HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment the nurse observes the client is alert and oriented, but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication? Which scheduled medication should the nurse notify the healthcare provider about?
Correct Answer: A
Rationale: Jaundice indicates potential liver dysfunction, and acetaminophen is metabolized by the liver, posing a risk of hepatotoxicity. Notifying the provider ensures evaluation and possible adjustment of acetaminophen to prevent further liver damage.
Question 2 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect? Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning by soothing irritated bladder mucosa. Explaining this effect helps the client understand its role in symptom relief, not infection treatment.
Question 3 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? Which information in the client’s history requires follow up by the nurse?
Correct Answer: B
Rationale: Metformin can increase the risk of lactic acidosis when combined with iodinated contrast media, especially if renal function is compromised. Follow-up is needed to consider temporarily discontinuing metformin before and after the CT scan to prevent this serious complication.
Question 4 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. What instruction(s) should be included in the teaching plan? Select all that apply. What instruction(s) should be included in the teaching plan?
Correct Answer: A,B,D
Rationale: Ciprofloxacin can cause tendonitis or tendon rupture, photosensitivity, and crystalluria. Reporting tendon pain, limiting sun exposure, and increasing fluid intake are critical to prevent these adverse effects. Crushing tablets or using NSAIDs is not recommended due to altered absorption and increased tendon risk, respectively.
Question 5 of 5
A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide? Which instruction should the nurse provide?
Correct Answer: D
Rationale: Baclofen can cause dizziness and fatigue, increasing the risk of falls or accidents. Advising the client to avoid hazardous activities like driving until symptoms subside enhances safety while the side effects are assessed.