HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
During a home visit, the nurse assesses a client with Alzheimer's Disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Insomnia is a common initial side effect of rivastigmine, a cholinesterase inhibitor, which may resolve as the body adjusts. Explaining this to the caregiver manages expectations and encourages continued adherence.
Question 2 of 5
A peak and trough level was obtained from a client receiving an aminoglycoside IV every 8 hours. Which finding presents the highest risk for the client and should be reported immediately to the healthcare provider? Which finding presents the highest risk for the client and should be reported immediately to the healthcare provider?
Correct Answer: C
Rationale: Increased peak and trough levels of aminoglycosides indicate potential toxicity, risking nephrotoxicity (from high peaks) and ototoxicity (from high troughs). Immediate reporting to the provider prevents serious harm.
Question 3 of 5
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing 'heartburn.' How should the nurse respond? How should the nurse respond?
Correct Answer: A
Rationale: Risedronate can cause esophageal irritation, leading to heartburn if not taken correctly (e.g., without water or not remaining upright). Asking the client to describe her administration technique identifies potential errors, guiding corrective instructions.
Question 4 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to symptoms like confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding immediate treatment to restore normal glucose levels.
Question 5 of 5
A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Which observation indicates an adverse effect of gentamicin?
Correct Answer: B
Rationale: Gentamicin is associated with ototoxicity, which can manifest as decreased hearing due to damage to the inner ear. This adverse effect requires immediate attention to prevent permanent hearing loss.