HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: B
Rationale: Misoprostol is used to prevent ulcers, not timed with the menstrual cycle. Starting therapy based on the cycle is incorrect and requires teaching. Other statements reflect correct understanding of misoprostol’s risks and precautions in women of childbearing age.
Question 2 of 5
A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client's history, the nurse determines that the client has been self-administering St. John's Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding?
Correct Answer: A
Rationale: St. John's Wort induces liver enzymes, reducing cyclosporine levels, an immunosuppressant critical for preventing transplant rejection. This interaction increases the risk of graft rejection, making it the most significant finding requiring immediate attention.
Question 3 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: D
Rationale: Rapid weight gain may indicate fluid retention or other serious complications with gabapentin use, requiring urgent evaluation. This symptom is more critical to report than photosensitivity, gastric irritation, or sexual dysfunction, which are less severe or less commonly associated.
Question 4 of 5
The nurse is providing discharge instructions to a client who has been prescribed an inhaled medication. Which statement provided by the client indicates a correct understanding of the instructions?
Correct Answer: A
Rationale: Rinsing the mouth after using an inhaled medication, especially corticosteroids, prevents oral thrush and other side effects. This indicates correct understanding, unlike using the inhaler during meals, limiting caffeine, or fixed bedtime use, which are not universally appropriate.
Question 5 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate must be taken with plain water and no food or other beverages for at least 30 minutes to ensure proper absorption. Milk can interfere with absorption, so the nurse should instruct the client accordingly.