HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
On admission, the healthcare provider describes a broad spectrum of antibiotic, ticarcillin for a client with a gram-negative infection. Before administering the first dose, it is most important for the nurse to implement which prescription?
Correct Answer: B
Rationale: Culture and sensitivity tests (
B) identify the causative organism and effective antibiotic, preventing resistance from premature broad-spectrum use like ticarcillin. Monitoring sodium/fluid (
A), wound care (
C), and labs (
D) are secondary.
Question 2 of 5
The nurse administers risedronate to a client with osteoporosis at 07:00. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate requires an empty stomach and plain water (
D) for absorption. Milk (
B) contains calcium, reducing efficacy. Delaying for food (A,
C) is unnecessary.
Question 3 of 5
After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent fatty stools and flatus. Which action should the nurse take?
Correct Answer: B
Rationale: Orlistat blocks dietary fat absorption, commonly causing fatty stools and flatus. Reviewing dietary intake (
B) assesses adherence to a low-fat diet, which can reduce these side effects. Stopping the drug (
A) is premature without evaluation. Increasing saturated fats (
C) worsens symptoms. Stool tests (D, E) are unnecessary as symptoms are expected.
Question 4 of 5
A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: C
Rationale: Baclofen manages chronic spasticity; discontinuing when spasms cease (
C) risks withdrawal and recurrence, needing teaching. Stool softeners (
A), alcohol avoidance (
B), and meal timing (
D) are correct.
Question 5 of 5
On admission, the healthcare provider describes a broad spectrum of antibiotic, ticarcillin for a client with a gram-negative infection. Before administering the first dose, it is most important for the nurse to implement which prescription?
Correct Answer: B
Rationale: Culture and sensitivity tests (
B) identify the causative organism and effective antibiotic, preventing resistance from premature broad-spectrum use like ticarcillin. Monitoring sodium/fluid (
A), wound care (
C), and labs (
D) are secondary.