HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take? Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline can reduce the effectiveness of oral contraceptives by altering gut flora and estrogen metabolism. Advising the client to use an additional contraceptive method, such as condoms, during and after the antibiotic course prevents unintended pregnancy.
Question 2 of 5
A client is receiving miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is a 'Risk for injury' and this is based on which etiology? Which etiology is the basis for the 'Risk for injury' nursing problem?
Correct Answer: B
Rationale: Miotics constrict the pupil, reducing light entry and impairing night vision, which increases the risk of injury in low-light conditions. This etiology directly supports the 'Risk for injury' nursing problem.
Question 3 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.
Question 4 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Rising AST levels suggest potential hepatotoxicity from fluconazole. Holding the dose and notifying the provider ensures timely evaluation and prevents further liver damage, prioritizing client safety.
Question 5 of 5
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client? Which information is most important for the nurse to include in a teaching plan for this client?
Correct Answer: A
Rationale: Feverfew can interact with aspirin and NSAIDs, increasing bleeding risk due to its anticoagulant properties. This interaction is critical to include in the teaching plan to prevent adverse effects, especially since the client is using feverfew for migraines, where NSAIDs are commonly used.