HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is administering sodium polystyrene sulfonate to a client with acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate treats hyperkalemia by exchanging sodium for potassium. A potassium level of 3.8 mEq/L (
A) indicates effectiveness (normal range: 3.5-5.0 mEq/L). Hemoglobin (
B), glucose (
C), and ammonia (
D) are unrelated to its action.
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 patient with peptic ulcer disease has been prescribed cimetidine. Which statement made by the patient indicates the need for further instruction by the nurse?
Correct Answer: C
Rationale: Cimetidine should be taken with meals or immediately after, not 1 hour after antacids (
C), which interferes with absorption. Reducing smoking (
A) is insufficient; cessation is ideal. Lethargy (
B) and sexual dysfunction (
D) are valid monitoring points.
Question 4 of 5
A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera. Which laboratory result should the nurse review?
Correct Answer: B
Rationale: Albendazole can cause hepatotoxicity, indicated by fatigue, nausea, dark urine, and jaundice. Reviewing liver function tests (
B) assesses damage. Thyroid (
A), renal (
C), and metabolic panels (
D) are unrelated to these symptoms.
Question 5 of 5
A patient with chemotherapy-induced nausea has been prescribed metoclopramide. What adverse effect should the nurse report?
Correct Answer: D
Rationale: This question is identical to Question 5. Involuntary movements (
D), such as tardive dyskinesia, are a serious metoclopramide side effect, requiring immediate reporting. Diarrhea (
A) and irritability (
B) are less severe. Nausea (
C) is the treated condition. Note: Duplicate question; consider removing.