HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
Correct Answer: D
Rationale: Administering Lugol's solution one hour before PTU allows iodine to suppress thyroid hormone release before PTU takes effect, enhancing therapeutic outcomes in hyperthyroidism. PTU should be taken on an empty stomach, and the medications should not be given together or at bedtime without specific timing considerations.
Question 2 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Correct Answer: C
Rationale: Scopolamine is used to prevent nausea, not pain. The nurse should clarify this to manage the client’s expectations and address pain with appropriate analgesics.
Question 3 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement?
Correct Answer: B,D,E
Rationale: B: A soft bristle toothbrush prevents further gum trauma. D: Reporting bleeding symptoms to the provider is critical for potential anticoagulant adjustment. E: Reviewing coagulation lab values assesses bleeding risk. A is incorrect as NSAIDs increase bleeding risk, and C is unnecessary without a medication error.
Question 4 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
Correct Answer: D
Rationale: Adequate fluid intake (1500–3000 mL/day) is critical for lithium therapy to prevent toxicity and maintain stable levels. This instruction is essential for the client’s safety and effective treatment.
Question 5 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Smoking exacerbates peptic ulcer disease, and reducing to a pack per day is insufficient. The client should be encouraged to quit smoking entirely. Other statements reflect appropriate understanding of cimetidine administration and side effect monitoring.