A client with psychosis is receiving an antipsycho

Extract:

Question 1 of 5

A client with psychosis is receiving an antipsychotic medication and is continually rubbing the back of the neck. What is the best nursing intervention?

A. Obtain an extra pillow for the client to use at night. B. Give a PRN prescription for benztropine. C. Provide the client a heating pad to place on the neck. D. Obtain a prescription for physical therapy services.

Correct Answer: B

Rationale: Neck rubbing suggests extrapyramidal symptoms (e.g., dystonia) from antipsychotics. Benztropine (
B), an anticholinergic, relieves these symptoms. Pillows (
A), heating pads (
C), and physical therapy (
D) don’t address the cause.

Question 2 of 5

A client with type I diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the client and family to administer glucagon?

A. Prior to meals to prevent hyperglycemia. B. When symptoms of severe hypoglycemia are present. C. When the client is unable to eat during sick days. D. At the onset of symptoms of diabetic ketoacidosis.

Correct Answer: B

Rationale: This question is identical to Question 25. Glucagon is for severe hypoglycemia (
B), not hyperglycemia (
A), sick days (
C), or ketoacidosis (
D).
Note: Duplicate question; consider removing.

Question 3 of 5

A client with atrial fibrillation has been prescribed dabigatran. What instruction should the nurse include in this client’s teaching plan?

A. Eliminate spinach and other green vegetables from the diet. B. Avoid the use of nonsteroidal anti-inflammatory drugs (NSAIDs). C. Continue to obtain scheduled laboratory bleeding tests. D. Keep an antidote available in case of hemorrhage.

Correct Answer: B

Rationale: Dabigatran increases bleeding risk; avoiding NSAIDs (
B) reduces this risk. Spinach (
A) affects warfarin, not dabigatran. Routine bleeding tests (
C) aren’t required for dabigatran. Antidotes (
D) like idarucizumab are hospital-administered, not kept at home.

Question 4 of 5

A client with Parkinson’s disease who is taking carbidopa/levodopa reports that the urine appears to be darker in color. What action should the nurse take?

A. Encourage an increase in oral intake. B. Explain that the color change is normal. C. Obtain a specimen for a urine culture. D. Measure the client’s urinary output.

Correct Answer: B

Rationale: Carbidopa/levodopa can darken urine (
B), a benign side effect. Increased fluids (
A) or urine culture (
C) are unnecessary unless other symptoms arise. Measuring output (
D) doesn’t address the color change.

Question 5 of 5

A client is receiving intravenous vancomycin, and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times would provide the best determination of these levels?

A. One hour after completion of the IV dose and one hour before the next administration of the medication. B. Two hours after completion of the IV dose and two hours before the next administration of the medication. C. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication. D. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication.

Correct Answer: A

Rationale: This question is identical to Question 30. Peak vancomycin levels are drawn 1 hour post-infusion, troughs 1 hour pre-dose (
A). Other timings (B, C,
D) miss accurate concentrations.
Note: Duplicate question; consider removing.

Nurselytic

HESI RN

HESI RN

Care Hope College RN HESI Pharmacology Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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