HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
The home health nurse observes a client self-administering an epinephrine injection using an auto-injector pen. Which client action requires intervention by the nurse?
Correct Answer: C
Rationale: Epinephrine auto-injectors are single-use; cleaning for re-use (
C) risks infection or malfunction. Thigh administration (
A) is correct. Injecting through clothing (
B) may reduce efficacy but is less critical.
Choice D is a duplicate and addressed by C.
Question 2 of 5
A client with anemia secondary to chronic kidney disease started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Correct Answer: C
Rationale: Epoetin alfa stimulates red blood cell production. A hemoglobin level of 12 g/dL (
C) directly confirms improved anemia. Energy levels (
A) are subjective, iron therapy (
B) supports but doesn’t prove efficacy, and diet (
D) is supplementary.
Question 3 of 5
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several days. Which observations by the nurse indicate that the client may be experiencing an adverse effect of gentamicin?
Correct Answer: A
Rationale: Gentamicin risks ototoxicity, causing hearing loss (
A). Decreased BUN (
B) suggests improved kidney function, not an adverse effect. Normal WBC (
C) and photophobia (
D) are unrelated.
Question 4 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets which were prescribed because of a suspected anthrax exposure. Which instructions should be included in the teaching plan?
Correct Answer: A,D
Rationale: Ciprofloxacin, a fluoroquinolone, risks tendonitis/tendon rupture (
A), requiring immediate reporting, especially in older adults or those on corticosteroids. It causes photosensitivity (
D), necessitating sun protection. NSAIDs (
B) increase seizure risk, not recommended. Crushing tablets (
C) alters efficacy and is contraindicated.
Question 5 of 5
A client with psychosis who is receiving an antipsychotic medication is continuously rubbing the back of the neck. Which nursing intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Neck rubbing suggests acute dystonia, an antipsychotic side effect. Benztropine (
C), an anticholinergic, relieves dystonia. Pillows (
A), heating pads (
B), and therapy (
D) don’t address the cause.