HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
After receiving five doses of filgrastim, the nurse notes that the clients white blood cell count has increased from 2,500/mm3 to 5,000/mm3. Which action would the nurse take?
Correct Answer: B
Rationale: Filgrastim boosts white blood cell production. An increase from 2,500 to 5,000/mm3 (
B) indicates success. Cultures (
A), precautions (
C), and vitals (
D) are unnecessary without other indications.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: C
Rationale: Ipratropium inhalers require priming with 2 sprays, not 7 (
C), indicating a need for teaching. Spacer use (
A), room temperature storage (
B), and rinsing mouth (
D) are correct.
Question 3 of 5
Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the total level of calcium is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement?
Correct Answer: D
Rationale: A calcium level of 14 mg/dL (3.5 mmol/L) indicates hypercalcemia (normal: 8.5-10.2 mg/dL). Calcitriol and calcium carbonate increase calcium levels, risking toxicity. Holding both and contacting the provider (
D) is safest.
Question 4 of 5
Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?
Correct Answer: A
Rationale: Terbinafine is hepatically metabolized; alcoholism (
A) suggests liver dysfunction, requiring baseline liver function tests to prevent toxicity. Thick/yellow toenails (
B) are expected. WBC (
C) is normal. Occupation (
D) is irrelevant.
Question 5 of 5
The nurse is caring for a client who is taking diclofenac, an NSAID drug for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client’s serum laboratory values is most important for the nurse to review?
Correct Answer: D
Rationale: Diclofenac risks GI bleeding, causing anemia. Pallor and fatigue suggest low hemoglobin (
D), requiring review. Glucose (
A), protein (
B), and sodium (
C) are unrelated.