HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
Before administering initial dose of sumatriptan succinate to a client with a migraine headache, it is most to determine if the client’s history includes which problem?
Correct Answer: B
Rationale: Sumatriptan, a vasoconstrictor, risks coronary artery spasm in clients with coronary artery disease (
B), potentially causing ischemia. Diabetes (
A), rhinitis (
C), and IBS (
D) are not contraindications.
Question 2 of 5
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several days. Which observations by the nurse indicate that the client may be experiencing an adverse effect of gentamicin?
Correct Answer: A
Rationale: Gentamicin risks ototoxicity, causing hearing loss (
A). Decreased BUN (
B) suggests improved kidney function, not an adverse effect. Normal WBC (
C) and photophobia (
D) are unrelated.
Question 3 of 5
The nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Insulin glargine, a long-acting insulin, requires daily subcutaneous injection at a consistent dose. Teaching self-injection skills (
A) ensures proper administration. Dosing is not based on pre-meal glucose (
B). Glargine treats hyperglycemia, not hypoglycemia (
C). Ketoacidosis requires medical intervention, not dose increases (
D).
Question 4 of 5
The nurse is planning care for a patient with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Duloxetine is hepatically metabolized and risks hepatotoxicity. Liver function tests (
C) are critical to assess baseline liver health. Recent antidepressant use (
B) is important to avoid serotonin syndrome, but liver function is prioritized. Weight changes (
A) and family history (
D) are less urgent.
Question 5 of 5
The home health nurse observes a client self-administering an epinephrine injection using an auto-injector pen. Which client action requires intervention by the nurse?
Correct Answer: C
Rationale: Epinephrine auto-injectors are single-use; cleaning for re-use (
C) risks infection or malfunction. Thigh administration (
A) is correct. Injecting through clothing (
B) may reduce efficacy but is less critical.
Choice D is a duplicate and addressed by C.