HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take? Which action is most important for the nurse to take?
Correct Answer: A
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia, risking tetany or arrhythmias. Notifying the provider immediately ensures prompt correction of the deficiency before administering methylprednisolone, which could exacerbate bone loss.
Question 2 of 5
A male client who has been taking a high-dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan? Which information should the nurse include in this client's teaching plan?
Correct Answer: A
Rationale: Black stools indicate potential gastrointestinal bleeding, a serious complication of NSAID use. Instructing the client to notify the provider ensures prompt evaluation and management, critical given the client’s symptoms.
Question 3 of 5
The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication? Which information from the client indicates to the nurse an understanding of the medication?
Correct Answer: D
Rationale: Morphine frequently causes constipation due to its effects on opioid receptors in the gut. Understanding the need to monitor bowel movements and use a stool softener demonstrates proper knowledge of managing this common side effect.
Question 4 of 5
A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication? Which information should the nurse obtain prior to administering the medication?
Correct Answer: A
Rationale: Pyridostigmine, a cholinesterase inhibitor, is taken orally and can cause gastrointestinal side effects. Ensuring recent oral intake minimizes these effects and optimizes absorption, making it the most critical information to obtain before administration.
Question 5 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? Which instruction is most important for the nurse to provide?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension, increasing fall risk. Instructing the client to stand and sit up slowly minimizes dizziness and enhances safety, making it the most critical instruction.