HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson's disease (PD) and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Exploring the client’s concerns clarifies specific issues with carbidopa-levodopa’s effectiveness, guiding further actions. Timing, urine color, and dyskinesia are secondary without understanding the concern.
Question 2 of 5
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem?
Correct Answer: A
Rationale: Sumatriptan’s vasoconstrictive effects risk exacerbating coronary artery disease, potentially causing cardiac events. Rhinitis, diabetes, and IBS are less critical.
Question 3 of 5
The healthcare provider prescribes the anticoagulant heparin for a client with a pulmonary embolism. Before initiating the medication, the nurse should ensure that which drug is readily available in case of heparin overdose?
Correct Answer: C
Rationale: Protamine sulfate reverses heparin’s anticoagulant effects in overdose. Warfarin and vitamin K are for other anticoagulants, and diphenhydramine is unrelated.
Question 4 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: A
Rationale: Excessive levothyroxine can cause hyperthyroidism symptoms, like restlessness, due to increased metabolism. Decreased appetite, cold intolerance, and constipation are associated with hypothyroidism, not overdose.
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.