HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John's wort reduces oral contraceptive effectiveness, necessitating additional contraception. Hard candy for dry mouth, insomnia, and photosensitivity are correct understandings and do not require further instruction.
Question 2 of 5
The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?
Correct Answer: B
Rationale: Involuntary movements and confusion suggest a serious issue, possibly medication toxicity or disease progression, requiring immediate emergency evaluation. Clinic visits, medication lists, or disease duration are secondary to urgent care.
Question 3 of 5
When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA), which statement should the nurse make regarding smoking?
Correct Answer: C
Rationale: Smoking post-surgery increases risks like delayed healing and respiratory complications. Educating the client to avoid smoking promotes recovery. Waiting an hour, smoking in the room, or using a wheelchair to smoke are inappropriate and unsafe.
Question 4 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 5 of 5
A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?
Correct Answer: A
Rationale: Famotidine reduces gastric acid, alleviating epigastric pain, indicating effectiveness. Nighttime awakenings, stool tests, and weight loss are not direct measures of famotidine’s efficacy.