HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving regular insulin prescribed per a sliding scale. If a dose of regular insulin is administered at 0730, which additional nursing action is indicated for this client?
Correct Answer: A
Rationale: Regular insulin peaks 2–3 hours after administration, risking hypoglycemia if not paired with food. Ensuring breakfast prevents this. Snacks, late assessments, or early glucose checks are less critical.
Question 2 of 5
The nurse is preparing client teaching materials on commonly used medications. Which client is most likely to benefit from a client education packet about simvastatin?
Correct Answer: B
Rationale: Simvastatin lowers cholesterol, benefiting those with angina due to coronary artery disease risk. Vaginal infections, pregnancy (contraindicated), and bone cancer are unrelated.
Question 3 of 5
A male client with dementia is admitted to the emergency department (ED) because he accidentally self-administered several doses of diltiazem. Which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Diltiazem overdose can cause bradycardia or heart block, making continuous ECG monitoring critical. Blood pressure, gastric irritation, and consciousness are secondary concerns.
Question 4 of 5
Based on the capillary glucose measurement, a client is to receive 10 units of regular insulin. The client's medication drawer contains one vial of a 70/30 mixture of regular insulin and isophane insulin. How should the nurse prepare the prescribed dose?
Correct Answer: C
Rationale: A 70/30 vial contains 30% regular insulin, so 10 units yields only 3 units regular insulin. Withholding until regular insulin is available ensures accurate dosing.
Question 5 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: C
Rationale: Risedronate requires an empty stomach and water only to ensure absorption. Milk’s calcium reduces efficacy. Withholding until breakfast, consulting the pharmacist, or providing milk are incorrect.