HESI RN
HESI RN Pharmacology 106a 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?
Correct Answer: B
Rationale: Doxycycline reduces birth control pill effectiveness, requiring additional contraception. Timing separation, stopping birth control, or notifying about contraindications are incorrect actions.
Question 2 of 5
Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?
Correct Answer: C
Rationale: Furosemide causes potassium loss, so potassium-rich foods like bananas, oranges, and peaches are recommended. Calcium, carbohydrates, and meats do not address potassium depletion.
Question 3 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?
Correct Answer: A
Rationale: Feverfew can increase bleeding risk with aspirin/NSAIDs, a critical interaction to highlight. Allergies, anxiety, and GI side effects are important but less urgent than drug interactions.
Question 4 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary item should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like pepperoni pizza (aged cheese, processed meats) to prevent hypertensive crisis. Catfish, beef tips, and shrimp are generally safe.
Question 5 of 5
The healthcare provider prescribes the antibiotic surgical prophylaxis protocol for a client who weighs 90 kg. The protocol is cefazolin 2 grams/100 mL 0.9% normal saline over 1 hour for clients weighing less than 265.5 pounds or cefazolin 3 grams/100 mL 0.9% normal saline over 90 minutes for clients weighing greater than 265.5 pounds. The nurse should program the pump to deliver how many mL/hr?
Correct Answer: 100
Rationale: Client weighs 90 kg = 198 lbs (<265.5 lbs), so protocol is 2 grams/100 mL over 1 hour. Infusion rate = 100 mL / 1 hour = 100 mL/hr.