HESI RN
RN HESI Pharmacology Exam 3 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?
Correct Answer: D
Rationale: Risedronate requires a full glass of water on an empty stomach, with the client upright for 30 minutes, to ensure absorption and prevent esophageal irritation. Milk or food reduces bioavailability, making water the only appropriate accompaniment.
Question 2 of 5
The nurse is caring for an adult client who is taking carbidopa-levodopa for Parkinson's disease. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Clarifying the client’s concern about carbidopa-levodopa’s effectiveness guides targeted assessment and intervention. Meal timing, dyskinesia, or urine color are secondary until the specific issue is understood.
Question 3 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: Lugol’s solution reduces thyroid hormone production rapidly, preparing the gland for PTU, which inhibits hormone synthesis. Administering iodine one hour before PTU optimizes treatment efficacy. Parenteral dosing, meal timing, or bedtime scheduling are incorrect.
Question 4 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run a half-marathon. Which Instruction should the nurse emphasize?
Correct Answer: D
Rationale: Oxybutynin’s anticholinergic effects reduce sweating, increasing dehydration and overheating risks during marathon training. Emphasizing hydration and heat precautions is critical. Bruising, infections, or sun injury are less relevant concerns.
Question 5 of 5
A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Worsening headache may indicate water intoxication or hyponatremia from excessive vasopressin-induced water retention, requiring immediate provider notification. Polyuria, low specific gravity, and polydipsia are DI symptoms, not vasopressin side effects.