HESI RN
HESI RN 301 Pharmacology Final Exam 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: A
Rationale: Insulin glargine requires daily subcutaneous injection, so teaching self-injection is essential. It’s not dosed by meal glucose, used for hypoglycemia, or adjusted for ketoacidosis.
Question 2 of 5
Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?
Correct Answer: D
Rationale: Bulk-forming laxatives require adequate water to form a gel-like stool, preventing obstruction. Dairy avoidance, specific timing, and upright posture are less critical.
Question 3 of 5
A male client tells the home health nurse that he has started taking magnesium hydroxide and aluminum hydroxide to treat occasional heartburn. It is most important for the nurse to review the client's medical history regarding the presence of which disorder?
Correct Answer: C
Rationale: Magnesium and aluminum hydroxide are excreted renally, and renal disease can lead to accumulation, causing toxicity. Diabetes, thrombosis, and bronchitis are less directly affected.
Question 4 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: A
Rationale: Insulin glargine requires daily subcutaneous injection, so teaching self-injection is essential. It’s not dosed by meal glucose, used for hypoglycemia, or adjusted for ketoacidosis.
Question 5 of 5
The nurse is caring for a client who has a finger stick blood glucose level of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the nurse is informed that morning meal trays will be 30 minutes late. Which action should the nurse take?
Correct Answer: C
Rationale: Acarbose, an alpha-glucosidase inhibitor, must be taken with the first bite of a meal to manage postprandial glucose. Holding it until the meal arrives ensures proper timing and efficacy. Administering early, notifying the provider, or rechecking glucose are unnecessary.