HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education? Which instruction should the nurse provide during discharge education?
Correct Answer: A
Rationale: Sucralfate forms a protective barrier over ulcers, best taken on an empty stomach 1 hour before meals to ensure efficacy without food interference.
Extract:
History and physical
A 23-year-old female presents to the emergency department with altered mental status. She is accompanied by her roommate. The roommate says that symptoms started around 0900 today and have progressively worsened. She says the client first appeared euphoric but would switch to being irritable. The client also reported diarrhea and nausea. The client is combative. The client has a history of major depressive disorder and is being treated with paroxetine 50 mg PO once daily.
Nurses notes
1830
The nurse notes significant diaphoresis. The client appears confused and disoriented to person, place, and time. Lung sounds are clear. No arrhythmia is noted. Palpated pulses are strong and bounding. Capillary refill is
Flowsheet
Day 1, 1830
Vital Signs
• Temperature 102°F (38.8°C)
• Heart rate 118 beats/minute
• Respirations 16 breaths/minute
• Blood pressure 168/94 mm Hg
• Oxygen saturation 97% on room air
• Height 5 feet, 4 inches (64 cm)
• Weight 136 pounds (61.6 kg)
Question 2 of 5
Which assessment findings require follow-up by the nurse? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Myoclonus, fever, hypertension, altered mental status, tachycardia, and diaphoresis suggest serotonin syndrome, requiring immediate follow-up.
Extract:
Question 3 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report? Which adverse effect is most important for the nurse to report?
Correct Answer: D
Rationale: Involuntary movements, such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide. This requires immediate reporting to the provider for possible discontinuation and evaluation.
Question 4 of 5
The healthcare provider prescribes propylthiouracil (PTU) and Lugol’s solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications? How should the nurse schedule the administration of these medications?
Correct Answer: A
Rationale: Administering iodine before PTU enhances thyroid hormone reduction, as iodine prepares the gland before PTU inhibits hormone synthesis.
Question 5 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client’s history is of greatest concern to the nurse in monitoring the client’s response to this medication? Which information in the client’s history is of greatest concern to the nurse in monitoring the client’s response to this medication?
Correct Answer: C
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage, both potential side effects of NSAIDs like diclofenac. Alcohol exacerbates these risks, making it the most concerning factor to monitor.