HESI Pharmacology | Nurselytic

Questions 46

HESI RN

HESI RN Test Bank

HESI Pharmacology Questions

Extract:


Question 1 of 5

The nurse is planning care for a patient with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?

Correct Answer: C

Rationale: Duloxetine is hepatically metabolized and risks hepatotoxicity. Liver function tests (
C) are critical to assess baseline liver health. Recent antidepressant use (
B) is important to avoid serotonin syndrome, but liver function is prioritized. Weight changes (
A) and family history (
D) are less urgent.

Question 2 of 5

A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?

Correct Answer: A

Rationale: Misoprostol risks fetal harm, requiring contraception (
B), pregnancy notification (
C), and a negative pregnancy test before starting (
D). Starting before menstruation (
A) is incorrect, needing teaching.

Question 3 of 5

A client with psychosis who is receiving an antipsychotic medication is continuously rubbing the back of the neck. Which nursing intervention is best for the nurse to implement?

Correct Answer: C

Rationale: Neck rubbing suggests acute dystonia, an antipsychotic side effect. Benztropine (
C), an anticholinergic, relieves dystonia. Pillows (
A), heating pads (
B), and therapy (
D) don’t address the cause.

Question 4 of 5

The nurse administers risedronate to a client with osteoporosis at 07:00. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

Correct Answer: D

Rationale: Risedronate requires an empty stomach and plain water (
D) for absorption. Milk (
B) contains calcium, reducing efficacy. Delaying for food (A,
C) is unnecessary.

Question 5 of 5

The health care provider prescribes the antilipemic lovastatin for a client who has exhibited a consistently elevated serum cholesterol level. In evaluating the client’s treatment regimen, which remark by the client indicates to the nurse that the client understands the drug’s treatment protocol?

Correct Answer: B

Rationale: Lovastatin risks hepatotoxicity; avoiding alcohol (
B) reduces liver strain, indicating understanding. Stopping when cholesterol lowers (
A) is incorrect; it’s long-term. Diet restrictions persist (
C). WBC monitoring (
D) is unnecessary.

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