HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera. Which laboratory result should the nurse review?
Correct Answer: B
Rationale: Albendazole can cause hepatotoxicity, indicated by fatigue, nausea, dark urine, and jaundice. Reviewing liver function tests (
B) assesses damage. Thyroid (
A), renal (
C), and metabolic panels (
D) are unrelated to these symptoms.
Question 2 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. What action should the nurse take?
Correct Answer: A
Rationale: Risedronate, a bisphosphonate, must be taken with plain water on an empty stomach, 30 minutes before food or other beverages, to ensure optimal absorption. Milk (
B) contains calcium, reducing absorption. Delaying until breakfast (
C) violates timing requirements. Consulting a pharmacist (
D) is unnecessary, as administration guidelines are clear.
Question 3 of 5
The nurse is administering sodium polystyrene sulfonate to a client with acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate treats hyperkalemia by exchanging sodium for potassium. A potassium level of 3.8 mEq/L (
A) indicates effectiveness (normal range: 3.5-5.0 mEq/L). Hemoglobin (
B), glucose (
C), and ammonia (
D) are unrelated to its action.
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 client with type I diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the client and family to administer glucagon?
Correct Answer: B
Rationale: This question is identical to Question 25. Glucagon is for severe hypoglycemia (
B), not hyperglycemia (
A), sick days (
C), or ketoacidosis (
D). Note: Duplicate question; consider removing.