HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
Correct Answer: C
Rationale: Isotretinoin is highly teratogenic, requiring discontinuation at least one month before conception to prevent birth defects. Breastfeeding, vitamin A, and liver monitoring are secondary concerns.
Question 2 of 5
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
Correct Answer: B
Rationale: Pilocarpine causes miosis, reducing pupil dilation in low light, which impairs night vision. Increased fluid doesn’t cloud vision, lens opacity relates to cataracts, and pilocarpine constricts, not dilates, pupils.
Question 3 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take?
Correct Answer: A
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia, requiring immediate provider notification for evaluation. Tapering, dietary teaching, or milk administration are secondary to addressing this critical imbalance.
Question 4 of 5
What are the signs and symptoms of hypothyroidism?
Correct Answer: A,C,D
Rationale: A: Decreased appetite results from reduced metabolism in hypothyroidism. C: Intolerance to cold occurs due to decreased heat production. D: Constipation is caused by slowed gastrointestinal motility. B: Restlessness is associated with hyperthyroidism, not hypothyroidism.
Question 5 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?
Correct Answer: D
Rationale: Rising AST suggests hepatotoxicity from fluconazole, requiring the dose to be held and the provider notified for evaluation. Continuing the infusion, notifying the pharmacy, or submitting a report are secondary to addressing potential liver damage.