HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately?
Correct Answer: B
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia, which increases the risk of digoxin toxicity and cardiac arrhythmias. This value requires immediate reporting to prevent potentially life-threatening complications.
Question 2 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: B
Rationale: Glucagon is used to treat severe hypoglycemia when a client cannot consume oral glucose due to altered consciousness or inability to swallow. It rapidly increases blood glucose levels, making it critical for emergency management of severe hypoglycemic episodes.
Question 3 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: C
Rationale: Amlodipine, a calcium channel blocker, is used to manage hypertension. Measuring blood pressure directly assesses its effectiveness in lowering blood pressure, the primary therapeutic goal.
Question 4 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement?
Correct Answer: B,D,E
Rationale: B: A soft bristle toothbrush prevents further gum trauma. D: Reporting bleeding symptoms to the provider is critical for potential anticoagulant adjustment. E: Reviewing coagulation lab values assesses bleeding risk. A is incorrect as NSAIDs increase bleeding risk, and C is unnecessary without a medication error.
Question 5 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if missed is incorrect and requires instruction. Patients should take a missed dose as soon as remembered unless it’s close to the next dose, then skip it. Doubling doses can increase the risk of side effects without therapeutic benefit.