HESI RN
HESI RN Pharmacology 106a 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 requires daily subcutaneous administration, so teaching self-injection is essential. It’s not used for hypoglycemia, dosed by meal readings, or adjusted for ketoacidosis.
Question 2 of 5
A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John's wort reduces oral contraceptive effectiveness, necessitating additional contraception. Hard candy for dry mouth, insomnia, and photosensitivity are correct understandings and do not require further instruction.
Question 3 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take?
Correct Answer: A
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia, requiring immediate provider notification for evaluation. Tapering, dietary teaching, or milk administration are secondary to addressing this critical imbalance.
Question 4 of 5
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?
Correct Answer: A
Rationale: Metformin increases the risk of lactic acidosis with contrast agents, requiring follow-up to hold the drug. Metal prostheses, prior CT scans, and sobriety are less critical for contrast safety.
Question 5 of 5
The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?
Correct Answer: B
Rationale: Involuntary movements and confusion suggest a serious issue, possibly medication toxicity or disease progression, requiring immediate emergency evaluation. Clinic visits, medication lists, or disease duration are secondary to urgent care.