HESI RN
HESI Bsn 225 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?
Correct Answer: B
Rationale: Doxycycline can reduce birth control pill effectiveness, requiring additional contraception. Timing separation, contraindication notification, or stopping birth control are incorrect actions.
Question 2 of 5
A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?
Correct Answer: A
Rationale: Fatigue and dizziness are common baclofen side effects, so avoiding hazardous activities is appropriate. Stopping abruptly, increasing fluids/protein, or seeking emergency care are not warranted without further assessment.
Question 3 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: B
Rationale: Priming an ipratropium inhaler with 7 pumps is excessive; typically, 2–3 pumps are needed if unused for a period. Room temperature storage, spacer use, and mouth rinsing are correct practices.
Question 4 of 5
Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?
Correct Answer: A
Rationale: Statins can affect liver function, so reviewing serum liver enzymes is critical to monitor for hepatic adverse effects before initiation. CBC, electrolytes, and glucose are less directly related.
Question 5 of 5
The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?
Correct Answer: A
Rationale: A platelet count of 100,000/mm3 indicates thrombocytopenia, increasing bleeding risk with enoxaparin, requiring immediate action. Creatinine, BUN, and hematocrit are within normal ranges.