HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?
Correct Answer: B
Rationale: Insulin glargine, a long-acting insulin, requires daily subcutaneous injection. Teaching self-injection skills (
B) ensures proper administration. It’s not for hypoglycemia (
A). Dosing is fixed, not based on pre-meal glucose (
C). Ketoacidosis (
D) requires emergency care, not dose increases.
Question 2 of 5
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication?
Correct Answer: A
Rationale: Using a straw (
A) minimizes tooth staining from ferrous sulfate elixir. Swallowing undiluted (
B) causes GI irritation; dilution with water/juice is preferred. Antacids (
C) reduce iron absorption by neutralizing stomach acid. Milk (
D) contains calcium, inhibiting absorption. Taking with vitamin C enhances absorption.
Question 3 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Correct Answer: B
Rationale: Methylphenidate increases blood pressure/heart rate, risking exacerbation of hypertension (
B). Hypercholesterolemia (
A), diabetes (
C), and bronchitis (
D) are not primary concerns.
Question 4 of 5
A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?
Correct Answer: A
Rationale: Feverfew, in the Asteraceae family, risks allergic reactions in those allergic to chamomile/ragweed/yarrow (
A), a critical warning. NSAID interactions (
B), GI side effects (
C), and anxiety (
D) are secondary concerns.
Question 5 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: A
Rationale: Benzonatate suppresses cough reflex; denying coughing spells (
A) indicates efficacy. Sleep (
B) may improve indirectly. Expectorating secretions (
C) and nasal discharge (
D) are unrelated, as benzonatate is not an expectorant or decongestant.