HESI RN
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 in a half-marathon. Which instruction should the nurse emphasize? Which instruction should the nurse emphasize?
Correct Answer: D
Rationale: Oxybutynin reduces sweating, increasing the risk of dehydration and overheating during exercise. Emphasizing hydration and heat precautions is critical for safety.
Extract:
History and Physical
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Nurses’ Notes
0700:
Laboratory specimens have been drawn and completed during a preadmission visit. After changing clothes and settling into bed, the client was placed on continuous monitoring. Admission process completed. 0800: Peripheral IV (PIV) started in the right antecubital with a 20 gauge catheter. IV fluids of 0.9% sodium chloride started at 50 mL/hr. Cardiac surgeon in to see the client and answer questions about the procedure. 0830: Client reports no known allergies. Vancomycin 1 gram in 250 mL 0.9% sodium chloride started at 125 mL/hr as endocarditis prophylaxis. 0840: Awaiting transport to the operating room.
Orders
0800:
• a. Start peripheral IV
• b. Vancomycin 1 gram in 250 mL 0.9% sodium chloride
0840:
• c. Stop vancomycin
Question 2 of 5
The nurse is assessing the client to update the plan of care. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The nurse determines that the client is experiencing ___ and the blood pressure changes are the result of ___.
Correct Answer: A,E
Rationale: Syncope from bradycardia causes low blood flow, with vasodilation contributing to blood pressure changes.
Extract:
Question 3 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine? Which action should the nurse implement?
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, lowers blood pressure by relaxing blood vessels. Measuring blood pressure directly assesses its effectiveness.
Question 4 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first? Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest cardiac issues, making cardiac monitoring the priority.
Question 5 of 5
A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: Oral terbinafine effectively treats toenail fungal infections by penetrating the nail bed, unlike topical antibiotics, which are ineffective for this condition.