HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?
Correct Answer: D
Rationale: Open-angle glaucoma requires lifelong eye drops to maintain normal intraocular pressure (
D). They don’t control pain/swelling (
A) or restore angles (
B). Pressure reduction (
C) is ongoing, not temporary.
Question 2 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 3 of 5
A female patient who follows a vegetarian diet has recently been prescribed warfarin. She mentions that she consumes leafy green vegetables daily. What should be the nurse’s response?
Correct Answer: C
Rationale: Leafy greens, high in vitamin K, can reduce warfarin’s anticoagulant effect. Informing the provider (
C) ensures dose adjustment. Praising (
A) or assuring enhanced efficacy (
B) ignores the interaction. Substituting vegetables (
D) is unnecessary with proper monitoring.
Question 4 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 5 of 5
A patient with heart failure develops hyperaldosteronism and is prescribed spironolactone. What instructions should the nurse include in the patient’s care plan?
Correct Answer: C
Rationale: This question is identical to Question 7. Spironolactone increases potassium retention, so limiting high-potassium foods (
C) prevents hyperkalemia. Salt substitutes (
A) contain potassium. Sun protection (
B) and bruising (
D) are unrelated. Note: Duplicate question; consider removing.