HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Scopolamine is used to prevent nausea and vomiting, not pain. The nurse should clarify its purpose and address the client’s pain with appropriate analgesics.
Question 2 of 5
A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, “600,000 units/mL.” How many mL should the nurse administer? (Enter numeric value only.) How many mL should the nurse administer?
Correct Answer: 2
Rationale: Volume = 1,200,000 units ÷ 600,000 units/mL = 2 mL.
Question 3 of 5
A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD) reports having difficulty sleeping at night. Which assessment is most important for the nurse to obtain? Which assessment is most important for the nurse to obtain?
Correct Answer: B
Rationale: Dextroamphetamine-amphetamine is a stimulant that can cause insomnia if taken too late. Assessing dose timing is critical to adjust administration and mitigate sleep issues.
Question 4 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate must be taken with water on an empty stomach to ensure absorption and prevent esophageal irritation. Milk interferes with absorption.
Question 5 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client’s history is of greatest concern to the nurse in monitoring the client’s response to this medication? Which information in the client’s history is of greatest concern to the nurse in monitoring the client’s response to this medication?
Correct Answer: C
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage, both potential side effects of NSAIDs like diclofenac. Alcohol exacerbates these risks, making it the most concerning factor to monitor.