HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client’s history includes which problem?
Correct Answer: B
Rationale: Sumatriptan, a vasoconstrictor, risks coronary spasm in clients with coronary artery disease (
B), potentially causing ischemia. IBS (
A), rhinitis (
C), and diabetes (
D) are not contraindications.
Question 2 of 5
A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?
Correct Answer: A
Rationale: Feverfew, in the Asteraceae family, risks allergic reactions in those allergic to chamomile/ragweed/yarrow (
A), a critical warning. NSAID interactions (
B), GI side effects (
C), and anxiety (
D) are secondary concerns.
Question 3 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: A
Rationale: Benzonatate suppresses cough reflex; denying coughing spells (
A) indicates efficacy. Sleep (
B) may improve indirectly. Expectorating secretions (
C) and nasal discharge (
D) are unrelated, as benzonatate is not an expectorant or decongestant.
Question 4 of 5
Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?
Correct Answer: D
Rationale: Statins risk hepatotoxicity; reviewing baseline serum liver enzymes (
D) monitors for liver damage. CBC (
A), electrolytes (
B), and glucose (
C) are not primary concerns unless other conditions exist.
Question 5 of 5
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in the client’s plan of care?
Correct Answer: D
Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia. Limiting high-potassium foods (
D) prevents toxicity. Bruising (
A) is unrelated. Salt substitutes (
B) contain potassium, risking hyperkalemia. Photosensitivity (
C) is not a primary concern. Baseline potassium levels should also be checked.