HESI RN
HESI RN D441 Pharmacology 0A1 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?
Correct Answer: B
Rationale: Oxybutynin can cause dry mouth and reduced sweating, increasing dehydration and overheating risks during intense exercise like marathon training. Emphasizing hydration and cooling measures is critical to ensure the client’s safety and performance.
Question 2 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: B
Rationale: Glucagon is used to treat severe hypoglycemia when a client cannot consume oral glucose due to altered consciousness or inability to swallow. It rapidly increases blood glucose levels, making it critical for emergency management of severe hypoglycemic episodes.
Question 3 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Exploring what the client means by 'is not working' is the first step to clarify their concerns, symptoms, or misconceptions about carbidopa-levodopa’s effects. This guides further assessment and education, addressing the client’s specific issues before evaluating side effects or administration timing.
Question 4 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Smoking exacerbates peptic ulcer disease, and reducing to a pack per day is insufficient. The client should be encouraged to quit smoking entirely. Other statements reflect appropriate understanding of cimetidine administration and side effect monitoring.
Question 5 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: C
Rationale: Amlodipine, a calcium channel blocker, is used to manage hypertension. Measuring blood pressure directly assesses its effectiveness in lowering blood pressure, the primary therapeutic goal.