HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A patient with type 1 diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the patient and family that glucagon needs to be administered?
Correct Answer: B
Rationale: Glucagon treats severe hypoglycemia (
B) by mobilizing liver glucose stores. It’s not for preventing hyperglycemia (
A), sick-day management (
C), or diabetic ketoacidosis (
D), which requires insulin and medical intervention.
Question 2 of 5
A patient with type 1 diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the patient and family that glucagon needs to be administered?
Correct Answer: B
Rationale: Glucagon treats severe hypoglycemia (
B) by mobilizing liver glucose stores. It’s not for preventing hyperglycemia (
A), sick-day management (
C), or diabetic ketoacidosis (
D), which requires insulin and medical intervention.
Question 3 of 5
The nurse is preparing to administer a scheduled dose of labetalol orally to a client with hypertension. The client’s vital signs are temperature 99° F (37.2 C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (BP) 150/90 mm Hg. What action should the nurse take?
Correct Answer: A
Rationale: Labetalol, a beta-blocker, can worsen bradycardia (heart rate 48 bpm). Withholding the dose and notifying the provider (
A) is safest. Administering (
B) risks exacerbating bradycardia. Orthostatic hypotension assessment (
C) and telemetry (
D) are secondary.
Question 4 of 5
The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease. What should be included in this patient’s care plan?
Correct Answer: B
Rationale: Sucralfate forms a protective barrier over ulcers and should be given on an empty stomach (
B), 1 hour before meals or at bedtime, for optimal efficacy. Once-daily dosing (
A) is incorrect; it’s typically 4 times daily. Candida infection (
C) and electrolyte imbalances (
D) are not associated with sucralfate.
Question 5 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this client?
Correct Answer: C
Rationale: Ginkgo biloba increases bleeding risk, especially with aspirin/NSAIDs (
C), a critical interaction for safety. Nausea/diarrhea (
A) and anxiety/headaches (
D) are less severe. Pregnancy restrictions (
B) are relevant but secondary unless applicable.