HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 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? Which instructions should the nurse provide the client?
Correct Answer: A
Rationale: Methotrexate and adalimumab suppress the immune system, increasing infection risk. Avoiding crowds and sick individuals is critical to prevent infections.
Question 2 of 5
A client who is newly diagnosed with diabetes insipidus (DI) is receiving synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider? Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Worsening headache may indicate water intoxication or hyponatremia, serious complications of vasopressin therapy, requiring immediate reporting.
Question 3 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize? Which instruction should the nurse emphasize?
Correct Answer: D
Rationale: Oxybutynin reduces sweating, increasing the risk of dehydration and overheating during exercise. Emphasizing hydration and heat precautions is critical for safety.
Question 4 of 5
The nurse notifies the healthcare provider (HCP) that the client is having trouble remembering to take his second dose of captopril. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day? Select all that apply. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day?
Correct Answer: A,B,C,E
Rationale: Lisinopril, Quinapril, Ramipril, and Trandolapril have long half-lives, allowing once-daily dosing, unlike captopril, which requires multiple doses.
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? Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate must be taken with water on an empty stomach to ensure absorption and prevent esophageal irritation. Milk interferes with absorption.