HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
The nurse is administering the sixth IV dose of gentamicin to a client with extensive full thickness burns. Which assessment finding warrants further intervention?
Correct Answer: A
Rationale: Gentamicin’s nephrotoxicity is indicated by elevated creatinine (1.6 mg/dL, above normal 0.5–1.1 mg/dL), warranting intervention. Diarrhea, normal WBC/temperature, and urine output are less urgent.
Question 2 of 5
A male client tells the home health nurse that he has started taking magnesium hydroxide and aluminum hydroxide to treat occasional heartburn. It is most important for the nurse to review the client's medical history regarding the presence of which disorder?
Correct Answer: C
Rationale: Magnesium and aluminum hydroxide are excreted renally, and renal disease can lead to accumulation, causing toxicity. Diabetes, thrombosis, and bronchitis are less directly affected.
Question 3 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?
Correct Answer: A
Rationale: Insulin glargine requires daily subcutaneous injection, so teaching self-injection is essential. It’s not dosed by meal glucose, used for hypoglycemia, or adjusted for ketoacidosis.
Question 4 of 5
The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?
Correct Answer: B
Rationale: Mydriatic drops dilate pupils, inhibiting constriction during their effect. Accommodation, refraction, and convergence may be indirectly affected but remain functional.
Question 5 of 5
The nurse is administering the sixth IV dose of gentamicin to a client with extensive full thickness burns. Which assessment finding warrants further intervention?
Correct Answer: A
Rationale: Gentamicin’s nephrotoxicity is indicated by elevated creatinine (1.6 mg/dL, above normal 0.5–1.1 mg/dL), warranting intervention. Diarrhea, normal WBC/temperature, and urine output are less urgent.