HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?
Correct Answer: A
Rationale: Terbinafine is hepatically metabolized; alcoholism (
A) suggests liver dysfunction, requiring baseline liver function tests to prevent toxicity. Thick/yellow toenails (
B) are expected. WBC (
C) is normal. Occupation (
D) is irrelevant.
Question 2 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets which were prescribed because of a suspected anthrax exposure. Which instructions should be included in the teaching plan?
Correct Answer: A,D
Rationale: Ciprofloxacin, a fluoroquinolone, risks tendonitis/tendon rupture (
A), requiring immediate reporting, especially in older adults or those on corticosteroids. It causes photosensitivity (
D), necessitating sun protection. NSAIDs (
B) increase seizure risk, not recommended. Crushing tablets (
C) alters efficacy and is contraindicated.
Question 3 of 5
After receiving five doses of filgrastim, the nurse notes that the clients white blood cell count has increased from 2,500/mm3 to 5,000/mm3. Which action would the nurse take?
Correct Answer: B
Rationale: Filgrastim boosts white blood cell production. An increase from 2,500 to 5,000/mm3 (
B) indicates success. Cultures (
A), precautions (
C), and vitals (
D) are unnecessary without other indications.
Question 4 of 5
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head-to-toe assessment, the nurse discovers four patches on the client’s body. Which action should the nurse take first?
Correct Answer: A
Rationale: Multiple morphine patches suggest overdose, causing respiratory depression and sedation. Removing patches (
A) stops further absorption, the priority. Blood pressure (
B), oxygen (
C), and reversal (
D) follow.
Question 5 of 5
An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote the best absorption of the medication, which information should the nurse include in the discharge instructions?
Correct Answer: D
Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (
D). Multivitamins (
A) may contain interfering minerals. Crushing (
B) destroys enteric coating. Bedtime (
C) is not optimal.