HESI RN
HESI RN 301 Pharmacology Final Exam 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: B
Rationale: Positive guaiac indicates gastrointestinal bleeding, likely from ibuprofen-induced ulcers, requiring urgent reporting. Normal hematocrit, gastric pH, and slightly low hemoglobin are less immediate.
Question 2 of 5
A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?
Correct Answer: C
Rationale: Aspirin 325 mg daily prevents clot formation in myocardial infarction patients, reducing recurrence risk. It’s not primary for gout, sepsis, or rheumatoid arthritis management.
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: B
Rationale: Doubling allopurinol after a missed dose risks toxicity; take the missed dose if time permits or skip it. Reducing caffeine/acid, taking with food, and drinking water are correct.
Question 4 of 5
The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?
Correct Answer: B
Rationale: Mydriatic drops dilate pupils, inhibiting constriction during their effect. Accommodation, refraction, and convergence may be indirectly affected but remain functional.
Question 5 of 5
The healthcare provider prescribes the anticoagulant heparin for a client with a pulmonary embolism. Before initiating the medication, the nurse should ensure that which drug is readily available in case of heparin overdose?
Correct Answer: C
Rationale: Protamine sulfate reverses heparin’s anticoagulant effects in overdose. Warfarin and vitamin K are for other anticoagulants, and diphenhydramine is unrelated.