HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? Which assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Assessing the frequency and consistency of bowel movements provides critical information about the client's bowel function, establishing a baseline to determine the need for a laxative and evaluate its effectiveness. This helps avoid overmedication or complications like diarrhea or fecal impaction, making it the most important assessment before administering a laxative.
Question 2 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus (DM) who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching? Which action should the nurse plan to include in the discharge teaching?
Correct Answer: B
Rationale: Insulin glargine is a long-acting insulin requiring daily subcutaneous administration. Teaching self-injection skills, including proper technique, site rotation, and storage, is essential for effective diabetes management and client independence.
Question 3 of 5
The loop diuretic furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat? Which foods should the nurse encourage this client to eat?
Correct Answer: B
Rationale: Furosemide causes potassium loss, risking hypokalemia. Encouraging potassium-rich foods like bananas, oranges, and peaches helps maintain electrolyte balance, supporting heart function in heart failure.
Question 4 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to symptoms like confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding immediate treatment to restore normal glucose levels.
Question 5 of 5
A female client with mild depression reports to the nurse of recently starting St. John's wort. Which information provided by the client requires further instruction? Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John’s wort induces cytochrome P450 enzymes, reducing the efficacy of hormonal contraceptives. The client’s statement that no additional contraception is needed is incorrect, requiring instruction to use alternative methods to prevent pregnancy.