HESI RN
HESI RN Pharmacology 106a 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?
Correct Answer: D
Rationale: Rising AST suggests hepatotoxicity from fluconazole, requiring the dose to be held and the provider notified for evaluation. Continuing the infusion, notifying the pharmacy, or submitting a report are secondary to addressing potential liver damage.
Question 2 of 5
The healthcare provider prescribes the antibiotic surgical prophylaxis protocol for a client who weighs 90 kg. The protocol is cefazolin 2 grams/100 mL 0.9% normal saline over 1 hour for clients weighing less than 265.5 pounds or cefazolin 3 grams/100 mL 0.9% normal saline over 90 minutes for clients weighing greater than 265.5 pounds. The nurse should program the pump to deliver how many mL/hr?
Correct Answer: 100
Rationale: Client weighs 90 kg = 198 lbs (<265.5 lbs), so protocol is 2 grams/100 mL over 1 hour. Infusion rate = 100 mL / 1 hour = 100 mL/hr.
Question 3 of 5
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
Correct Answer: C
Rationale: Isotretinoin is highly teratogenic, requiring discontinuation at least one month before conception to prevent birth defects. Breastfeeding, vitamin A, and liver monitoring are secondary concerns.
Question 4 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning from irritated bladder mucosa. It does not kill bacteria, calm spasms, or require specific timing related to intercourse.
Question 5 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem is a sedative for insomnia, and sleeping soundly indicates effectiveness. Emotional outbursts, concentration, and incontinence are not primary targets.