HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
An older adult client with restless legs syndrome begins taking melatonin at bedtime. When evaluating the effectiveness of the herb which client assessment should the nurse complete?
Correct Answer: C
Rationale: Melatonin regulates sleep-wake cycles and may reduce restless legs syndrome symptoms by improving sleep. Assessing sleep patterns (
C) evaluates effectiveness. Anxiety (
A), edema (
B), and pulses (
D) are unrelated.
Question 2 of 5
Before administering initial dose of sumatriptan succinate to a client with a migraine headache, it is most to determine if the client’s history includes which problem?
Correct Answer: B
Rationale: Sumatriptan, a vasoconstrictor, risks coronary artery spasm in clients with coronary artery disease (
B), potentially causing ischemia. Diabetes (
A), rhinitis (
C), and IBS (
D) are not contraindications.
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
A client taking atorvastatin becomes an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?
Correct Answer: D
Rationale: Atorvastatin can cause myopathy, indicated by elevated CK levels. Muscle tenderness (
D) suggests muscle damage, requiring assessment. Nausea (
A), bruising (
B), and edema (
C) are not typical.
Question 5 of 5
Rivastigmine, a cholinesterase inhibitor, is prescribed for a female client with early-stage Alzheimer’s disease. The client’s daughter tells the nurse that she plans to start administering the drug when her mothers’ symptoms are no longer manageable, in hopes that her mother will not have to go to a nursing home. How should the nurse respond?
Correct Answer: A
Rationale: Rivastigmine slows cognitive decline in early Alzheimer’s, most effective when started early (
A). Delaying until symptoms worsen (
B) reduces efficacy. Assessing mental status (
C) or discussing progression (
D) are less direct.