HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply. Which actions should the nurse implement?
Correct Answer: B,C,E
Rationale: Providing an NSAID could worsen bleeding, and a variance report is premature without evidence of error. A soft bristle toothbrush reduces gum irritation, reviewing coagulation lab values ensures proper anticoagulant dosing, and reporting to the provider addresses potential adverse effects.
Question 2 of 5
The nurse is reviewing the client’s laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease? Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect?
Correct Answer: A
Rationale: Atorvastatin reduces LDL cholesterol, a key risk factor for coronary artery disease. Lower LDL levels indicate the medication’s effectiveness.
Question 3 of 5
A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client’s history, the nurse determines that the client has been self-administering St. John’s Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding? Which information is most significant about this finding?
Correct Answer: A
Rationale: St. John’s Wort induces cytochrome P450 enzymes, reducing cyclosporine levels, a critical immunosuppressant, increasing the risk of graft rejection. This interaction is the most significant concern for the client’s transplant outcome.
Question 4 of 5
The nurse reviews the laboratory values. What question(s) can the nurse ask the client based on the laboratory results? Select all that apply. What question(s) can the nurse ask the client based on the laboratory results?
Correct Answer: A,D,E
Rationale: Supplements, reduced urine output, and salt substitutes can affect BUN levels and kidney function, relevant to laboratory results evaluation.
Question 5 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client? Which instruction should the nurse emphasize with the client?
Correct Answer: C
Rationale: Adequate hydration (1500–2000 mL/day) is crucial for lithium therapy to prevent toxicity, as dehydration can increase lithium levels in the blood.