HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?
Correct Answer: C
Rationale: Misoprostol can induce uterine contractions and miscarriage, making pregnancy a critical contraindication to assess before administration. Antiemetic use, aspirin allergy, and glaucoma history are less directly 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
A patient with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?
Correct Answer: B
Rationale: Open-angle glaucoma requires lifelong eye drops to maintain normal intraocular pressure and prevent optic nerve damage. The angle isn’t restored, pain/swelling aren’t primary issues, and pressure reduction is ongoing.
Question 4 of 5
To detect common untoward effects of phenytoin, the nurse should assess a client with a seizure disorder for which sign or symptom?
Correct Answer: D
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Hypertension, edema, and hematuria are not typical side effects.
Question 5 of 5
A client is using the nasal spray hormone calcitonin to reduce bone loss from osteoporosis. To reduce rhinitis associated with administration of the nasal spray, the nurse should provide the client with which instruction?
Correct Answer: A
Rationale: Alternating nostrils daily reduces local irritation and rhinitis from calcitonin nasal spray, allowing each nostril recovery time. Lying down doesn’t directly reduce rhinitis, and NSAIDs or antihistamines are not standard for managing this side effect.