HESI RN
RN HESI Pharmacology Exam Questions
Extract:
Question 1 of 5
Azithromycin is prescribed for a client with Chlamydia trachomatis. In providing client teaching about the medication, the nurse should emphasize the importance of reporting the onset of which symptom to the health care provider?
Correct Answer: C
Rationale: Yellow sclera indicates potential hepatotoxicity, a rare but serious azithromycin side effect requiring immediate reporting. Flatulence, nausea, and headache are common and mild; urinary frequency is unrelated.
Question 2 of 5
A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?
Correct Answer: A
Rationale: Somatropin requires refrigeration (2-8°
C) to maintain stability. Storing at room temperature is incorrect, needing education. Rotating sites, discarding cloudy solution, and subcutaneous administration are correct.
Question 3 of 5
A client is discharged with a prescription for warfarin. Which discharge instruction should the nurse emphasize to the client?
Correct Answer: D
Rationale: Warfarin increases bleeding risk; avoiding barefoot walking prevents foot injuries that could bleed excessively. Vitamins (especially vitamin K), astringents, and spinach (high in vitamin K) could affect warfarin efficacy or safety.
Question 4 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, interacts with tyramine-rich foods like pepperoni (aged meat) and cheese on pizza, risking hypertensive crisis. Beef, shrimp, and catfish are low in tyramine and safe.
Extract:
History and Physical
The client is a 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on post-op day 1.
Nurses' Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding noted at the site. Vital signs are heart rate 77 bpm, blood pressure 118/74 mmHg, respiratory rate 16 breaths/min.
Orders
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Question 5 of 5
What other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.
Correct Answer: A,D,E
Rationale: Ibuprofen enhances pain relief and reduces inflammation, while senna and docusate sodium prevent opioid-induced constipation. Propofol (anesthetic), methadone (chronic pain), and naloxone (emergency reversal) are inappropriate for routine post-op care.