HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?
Correct Answer: A
Rationale: A platelet count of 100,000/mm3 indicates thrombocytopenia, increasing bleeding risk with enoxaparin, requiring immediate action. Normal BUN, creatinine, and hematocrit do not warrant urgency.
Question 2 of 5
Which instruction should the nurse provide an unlicensed assistive personnel (UAP) who is assisting with the personal care of a client receiving clopidogrel?
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, so a soft toothbrush minimizes gum bleeding. Environment, rest, and bed elevation are unrelated to clopidogrel’s effects.
Question 3 of 5
Prior to administration of the initial dose of the gastrointestinal (GI) agent misoprostol, which information should the nurse obtain from the patient?
Correct Answer: C
Rationale: Misoprostol can induce uterine contractions and miscarriage, making pregnancy a critical contraindication to assess before administration. Antiemetic use, aspirin allergy, and glaucoma history are less directly relevant.
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?
Correct Answer: C
Rationale: Risedronate requires an empty stomach and water only to ensure absorption. Milk’s calcium reduces efficacy. Withholding until breakfast, consulting the pharmacist, or providing milk are incorrect.
Question 5 of 5
To detect common untoward effects of phenytoin, the nurse should assess a client with a seizure disorder for which sign or symptom?
Correct Answer: D
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Hypertension, edema, and hematuria are not typical side effects.