HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
Correct Answer: B
Rationale: A scratchy throat (
B) may indicate an allergic reaction, potentially anaphylaxis, requiring immediate cessation of the piperacillin-tazobactam infusion and assessment. Hypertension (
A), bradycardia (
C), and pupillary constriction (
D) are not typical signs of an allergic response to this antibiotic.
Question 2 of 5
A client with atrial fibrillation has been prescribed dabigatran. What instruction should the nurse include in this client’s teaching plan?
Correct Answer: B
Rationale: Dabigatran increases bleeding risk; avoiding NSAIDs (
B) reduces this risk. Spinach (
A) affects warfarin, not dabigatran. Routine bleeding tests (
C) aren’t required for dabigatran. Antidotes (
D) like idarucizumab are hospital-administered, not kept at home.
Question 3 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) has been prescribed a new ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: A
Rationale: Ipratropium inhalers require 2-3 priming sprays for new devices, not 7 (
A), indicating a need for teaching. Room temperature storage (
B), mouth rinsing (
C), and spacer use (
D) are correct.
Question 4 of 5
The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease. What should be included in this patient’s care plan?
Correct Answer: B
Rationale: Sucralfate forms a protective barrier over ulcers and should be given on an empty stomach (
B), 1 hour before meals or at bedtime, for optimal efficacy. Once-daily dosing (
A) is incorrect; it’s typically 4 times daily. Candida infection (
C) and electrolyte imbalances (
D) are not associated with sucralfate.
Question 5 of 5
A patient in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system to manage asthma. This system delivers an inhaled powdered form of these combined medications. What instruction should the nurse provide to this patient’s caregivers?
Correct Answer: B
Rationale: Fluticasone/salmeterol is a maintenance therapy, used twice daily (
B). Exhaling into the mouthpiece (
A) is incorrect; inhalation is required. Hypotension (
C) isn’t a common side effect. It’s not for acute attacks (
D), which require rescue inhalers.