HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
After administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: C
Rationale: A calcium level of 14 mg/dL indicates hypercalcemia, risking complications like arrhythmias. Holding both calcitriol and calcium carbonate and contacting the provider prevents further calcium elevation. Continuing either medication could worsen hypercalcemia, making holding both the safest action.
Question 2 of 5
Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro? Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Insulin lispro, a rapid-acting insulin, peaks quickly and requires food intake within 15 minutes to prevent hypoglycemia. Providing meals at the same time as administration is the most critical intervention to ensure glucose availability, prioritizing safety over other monitoring actions.
Question 3 of 5
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate? Which response is accurate?
Correct Answer: D
Rationale: Open-angle glaucoma is a chronic condition requiring lifelong eye drop use to maintain normal intraocular pressure and prevent optic nerve damage. The drops are not for temporary pressure reduction, pain/swelling, or angle restoration, making long-term pressure control the accurate response.
Question 4 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse? Which statement requires additional instruction by the nurse?
Correct Answer: C
Rationale: Smoking impairs cimetidine’s effectiveness and delays ulcer healing, requiring complete cessation, not just reduction. The client’s statement about reducing cigarette use indicates a misunderstanding, needing further instruction. Other statements about antacids, lethargy, and sexual dysfunction are correct.
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. Which information is most important for the nurse to include in the teaching plan for this client? Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: Ginkgo biloba’s antiplatelet effects increase bleeding risk when combined with aspirin or NSAIDs, a critical interaction for clients with multiple sclerosis who may use these for pain. This is the most important teaching point to prevent serious bleeding complications.