HESI RN
RN HESI Pharmacology Exam Questions
Extract:
Question 1 of 5
Review H and P, and nurse’s note. Identify from the choices below which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Correct Answer:
Rationale: The provided answer (methemoglobinemia) is unlikely, as asthma medications don’t typically cause it. Asthma exacerbation is more likely given the history. Actions: Take vital signs (
A) and give albuterol (
C) address acute symptoms. Monitor heart rate/rhythm (
B) and breath sounds (
D) assess response. CBC and methemoglobin are irrelevant.
Extract:
History and Physical
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Nurses' Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding noted at the site.
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Orders
• Admit to the surgical floor
• Clear liquid diet, advance as tolerated
• Continuous cardiorespiratory monitoring
• Morphine 1 mg/hr intravenously
• Alert surgeon to signs of bleeding or infection in the surgical site
Question 2 of 5
What actions should the nurse take to ensure safety during morphine administration? Select all that apply.
Correct Answer: A,D,E
Rationale: Morphine risks respiratory depression; checking respiratory rate, having a resuscitation bag, and reviewing medications for interactions ensure safety. ECG, suctioning, and restraints are unnecessary without specific indications.
Extract:
Question 3 of 5
A client is discharged with a prescription for warfarin. Which discharge instruction should the nurse emphasize to the client?
Correct Answer: D
Rationale: Warfarin increases bleeding risk; avoiding barefoot walking prevents foot injuries that could bleed excessively. Vitamins (especially vitamin K), astringents, and spinach (high in vitamin K) could affect warfarin efficacy or safety.
Question 4 of 5
A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?
Correct Answer: D
Rationale: Baclofen’s common side effects include fatigue and dizziness, which may subside with time. Avoiding hazardous activities prevents injury. Fluids/protein, stopping abruptly, or ER visits are inappropriate without severe symptoms.
Question 5 of 5
A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication?
Correct Answer: D
Rationale: Pyridostigmine, a cholinesterase inhibitor, is best taken on an empty stomach to enhance absorption. Recent oral intake informs timing. Sleep, urination, and weight loss are unrelated to administration.