HESI RN
HESI Pharmacology 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: A
Rationale: Misoprostol risks fetal harm, requiring contraception (
B), pregnancy notification (
C), and a negative pregnancy test before starting (
D). Starting before menstruation (
A) is incorrect, needing teaching.
Question 2 of 5
A client who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the client’s skin and sclera. Which lab results should the nurse review?
Correct Answer: D
Rationale: Albendazole is hepatically metabolized and can cause liver damage, indicated by fatigue, nausea, dark urine, and jaundice (yellowing skin/sclera). Liver function tests (
D) assess damage severity (e.g., elevated AST/ALT). Renal (
A), thyroid (
B), and metabolic (
C) panels are unrelated to these symptoms.
Question 3 of 5
Which nursing action had the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct Answer: C
Rationale: Codeine causes sedation and dizziness, increasing fall risk. Instructing assistance for ambulation (
C) prioritizes safety. Onset time (
A), constipation prevention (
B), and pain relief reporting (
D) are secondary.
Question 4 of 5
Before administering initial dose of sumatriptan succinate to a client with a migraine headache, it is most to determine if the client’s history includes which problem?
Correct Answer: B
Rationale: Sumatriptan, a vasoconstrictor, risks coronary artery spasm in clients with coronary artery disease (
B), potentially causing ischemia. Diabetes (
A), rhinitis (
C), and IBS (
D) are not contraindications.
Question 5 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: A
Rationale: Misoprostol risks fetal harm, requiring contraception (
B), pregnancy notification (
C), and a negative pregnancy test before starting (
D). Starting before menstruation (
A) is incorrect, needing teaching.