HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate must be taken with water on an empty stomach to ensure absorption and prevent esophageal irritation. Milk interferes with absorption.
Question 2 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first? Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest cardiac issues, making cardiac monitoring the priority.
Question 3 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately? Which laboratory value should be reported to the healthcare provider immediately?
Correct Answer: B
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity by enhancing digoxin’s effects on the heart, potentially causing arrhythmias. This value requires immediate reporting.
Question 4 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? Select all that apply. Which actions should the nurse implement?
Correct Answer: B,C,E
Rationale: Providing an NSAID could worsen bleeding, and a variance report is premature without evidence of error. A soft bristle toothbrush reduces gum irritation, reviewing coagulation lab values ensures proper anticoagulant dosing, and reporting to the provider addresses potential adverse effects.
Question 5 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine? Which action should the nurse implement?
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, lowers blood pressure by relaxing blood vessels. Measuring blood pressure directly assesses its effectiveness.