HESI RN
Nightdale College HESI Pharmacology RN 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? Which assessment finding is most important for the nurse to address?
Correct Answer: B
Rationale: Terbinafine is hepatotoxic, and a history of alcoholism suggests potential liver damage, increasing the risk of adverse effects. Addressing this history is critical to assess liver function before administration. Other findings, like occupation or normal WBC, are less relevant to the medication's safety.
Question 2 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? Which information is most important for the nurse to obtain?
Correct Answer: B
Rationale: Duloxetine is metabolized by the liver, and hepatotoxicity is a rare but serious risk. Obtaining liver function test results is critical to ensure safe administration, as impaired liver function increases the risk of toxicity. Other factors like weight changes or antidepressant use are relevant but secondary to liver function.
Question 3 of 5
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client? Which nursing action has the highest priority?
Correct Answer: A
Rationale: Codeine, an opioid, causes drowsiness and dizziness, increasing fall risk. Instructing the client to request assistance when ambulating prioritizes safety, preventing injuries. Other actions, like administering laxatives or informing about onset, are important but secondary to immediate safety concerns.
Question 4 of 5
A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first? Which action should the nurse implement first?
Correct Answer: D
Rationale: Assessing the client’s pain level using a pain scale provides objective data to determine the appropriate dose and urgency of pain management. This guides safe administration, ensuring the dose matches the pain intensity. Checking prior doses or history is secondary, and diversional strategies are not the first step.
Question 5 of 5
Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 84 mcg/L (35.6 mmol/L). Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: A carbamazepine level of 84 mcg/L is significantly above the therapeutic range (4-12 mcg/mL), indicating toxicity. Notifying the healthcare provider is the most appropriate action to ensure timely intervention, such as withholding the dose or adjusting the regimen, to prevent serious effects like ataxia or seizures.