HESI RN 311 Pharmacology | Nurselytic

Questions 41

HESI RN

Home > HESI RN > HESI Pharmacology > HESI RN 311 Pharmacology
HESI RN Test Bank

HESI RN 311 Pharmacology Questions

Extract:


Question 1 of 5

The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take?

Correct Answer: D

Rationale: An INR of 2.8 is therapeutic for atrial fibrillation (2.0-3.0), but notifying the provider (
D) ensures dose stability per protocol. Giving the dose (
A) is likely safe but not prioritized. Repeat sampling (
B) is unnecessary unless error is suspected. Bleeding monitoring (
C) is routine, not primary.

Question 2 of 5

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?

Correct Answer: B

Rationale: Metformin (
B) risks lactic acidosis with contrast dye due to potential renal impairment. Follow-up ensures temporary discontinuation (e.g., 48 hours post-procedure). Prior CT (
A) is irrelevant unless complications occurred. Sobriety (
C) and metal prosthesis (
D) do not affect contrast safety, though metal may impact image quality.

Question 3 of 5

A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Correct Answer: C

Rationale: Calcium acetate binds dietary phosphate in CKD, reducing serum phosphate levels (
C), the desired effect. It does not lower potassium (
A) or pH (
D). It may increase calcium (
B), but this is not the goal.

Question 4 of 5

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?

Correct Answer: D

Rationale: This question is identical to Question 15. Zolpidem treats insomnia; sleeping soundly (
D) indicates efficacy. Incontinence (
A), concentration (
B), and outbursts (
C) are unrelated. Note: Duplicate question; consider removing.

Question 5 of 5

A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?

Correct Answer: B

Rationale: Methylphenidate increases blood pressure/heart rate, risking exacerbation of hypertension (
B). Hypercholesterolemia (
A), diabetes (
C), and bronchitis (
D) are not primary concerns.

Similar Questions

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication?
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?
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing heartburn. How should the nurse respond?
Prior to administering an oral dose of methylprednisolone, the nurse determines the client’s serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?

Access More Questions!

HESI RN Basic

$89/ 30 days

 

HESI RN Premium

$150/ 90 days