HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Taking additional acetaminophen doses as needed is dangerous due to the risk of liver toxicity from exceeding the maximum daily dose. The client needs instruction to adhere to prescribed dosing and consult the provider before adjusting doses.
Question 2 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?
Correct Answer: B
Rationale: Methotrexate and adalimumab suppress the immune system, increasing infection risk. Avoiding crowds and sick individuals reduces exposure to pathogens, making this the most critical instruction to prevent serious infections.
Question 3 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: B
Rationale: Metoclopramide can cause extrapyramidal symptoms like involuntary movements (e.g., tardive dyskinesia), which are serious and may require medication adjustment or discontinuation. This adverse effect is more critical to report than diarrhea, irritability, or nausea.
Question 4 of 5
A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?
Correct Answer: B
Rationale: Covering the site with an occlusive dressing can increase betamethasone absorption and side effects, and should only be done under specific medical guidance. This statement requires further teaching to ensure safe use.
Question 5 of 5
A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client's history, the nurse determines that the client has been self-administering St. John's Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding?
Correct Answer: A
Rationale: St. John's Wort induces liver enzymes, reducing cyclosporine levels, an immunosuppressant critical for preventing transplant rejection. This interaction increases the risk of graft rejection, making it the most significant finding requiring immediate attention.