HESI RN 311 Pharmacology | Nurselytic

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HESI RN 311 Pharmacology Questions

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Question 1 of 5

The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?

Correct Answer: B

Rationale: Sucralfate requires an empty stomach, 1 hour before meals (
B), to coat ulcers/stomatitis effectively. Documenting refusal (
A) is premature without education. Post-meal dosing (C,
D) reduces efficacy due to food interference.

Question 2 of 5

A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

Correct Answer: C

Rationale: Montelukast is a maintenance drug taken daily, typically in the evening (
C), to prevent asthma symptoms by reducing airway inflammation. It is not for acute attacks (A,
D). It does not replace inhalers (
B), which remain critical for asthma control.

Question 3 of 5

A client who has been taking nonsteroidal anti-inflammatory drugs (NSAIDs) is experiencing gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client’s teaching plan?

Correct Answer: D

Rationale: Black stools (
D) indicate potential GI bleeding, a serious NSAID/esomeprazole risk, requiring immediate provider notification. Milk/cream (
A) may not help and could increase acid. Diarrhea/headache (
B) are less urgent. Resuming NSAIDs (
C) risks further bleeding without provider approval.

Question 4 of 5

Prior to administering an oral dose of methylprednisolone, the nurse determines the client’s serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?

Correct Answer: C

Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia (normal: 8.5-10.2 mg/dL), risking arrhythmias/seizures. Notifying the provider (
C) ensures urgent correction. Dietary teaching (
A) and milk (
D) are insufficient. Tapering (
B) requires provider direction.

Question 5 of 5

The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?

Correct Answer: A

Rationale: Morphine causes constipation; monitoring bowel patterns and using stool softeners (
A) shows understanding of managing this side effect. Grapefruit juice (
B) does not significantly interact with morphine (metabolized by UGT2B7, not CYP3A4). Combining with benzodiazepines (
C) risks CNS depression. Agitation/insomnia (
D) are not primary concerns; sedation is more common.

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