HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. What information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Duloxetine is metabolized by the liver, and impaired liver function can increase toxicity risk. Liver function tests (
C) are critical before starting. Family history (
A), weight changes (
B), and other antidepressants (
D) are relevant but secondary to liver safety.
Question 2 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. What information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Duloxetine is metabolized by the liver, and impaired liver function can increase toxicity risk. Liver function tests (
C) are critical before starting. Family history (
A), weight changes (
B), and other antidepressants (
D) are relevant but secondary to liver safety.
Question 3 of 5
A female patient who follows a vegetarian diet has recently been prescribed warfarin. She mentions that she consumes leafy green vegetables daily. What should be the nurse’s response?
Correct Answer: C
Rationale: Leafy greens, high in vitamin K, can reduce warfarin’s anticoagulant effect. Informing the provider (
C) ensures dose adjustment. Praising (
A) or assuring enhanced efficacy (
B) ignores the interaction. Substituting vegetables (
D) is unnecessary with proper monitoring.
Question 4 of 5
After administering five doses of filgrastim, the nurse observes that the patient’s white blood cell count has increased from 2,500/mm^3 to 5,000/mm^3. What action should the nurse take?
Correct Answer: A
Rationale: Filgrastim stimulates white blood cell production. An increase from 2,500/mm^3 to 5,000/mm^3 (
A) indicates effectiveness, and the patient should be informed. Culture reports (
B) are unrelated to filgrastim’s action. Neutropenic precautions (
C) are unnecessary with improved counts. Vital signs (
D) don’t directly assess filgrastim’s efficacy.
Question 5 of 5
While evaluating a patient who has been taking acetaminophen for chronic pain, the nurse notices that the patient’s skin appears yellow. What action should the nurse take in response to this observation?
Correct Answer: D
Rationale: Yellow skin (jaundice) suggests liver damage, a serious acetaminophen side effect. Reporting to the provider (
D) is critical for evaluation. Reducing dosage (
A) without consultation is unsafe. Glucose (
B) and oxygen saturation (
C) are unrelated to jaundice.