HESI RN
Nightdale College HESI Pharmacology RN 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: D
Rationale: Naloxone’s short duration may not outlast the opioid’s effects, leading to recurrent respiratory depression. Administering a second dose reverses persistent opioid effects, improving respiration and arousal. CPR is premature, chest tubes are irrelevant, and Glasgow scoring is secondary to immediate reversal.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed? Which action indicates that additional teaching is needed?
Correct Answer: A
Rationale: Priming the ipratropium inhaler with 7 pumps is excessive, wasting medication. It requires only one spray to prime when first used or after 3 days. This action indicates a need for further teaching. Rinsing the mouth, proper storage, and using a spacer are correct practices.
Question 3 of 5
Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro? Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Insulin lispro, a rapid-acting insulin, peaks quickly and requires food intake within 15 minutes to prevent hypoglycemia. Providing meals at the same time as administration is the most critical intervention to ensure glucose availability, prioritizing safety over other monitoring actions.
Question 4 of 5
A client with a seizure disorder is seen at the clinic for a follow-up visit and a prescription renewal for phenytoin. Which assessment finding warrants immediate intervention by the nurse? Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Double vision indicates phenytoin toxicity, which can impair coordination and increase fall risk. Immediate intervention, such as notifying the provider and checking serum levels, prevents complications like ataxia or seizures. Gums and insomnia are less urgent side effects.
Question 5 of 5
After administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: C
Rationale: A calcium level of 14 mg/dL indicates hypercalcemia, risking complications like arrhythmias. Holding both calcitriol and calcium carbonate and contacting the provider prevents further calcium elevation. Continuing either medication could worsen hypercalcemia, making holding both the safest action.