HESI RN
HESI RN 311 Pharmacology 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: D
Rationale: Isotretinoin is highly teratogenic, risking severe birth defects. Discontinuing 1 month before conception (
D) ensures clearance. Breastfeeding (
A), vitamin A (
B), and liver tests (
C) are secondary concerns.
Question 2 of 5
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client’s history includes which problem?
Correct Answer: B
Rationale: Sumatriptan, a vasoconstrictor, risks coronary spasm in clients with coronary artery disease (
B), potentially causing ischemia. IBS (
A), rhinitis (
C), and diabetes (
D) are not contraindications.
Question 3 of 5
Administer a scheduled dose of labetalol PO to a client with hypertension. The client’s temperature is 99°F (37.2°C), a heart rate of 48 beats per minute, respirations of 16 breaths per minute, and a blood pressure of 150/90 mm Hg. Which action should the nurse take?
Correct Answer: A
Rationale: Labetalol, a beta-blocker, risks worsening bradycardia (heart rate 48 bpm). Withholding the dose and notifying the provider (
A) ensures safety. Administering (
B) is unsafe. Orthostatic hypotension (
C) is secondary. Telemetry (
D) delays action.
Question 4 of 5
The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment, the nurse observes the client is alert and oriented but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication?
Correct Answer: B
Rationale: Acetaminophen (
B) is a common cause of drug-induced liver injury, leading to jaundice. Notifying the provider is critical. Omeprazole (
A) rarely causes liver issues. Captopril (
C) and prednisone (
D) are less likely to cause jaundice. Baseline liver function tests are key.
Question 5 of 5
A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?
Correct Answer: C
Rationale: Calcium acetate binds dietary phosphate in CKD, reducing serum phosphate levels (
C), the desired effect. It does not lower potassium (
A) or pH (
D). It may increase calcium (
B), but this is not the goal.