HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
An older client with heart failure (HF), coronary artery disease (CAD), and hypertension (HTN) is receiving these daily prescriptions: atenolol, furosemide, and enalapril. Which assessments should the nurse include in evaluating the effectiveness of the medications?
Correct Answer: A,B,D
Rationale: Atenolol and enalapril manage HTN/CAD, requiring blood pressure monitoring (
B). Furosemide treats HF fluid overload, assessed via daily weight (
D). Heart sounds (
A) detect HF/CAD complications (e.g., murmurs). Bowel sounds (
C) and range of motion (E) are unrelated. Note: Provided answer (
A) is incorrect; explanation supports A,B,D.
Question 2 of 5
The healthcare provider prescribes enoxaparin sodium 80 mg SUBQ three times daily. The nurse is preparing a preloaded 1 mL syringe labeled 'Enoxaparin sodium injection, USP 60 mg/0.6 mL.' How many mL should the nurse administer?
Correct Answer: 0.8
Rationale: Enoxaparin syringe: 60 mg/0.6 mL = 100 mg/mL. Prescribed: 80 mg. Volume = 80 mg ÷ 100 mg/mL = 0.8 mL. Thus, administer 0.8 mL.
Question 3 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: D
Rationale: Phenazopyridine provides analgesia for irritated bladder mucosa (
D), relieving pain/burning in cystitis. It is not an antibiotic (
A), not specifically post-intercourse (
B), and lacks antispasmodic effects (
C). It’s taken after meals to reduce GI upset.
Question 4 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client’s serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?
Correct Answer: C
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia (normal: 8.5-10.2 mg/dL), risking arrhythmias/seizures. Notifying the provider (
C) ensures urgent correction. Dietary teaching (
A) and milk (
D) are insufficient. Tapering (
B) requires provider direction.
Question 5 of 5
The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment, the nurse observes the client is alert and oriented but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication?
Correct Answer: B
Rationale: Acetaminophen (
B) is a common cause of drug-induced liver injury, leading to jaundice. Notifying the provider is critical. Omeprazole (
A) rarely causes liver issues. Captopril (
C) and prednisone (
D) are less likely to cause jaundice. Baseline liver function tests are key.