HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
An increase in which serum lab value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: D
Rationale: Atorvastatin lowers LDL and raises HDL to reduce coronary artery disease risk. An increase in HDL indicates a beneficial effect. Increased LDL, PT, or CK (indicating muscle damage) are not desired.
Question 2 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: C
Rationale: Risedronate requires an empty stomach and water only to ensure absorption. Milk’s calcium reduces efficacy. Withholding until breakfast, consulting the pharmacist, or providing milk are incorrect.
Question 3 of 5
During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?
Correct Answer: B
Rationale: Goldenseal’s antimicrobial properties may affect infection response or interact with antibiotics. Recent infection history is critical. Weight, sleep, and forgetfulness are less relevant.
Question 4 of 5
Which instruction should the nurse provide an unlicensed assistive personnel (UAP) who is assisting with the personal care of a client receiving clopidogrel?
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, so a soft toothbrush minimizes gum bleeding. Environment, rest, and bed elevation are unrelated to clopidogrel’s effects.
Question 5 of 5
Digoxin and furosemide were prescribed for a client with chronic heart failure, and the home health nurse is evaluating the client's self-care knowledge of these drugs. Which statement indicates that the client has a good understanding about the use of these drugs?
Correct Answer: A
Rationale: Nausea and appetite loss are signs of digoxin toxicity, requiring provider notification, showing good understanding. Furosemide is taken regularly, not symptom-based, and blood pressure or weight-based dose adjustments need medical guidance.