HESI RN
RN HESI Pharmacology Exam 3 Questions
Extract:
Question 1 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: A
Rationale: Mydriatic drops dilate pupils, inhibiting constriction by blocking parasympathetic response. Refraction, convergence, and accommodation (though impaired) are less directly affected during the therapeutic period.
Question 2 of 5
A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?
Correct Answer: C
Rationale: Dextroamphetamine-amphetamine, a stimulant, can cause insomnia if taken late. Determining dose timing identifies if adjusting to earlier administration reduces sleep issues. Bedtime routines, anxiety, or caffeine are secondary considerations.
Question 3 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: D
Rationale: Adalimumab, an immunosuppressant, increases infection risk. Avoiding crowds and sick individuals minimizes exposure, protecting the client’s compromised immune system. Chest x-rays, vaccinations, or eye exams are not specifically required for adalimumab initiation.
Question 4 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: A
Rationale: Rapid weight gain may indicate fluid retention or other complications, requiring provider evaluation, though not a common gabapentin side effect. Photosensitivity, gastric irritation, and sexual dysfunction are less associated with gabapentin and less urgent.
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: C
Rationale: Glucagon raises blood glucose in severe hypoglycemia (e.g., unconsciousness), preventing complications. It’s not for hyperglycemia, sick days, or diabetic ketoacidosis, which require insulin and other treatments.