HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
The nurse is administering muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention is the most important for the nurse to implement? Which intervention is the most important for the nurse to implement?
Correct Answer: A
Rationale: Baclofen can cause drowsiness, dizziness, and orthostatic hypotension, increasing fall risk. Advising the client to move slowly and cautiously when rising and walking is the most critical intervention to ensure safety, particularly for a client with multiple sclerosis who may already have impaired coordination.
Question 2 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse? Which statement requires additional instruction by the nurse?
Correct Answer: C
Rationale: Smoking impairs cimetidine’s effectiveness and delays ulcer healing, requiring complete cessation, not just reduction. The client’s statement about reducing cigarette use indicates a misunderstanding, needing further instruction. Other statements about antacids, lethargy, and sexual dysfunction are correct.
Question 3 of 5
A client who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the client's skin and sclera. Which laboratory result should the nurse review? Which laboratory result should the nurse review?
Correct Answer: D
Rationale: Fatigue, nausea, dark urine, and jaundice suggest liver toxicity, a known risk of albendazole. Reviewing liver function tests (e.g., AST, ALT, bilirubin) assesses liver damage and guides management. Metabolic, thyroid, or renal panels are not directly related to these symptoms.
Question 4 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: A
Rationale: Risedronate, a bisphosphonate, requires administration with water on an empty stomach to ensure absorption, as calcium in milk binds to the drug, reducing efficacy. Instructing the client to take it with water only is critical. Delaying or taking with food/milk is incorrect and reduces effectiveness.
Question 5 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers? Which instruction should the nurse provide to the client's caregivers?
Correct Answer: D
Rationale: The fluticasone/salmeterol discus is a maintenance therapy, used twice daily to prevent asthma symptoms. Instructing caregivers to limit use to twice daily ensures adherence and prevents overuse. Breathing into the mouthpiece wastes medication, the discus is not for acute attacks, and salmeterol may increase blood pressure.