HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?
Correct Answer: B
Rationale: Goldenseal’s antimicrobial properties may affect infection response or interact with antibiotics. Recent infection history is critical. Weight, sleep, and forgetfulness are less relevant.
Question 2 of 5
A male client tells the home health nurse that he has started taking magnesium hydroxide and aluminum hydroxide to treat occasional heartburn. It is most important for the nurse to review the client's medical history regarding the presence of which disorder?
Correct Answer: C
Rationale: Magnesium and aluminum hydroxide are excreted renally, and renal disease can lead to accumulation, causing toxicity. Diabetes, thrombosis, and bronchitis are less directly affected.
Question 3 of 5
Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?
Correct Answer: D
Rationale: Bulk-forming laxatives require adequate water to form a gel-like stool, preventing obstruction. Dairy avoidance, specific timing, and upright posture are less critical.
Question 4 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: A
Rationale: Excessive levothyroxine can cause hyperthyroidism symptoms, like restlessness, due to increased metabolism. Decreased appetite, cold intolerance, and constipation are associated with hypothyroidism, not overdose.
Question 5 of 5
The nurse is preparing to administer warfarin sodium 10 mg PO to a client whose international normalized ratio (INR) is 5.0. Which intervention should the nurse implement?
Correct Answer: C
Rationale: An INR of 5.0 indicates excessive anticoagulation, increasing bleeding risk. Withholding warfarin for 24 hours and consulting the provider is appropriate. Administering, discontinuing, or retesting immediately are less prioritized.