HESI RN 311 Pharmacology | Nurselytic

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HESI RN 311 Pharmacology Questions

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Question 1 of 5

The healthcare provider prescribes enoxaparin sodium 80 mg SUBQ three times daily. The nurse is preparing a preloaded 1 mL syringe labeled 'Enoxaparin sodium injection, USP 60 mg/0.6 mL.' How many mL should the nurse administer?

Correct Answer: 0.8

Rationale: Enoxaparin syringe: 60 mg/0.6 mL = 100 mg/mL. Prescribed: 80 mg. Volume = 80 mg ÷ 100 mg/mL = 0.8 mL. Thus, administer 0.8 mL.

Question 2 of 5

Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?

Correct Answer: C

Rationale: Excess levothyroxine causes hyperthyroidism symptoms, including restlessness (
C) due to increased metabolism. Constipation (
A), cold intolerance (
B), and decreased appetite (
D) indicate hypothyroidism, not overdose.

Question 3 of 5

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Correct Answer: D

Rationale: Phenazopyridine provides analgesia for irritated bladder mucosa (
D), relieving pain/burning in cystitis. It is not an antibiotic (
A), not specifically post-intercourse (
B), and lacks antispasmodic effects (
C). It’s taken after meals to reduce GI upset.

Question 4 of 5

A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?

Correct Answer: B

Rationale: Doxycycline reduces hormonal contraceptive efficacy (
B), requiring additional contraception (e.g., condoms). No contraindication exists (
A). Timing separation (
C) is irrelevant. Stopping birth control (
D) risks pregnancy.

Question 5 of 5

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

Correct Answer: D

Rationale: Zolpidem, a sedative-hypnotic, treats insomnia. Sleeping soundly through the night (
D) indicates efficacy. Incontinence (
A), concentration (
B), and emotional outbursts (
C) are unrelated to its primary effect.

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