HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 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 2 of 5
A client with psychosis is receiving an antipsychotic medication and is continually rubbing the back of the neck. What is the best nursing intervention?
Correct Answer: B
Rationale: Neck rubbing suggests extrapyramidal symptoms (e.g., dystonia) from antipsychotics. Benztropine (
B), an anticholinergic, relieves these symptoms. Pillows (
A), heating pads (
C), and physical therapy (
D) don’t address the cause.
Question 3 of 5
Rivastigmine, a cholinesterase inhibitor, is prescribed for a female patient with early-stage Alzheimer’s Disease. The patient’s daughter tells the nurse that she plans to start administering the drug when her mother’s symptoms worsen, hoping to avoid nursing home placement. How should the nurse respond?
Correct Answer: B
Rationale: Rivastigmine is most effective early in Alzheimer’s (
B) to slow symptom progression. Delaying until worsening (
A) reduces benefits. Mental status assessment (
C) informs but doesn’t guide timing. Discussing disease progression (
D) is secondary to medication timing.
Question 4 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. What should the nurse do?
Correct Answer: C
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, presenting as confusion and blurred vision. Checking blood glucose (
C) confirms the cause. Glucagon (
A) treats severe hypoglycemia, not confirmed yet. Vital signs (
B) and neurological exams (
D) are secondary.
Question 5 of 5
A female patient with multiple sclerosis reports less fatigue and improved memory since she started using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this patient?
Correct Answer: C
Rationale: This question is identical to Question 39. Ginkgo biloba’s interaction with aspirin/NSAIDs (
C) increases bleeding risk, a critical teaching point. Other side effects (A,
D) and pregnancy limits (
B) are less urgent. Note: Duplicate question; consider removing.