HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse? Which statement requires additional instruction by the nurse?
Correct Answer: C
Rationale: Smoking impairs cimetidine’s effectiveness and delays ulcer healing, requiring complete cessation, not just reduction. The client’s statement about reducing cigarette use indicates a misunderstanding, needing further instruction. Other statements about antacids, lethargy, and sexual dysfunction are correct.
Question 2 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? Which information is most important for the nurse to obtain?
Correct Answer: B
Rationale: Duloxetine is metabolized by the liver, and hepatotoxicity is a rare but serious risk. Obtaining liver function test results is critical to ensure safe administration, as impaired liver function increases the risk of toxicity. Other factors like weight changes or antidepressant use are relevant but secondary to liver function.
Question 3 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Which finding best indicates that the medication is effective?
Correct Answer: D
Rationale: Epoetin alfa stimulates red blood cell production, increasing hemoglobin. A hemoglobin level of 12 g/dL indicates effective treatment of anemia. Subjective energy improvements are less reliable, and iron intake or therapy supports but does not directly measure epoetin’s efficacy.
Question 4 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, manifesting as confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. Neurological exams or vital signs are secondary, and glucagon is premature without confirmed low glucose.
Question 5 of 5
The health care provider prescribes the antibiotic tetracycline HCl for an adult client who arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client? Which instruction should the nurse include in the teaching plan for this client?
Correct Answer: A
Rationale: Tetracycline causes photosensitivity, increasing sunburn risk. Instructing the client to protect their skin from sunlight is critical to prevent skin damage. Other options, like taking with milk or orange juice, reduce absorption, and serum levels are not routinely monitored for tetracycline.