HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of heartburn and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider?
Correct Answer: C
Rationale: A positive guaiac test indicates gastrointestinal bleeding, likely related to ibuprofen use, which can cause fatigue and dizziness due to anemia. This finding requires immediate reporting to address potential bleeding and prevent further complications.
Question 2 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 3 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if missed is incorrect and requires instruction. Patients should take a missed dose as soon as remembered unless it’s close to the next dose, then skip it. Doubling doses can increase the risk of side effects without therapeutic benefit.
Question 4 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Correct Answer: D
Rationale: The most direct indicator of the effectiveness of epoetin alfa is an increase in hemoglobin levels. Epoetin alfa stimulates erythropoiesis, raising hemoglobin in clients with anemia due to CKD. Monitoring hemoglobin provides objective evidence of the medication’s efficacy, unlike subjective reports or dietary changes.
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: 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.