HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
Six days after starting a prescription of an oral amoxicillin solution, a client calls the clinic to report the onset of a low grade fever. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: A low-grade fever after starting amoxicillin may indicate an allergic reaction or other adverse effects. Determining if other symptoms, such as rash or breathing difficulties, are present is critical to assess the severity and guide further management.
Question 2 of 5
The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment the nurse observes the client is alert and oriented, but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication? Which scheduled medication should the nurse notify the healthcare provider about?
Correct Answer: A
Rationale: Jaundice indicates potential liver dysfunction, and acetaminophen is metabolized by the liver, posing a risk of hepatotoxicity. Notifying the provider ensures evaluation and possible adjustment of acetaminophen to prevent further liver damage.
Question 3 of 5
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Transdermal nitroglycerin provides sustained release but may not act quickly enough for acute angina. Administering sublingual nitroglycerin, which acts rapidly, while keeping the patch in place, effectively relieves chest pain.
Question 4 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.
Question 5 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition? Which condition should the nurse review the medical record for?
Correct Answer: C
Rationale: Methylphenidate, a stimulant, can increase blood pressure and heart rate, exacerbating hypertension. Reviewing the medical record for hypertension ensures safe administration and prevents cardiovascular complications.