HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
Rivastigmine, a cholinesterase inhibitor, is prescribed for a female patient with early-stage Alzheimer’s Disease. The patient’s daughter tells the nurse that she plans to start administering the drug when her mother’s symptoms worsen, hoping to avoid nursing home placement. How should the nurse respond?
Correct Answer: B
Rationale: Rivastigmine is most effective early in Alzheimer’s (
B) to slow symptom progression. Delaying until worsening (
A) reduces benefits. Mental status assessment (
C) informs but doesn’t guide timing. Discussing disease progression (
D) is secondary to medication timing.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) has been prescribed a new ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: A
Rationale: Ipratropium inhalers require 2-3 priming sprays for new devices, not 7 (
A), indicating a need for teaching. Room temperature storage (
B), mouth rinsing (
C), and spacer use (
D) are correct.
Question 3 of 5
A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?
Correct Answer: A
Rationale: Erythromycin may reduce oral contraceptive efficacy by inducing hepatic metabolism. Using an additional contraceptive method (
A) prevents unintended pregnancy. Discontinuing the contraceptive (
B) is unnecessary. Timing gaps (
C) don’t mitigate the interaction. Sunlight avoidance (
D) relates to other antibiotics like tetracycline.
Question 4 of 5
The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
Correct Answer: B
Rationale: A scratchy throat (
B) may indicate an allergic reaction, potentially anaphylaxis, requiring immediate cessation of the piperacillin-tazobactam infusion and assessment. Hypertension (
A), bradycardia (
C), and pupillary constriction (
D) are not typical signs of an allergic response to this antibiotic.
Question 5 of 5
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct Answer: A
Rationale: Codeine, an opioid, causes drowsiness and dizziness, increasing fall risk. Instructing the client to request assistance when ambulating (
A) is the highest priority for safety. Stool softeners (
B) address constipation but are secondary. Notifying about unrelieved pain (
C) and onset time (
D) are important but not immediate safety concerns.