HESI RN
RN HESI Pharmacology 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? 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 by enhancing digoxin’s effects on the heart, potentially causing arrhythmias. This value requires immediate reporting.
Question 2 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: C
Rationale: The client’s persistent respiratory depression indicates the opioid effects are not fully reversed. Administering a second dose of naloxone, an opioid antagonist, is the priority to restore normal breathing.
Extract:
History and physical
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg, 1 inhalation twice daily, and albuterol 90 mcg/inhalation, 2 inhalations every 4 to 6 hours PRN.
Nurses notes
The client reports that she has had more severe asthma symptoms than usual in the past week. Her forced expiratory volume has been 60 to 65% even with multiple doses of albuterol for several days in a row. She came to the hospital feeling dizzy, lightheaded, and reporting “heart palpitations.” Upon assessment, no wheezes were found. Her oxygen saturation is 99% on room air.
Question 3 of 5
Review H and P, and nurse’s note. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Correct Answer:
Rationale: Tachydysrhythmia from albuterol overuse requires monitoring (
A) and cautious albuterol use (
C). Breath sounds (
A) and airway edema (H) assess respiratory status.
Extract:
Question 4 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 5 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.