HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run a marathon. Which instruction should the nurse emphasize?
Correct Answer: C
Rationale: Oxybutynin causes dry mouth and reduced sweating, increasing dehydration and overheating risks (
C), critical for marathon training. Crowds (
A), bruising (
B), and sun injury (
D) are not primary concerns.
Question 2 of 5
The nurse is providing instructions about a client’s new medication. How should the nurse explain the purpose of probenecid, a uricosuric drug?
Correct Answer: C
Rationale: Probenecid promotes uric acid excretion (
C), treating gout/hyperuricemia. It doesn’t reduce urination pain (
A), strengthen urinary system (
B), or directly prevent kidney stones (
D).
Question 3 of 5
A client with bipolar disorder admitted with severe depression and suicidal ideation receives a prescription for lithium carbonate, which instruction should the nurse provide to the client?
Correct Answer: A
Rationale: NSAIDs increase lithium levels, risking toxicity (
A). Iodine (
B) is not contraindicated, dental notifications (
C) are general, and glucose monitoring (
D) is unrelated.
Question 4 of 5
The nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Insulin glargine, a long-acting insulin, requires daily subcutaneous injection at a consistent dose. Teaching self-injection skills (
A) ensures proper administration. Dosing is not based on pre-meal glucose (
B). Glargine treats hyperglycemia, not hypoglycemia (
C). Ketoacidosis requires medical intervention, not dose increases (
D).
Question 5 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: A
Rationale: Misoprostol risks fetal harm, requiring contraception (
B), pregnancy notification (
C), and a negative pregnancy test before starting (
D). Starting before menstruation (
A) is incorrect, needing teaching.