HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
After taking orlistat for one week, a female patient tells the home health nurse that she is experiencing increasingly frequent oily stools and gas. What action should the nurse take?
Correct Answer: A
Rationale: Orlistat inhibits fat absorption, causing oily stools and gas if dietary fat is high. Assessing dietary intake (
A) identifies the cause. Stopping the drug (
B) is premature. Increasing fats (
C) worsens symptoms. Stool testing (
D) is unnecessary for known side effects.
Question 2 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. What information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Duloxetine is metabolized by the liver, and impaired liver function can increase toxicity risk. Liver function tests (
C) are critical before starting. Family history (
A), weight changes (
B), and other antidepressants (
D) are relevant but secondary to liver safety.
Question 3 of 5
A client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)
Correct Answer: 200
Rationale: Infusion rate: 200 mL / 1 hr = 200 mL/hr. The pump should be set to deliver 200 mL/hr to administer ciprofloxacin correctly.
Question 4 of 5
A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause hypotension and dizziness (
A), requiring blood pressure monitoring. Urine output (
B) and bladder scans (
C) assess BPH, not adverse effects. Daily weights (
D) monitor fluid status, not tamsulosin risks.
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. What is the most important information for the nurse to include in the teaching plan for this client?
Correct Answer: C
Rationale: Ginkgo biloba increases bleeding risk, especially with aspirin/NSAIDs (
C), a critical interaction for safety. Nausea/diarrhea (
A) and anxiety/headaches (
D) are less severe. Pregnancy restrictions (
B) are relevant but secondary unless applicable.