HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?
Correct Answer: C
Rationale: Sodium polystyrene sulfonate lowers potassium levels in hyperkalemia. A potassium level of 3.8 mEq/L within the normal range indicates the medication has effectively reduced elevated potassium, the primary goal in AKI management.
Question 2 of 5
The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?
Correct Answer: B
Rationale: Echinacea has immune-boosting properties and may help reduce the severity of canker sores. This response acknowledges its potential benefits while remaining evidence-based, addressing the husband’s concerns appropriately.
Question 3 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: B
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage with NSAIDs like diclofenac. This history is the most concerning, requiring close monitoring for GI complications and hepatotoxicity during treatment.
Question 4 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: B
Rationale: Misoprostol is used to prevent ulcers, not timed with the menstrual cycle. Starting therapy based on the cycle is incorrect and requires teaching. Other statements reflect correct understanding of misoprostol’s risks and precautions in women of childbearing age.
Question 5 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: B
Rationale: Glucagon is used to treat severe hypoglycemia when a client cannot consume oral glucose due to altered consciousness or inability to swallow. It rapidly increases blood glucose levels, making it critical for emergency management of severe hypoglycemic episodes.