HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Rising AST levels suggest potential hepatotoxicity from fluconazole. Holding the dose and notifying the provider ensures timely evaluation and prevents further liver damage, prioritizing client safety.
Question 2 of 5
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Transdermal nitroglycerin provides sustained release but may not act quickly enough for acute angina. Administering sublingual nitroglycerin, which acts rapidly, while keeping the patch in place, effectively relieves chest pain.
Question 3 of 5
The healthcare provider prescribes enoxaparin sodium 80 mg SUBQ twice daily. The nurse is preparing a preloaded 1 mL syringe labeled, 'enoxaparin sodium injection, USP 60 mg/0.6 mL.' How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.) How many mL should the nurse administer?
Correct Answer: 0.8
Rationale: Dose = 80 mg; concentration = 60 mg/0.6 mL = 100 mg/mL; volume = 80 mg ÷ 100 mg/mL = 0.8 mL.
Question 4 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Rising AST levels suggest potential hepatotoxicity from fluconazole. Holding the dose and notifying the provider ensures timely evaluation and prevents further liver damage, prioritizing client safety.
Question 5 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? Which assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Assessing the frequency and consistency of bowel movements provides critical information about the client's bowel function, establishing a baseline to determine the need for a laxative and evaluate its effectiveness. This helps avoid overmedication or complications like diarrhea or fecal impaction, making it the most important assessment before administering a laxative.