HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
Digoxin and furosemide were prescribed for a client with chronic heart failure, and the home health nurse is evaluating the client's self-care knowledge of these drugs. Which statement indicates that the client has a good understanding about the use of these drugs?
Correct Answer: A
Rationale: Nausea and appetite loss are signs of digoxin toxicity, requiring provider notification, showing good understanding. Furosemide is taken regularly, not symptom-based, and blood pressure or weight-based dose adjustments need medical guidance.
Question 2 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Doubling allopurinol after a missed dose risks toxicity; take the missed dose if time permits or skip it. Reducing caffeine/acid, taking with food, and drinking water are correct.
Question 3 of 5
An older female client comes to the clinic for a regular check-up. The client tells the nurse that she has increased her daily doses of acetaminophen for the past month to control joint pain. Based on this patient's comment, which previous laboratory results should the nurse compare with today's laboratory report?
Correct Answer: D
Rationale: High acetaminophen doses risk hepatotoxicity, potentially elevating LDH, a marker of liver damage. Potassium, APTT, and hemoglobin/hematocrit are not primarily affected by acetaminophen overuse.
Question 4 of 5
A daily dose of aspirin 325 mg PO is most beneficial for an adult client with which medical diagnosis?
Correct Answer: C
Rationale: Aspirin 325 mg daily prevents clot formation in myocardial infarction patients, reducing recurrence risk. It’s not primary for gout, sepsis, or rheumatoid arthritis management.
Question 5 of 5
A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the instructions for using this medication?
Correct Answer: A
Rationale: Tiotropium is a daily maintenance inhaler for COPD. The client’s statement about daily use is correct. It doesn’t thin sputum, isn’t used with other inhalers between doses, and isn’t for acute shortness of breath.