HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 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: C
Rationale: Excess levothyroxine causes hyperthyroidism symptoms, including restlessness (
C) due to increased metabolism. Constipation (
A), cold intolerance (
B), and decreased appetite (
D) indicate hypothyroidism, not overdose.
Question 2 of 5
The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?
Correct Answer: B
Rationale: Sucralfate requires an empty stomach, 1 hour before meals (
B), to coat ulcers/stomatitis effectively. Documenting refusal (
A) is premature without education. Post-meal dosing (C,
D) reduces efficacy due to food interference.
Question 3 of 5
A client is receiving miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is the risk for injury. This nursing problem is based on which etiology?
Correct Answer: A
Rationale: Miotics (e.g., pilocarpine) cause pupil constriction, reducing night vision (
A), increasing injury risk in low-light conditions. Photophobia (
B), tearing (
C), and color perception (
D) are less directly linked to injury.
Question 4 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: D
Rationale: This question is identical to Question 15. Zolpidem treats insomnia; sleeping soundly (
D) indicates efficacy. Incontinence (
A), concentration (
B), and outbursts (
C) are unrelated. Note: Duplicate question; consider removing.
Question 5 of 5
A female client with mild depression reports to the nurse that she recently started taking St. John’s wort. Which information provided by the client requires further instruction?
Correct Answer: B
Rationale: St. John’s wort induces cytochrome P450 enzymes, reducing hormonal contraceptive efficacy (
B), requiring additional contraception. Insomnia (
A), photosensitivity (
C), and dry mouth (D, managed with hard candy) are known side effects, correctly understood.