HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: C
Rationale: The client’s persistent respiratory depression indicates the opioid effects are not fully reversed. Administering a second dose of naloxone, an opioid antagonist, is the priority to restore normal breathing.
Question 2 of 5
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction? Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: B
Rationale: Tamsulosin can cause orthostatic hypotension. Monitoring blood pressure detects this adverse reaction, ensuring client safety.
Question 3 of 5
A client has a prescription for heparin 5000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client’s medication drawer. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.
Question 4 of 5
Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro? Which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Insulin lispro is rapid-acting, peaking quickly. Providing meals at the same time as administration prevents hypoglycemia by ensuring glucose availability.
Question 5 of 5
A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: Oral terbinafine effectively treats toenail fungal infections by penetrating the nail bed, unlike topical antibiotics, which are ineffective for this condition.