HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 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 2 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. What instruction(s) should be included in the teaching plan? Select all that apply. What instruction(s) should be included in the teaching plan?
Correct Answer: A,B,D
Rationale: Ciprofloxacin can cause tendonitis or tendon rupture, photosensitivity, and crystalluria. Reporting tendon pain, limiting sun exposure, and increasing fluid intake are critical to prevent these adverse effects. Crushing tablets or using NSAIDs is not recommended due to altered absorption and increased tendon risk, respectively.
Question 3 of 5
Six days after starting a prescription of an oral amoxicillin solution, a client calls the clinic to report the onset of a low grade fever. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: A low-grade fever after starting amoxicillin may indicate an allergic reaction or other adverse effects. Determining if other symptoms, such as rash or breathing difficulties, are present is critical to assess the severity and guide further management.
Question 4 of 5
During a home visit, the nurse assesses a client with Alzheimer's Disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Insomnia is a common initial side effect of rivastigmine, a cholinesterase inhibitor, which may resolve as the body adjusts. Explaining this to the caregiver manages expectations and encourages continued adherence.
Question 5 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium? Which symptom should the nurse instruct the client to report?
Correct Answer: C
Rationale: Excessive levothyroxine can cause hyperthyroidism symptoms, such as restlessness, due to increased metabolic rate. Instructing the client to report this symptom ensures timely detection and adjustment of the dose to prevent complications.