HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Oily stools and flatus are expected side effects of orlistat, which inhibits fat absorption. Asking about recent dietary intake assesses compliance with a low-fat diet, which can reduce these side effects. Increasing fats worsens symptoms, and stopping the drug or testing stool is unnecessary without severe symptoms.
Question 2 of 5
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client? Which nursing action has the highest priority?
Correct Answer: A
Rationale: Codeine, an opioid, causes drowsiness and dizziness, increasing fall risk. Instructing the client to request assistance when ambulating prioritizes safety, preventing injuries. Other actions, like administering laxatives or informing about onset, are important but secondary to immediate safety concerns.
Question 3 of 5
Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 84 mcg/L (35.6 mmol/L). Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: A carbamazepine level of 84 mcg/L is significantly above the therapeutic range (4-12 mcg/mL), indicating toxicity. Notifying the healthcare provider is the most appropriate action to ensure timely intervention, such as withholding the dose or adjusting the regimen, to prevent serious effects like ataxia or seizures.
Question 4 of 5
The health care provider prescribes the antibiotic tetracycline HCl for an adult client who arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client? Which instruction should the nurse include in the teaching plan for this client?
Correct Answer: A
Rationale: Tetracycline causes photosensitivity, increasing sunburn risk. Instructing the client to protect their skin from sunlight is critical to prevent skin damage. Other options, like taking with milk or orange juice, reduce absorption, and serum levels are not routinely monitored for tetracycline.
Question 5 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.