HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this client?
Correct Answer: C
Rationale: Ginkgo biloba increases bleeding risk, especially with aspirin/NSAIDs (
C), a critical interaction for safety. Nausea/diarrhea (
A) and anxiety/headaches (
D) are less severe. Pregnancy restrictions (
B) are relevant but secondary unless applicable.
Question 2 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: D
Rationale: Involuntary movements (
D), such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide, requiring immediate reporting. Diarrhea (
A) and irritability (
B) are less severe. Nausea (
C) is the treated condition, not an adverse effect.
Question 3 of 5
Before administering the evening dose of carbamazepine, the nurse notes that the patient’s morning carbamazepine level was 84 mcg/mL. What action should the nurse take?
Correct Answer: A
Rationale: Carbamazepine’s therapeutic range is 4-12 mcg/mL; 84 mcg/mL (
A) indicates toxicity risk, requiring provider notification. Administering (
B) or withholding (
C) without consultation is unsafe. Assessing side effects (
D) is secondary to reporting.
Question 4 of 5
A nurse is caring for a client diagnosed with stage 4 cancer who has a prescription for a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. During a head-to-toe assessment, the nurse finds four patches on the client’s body. What should be the nurse’s first action?
Correct Answer: C
Rationale: Four morphine patches suggest overdose, causing respiratory depression and sedation. Removing the patches (
C) stops further absorption. Naloxone (
A) or oxygen (
B) may follow, but removal is first. Blood pressure monitoring (
D) is secondary.
Question 5 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this client?
Correct Answer: C
Rationale: Ginkgo biloba increases bleeding risk, especially with aspirin/NSAIDs (
C), a critical interaction for safety. Nausea/diarrhea (
A) and anxiety/headaches (
D) are less severe. Pregnancy restrictions (
B) are relevant but secondary unless applicable.