like occupation or normal WBC, are less relevant to the medication's safety.