HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?
Correct Answer: C
Rationale: Aspirin 325 mg daily prevents clot formation in myocardial infarction patients, reducing recurrence risk. It’s not primary for gout, sepsis, or rheumatoid arthritis management.
Question 2 of 5
The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?
Correct Answer: A
Rationale: Tetracycline increases photosensitivity, requiring sun protection. Orange juice, milk, and antacids reduce absorption, and weekly serum levels aren’t typically needed.
Question 3 of 5
During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?
Correct Answer: B
Rationale: Goldenseal’s antimicrobial properties may affect infection response or interact with antibiotics. Recent infection history is critical. Weight, sleep, and forgetfulness are less relevant.
Question 4 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: A
Rationale: Calcium acetate binds dietary phosphate in the gut, reducing serum phosphate levels in CKD patients with hyperphosphatemia, indicating effectiveness. It doesn’t directly affect pH, calcium, or potassium levels.
Question 5 of 5
During a home visit, a client informs the nurse about feeling like the heart is skipping beats. When reviewing the client's record, the nurse notes that the client is taking hydrochlorothiazide. Based on these assessment data, the nurse plans to obtain a blood sample to check for which condition?
Correct Answer: A
Rationale: Hydrochlorothiazide, a thiazide diuretic, increases potassium excretion, potentially causing hypokalemia, which can manifest as palpitations or irregular heartbeats. Hyponatremia is possible but less directly linked to this symptom. Hyperphosphatemia and hypermagnesemia are not typical side effects.