HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
A client with psychosis who is receiving an antipsychotic medication is continually rubbing the back of the neck. Which nursing intervention is best for the nurse to implement? Which nursing intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Rubbing the back of the neck suggests extrapyramidal side effects (EPS), such as dystonia, from the antipsychotic medication. Benztropine, an anticholinergic, counteracts EPS by reducing muscle stiffness and spasms, providing rapid relief. Other interventions like heating pads or pillows may offer comfort but do not address the underlying EPS cause, and physical therapy is not an acute solution.
Question 2 of 5
A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first? Which action should the nurse implement first?
Correct Answer: D
Rationale: Assessing the client’s pain level using a pain scale provides objective data to determine the appropriate dose and urgency of pain management. This guides safe administration, ensuring the dose matches the pain intensity. Checking prior doses or history is secondary, and diversional strategies are not the first step.
Question 3 of 5
A client with a seizure disorder is seen at the clinic for a follow-up visit and a prescription renewal for phenytoin. Which assessment finding warrants immediate intervention by the nurse? Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Double vision indicates phenytoin toxicity, which can impair coordination and increase fall risk. Immediate intervention, such as notifying the provider and checking serum levels, prevents complications like ataxia or seizures. Gums and insomnia are less urgent side effects.
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.