HESI RN
HESI Pharmacology 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 fatty stools and flatus. Which action should the nurse take?
Correct Answer: B
Rationale: Orlistat blocks dietary fat absorption, commonly causing fatty stools and flatus. Reviewing dietary intake (
B) assesses adherence to a low-fat diet, which can reduce these side effects. Stopping the drug (
A) is premature without evaluation. Increasing saturated fats (
C) worsens symptoms. Stool tests (D, E) are unnecessary as symptoms are expected.
Question 2 of 5
When caring for a client with diabetes insipidus who is receiving antidiuretic hormone intranasally, which serum lab test is most important for the nurse to monitor?
Correct Answer: C
Rationale: Antidiuretic hormone (ADH) conserves water in diabetes insipidus. Serum osmolality (
C) reflects hydration status and ADH efficacy. Platelets (
A), glucose (
B), and calcium (
D) are unrelated.
Question 3 of 5
A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse that the education was effective?
Correct Answer: A
Rationale: Levothyroxine is best absorbed on an empty stomach (
A), 30-60 minutes before eating, confirming effective education. Iron supplements (
B) reduce absorption but are secondary. Bedtime dosing (
C) is less optimal. High iodine foods (
D) may disrupt thyroid function.
Question 4 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 5 of 5
After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent fatty stools and flatus. Which action should the nurse take?
Correct Answer: B
Rationale: Orlistat blocks dietary fat absorption, commonly causing fatty stools and flatus. Reviewing dietary intake (
B) assesses adherence to a low-fat diet, which can reduce these side effects. Stopping the drug (
A) is premature without evaluation. Increasing saturated fats (
C) worsens symptoms. Stool tests (D, E) are unnecessary as symptoms are expected.