HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus (DM) who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching? Which action should the nurse plan to include in the discharge teaching?
Correct Answer: B
Rationale: Insulin glargine is a long-acting insulin requiring daily subcutaneous administration. Teaching self-injection skills, including proper technique, site rotation, and storage, is essential for effective diabetes management and client independence.
Question 2 of 5
During a home visit, the nurse assesses a client with Alzheimer's Disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Insomnia is a common initial side effect of rivastigmine, a cholinesterase inhibitor, which may resolve as the body adjusts. Explaining this to the caregiver manages expectations and encourages continued adherence.
Question 3 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? Which instruction is most important for the nurse to provide?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension, increasing fall risk. Instructing the client to stand and sit up slowly minimizes dizziness and enhances safety, making it the most critical instruction.
Question 4 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. What instruction(s) should be included in the teaching plan? Select all that apply. What instruction(s) should be included in the teaching plan?
Correct Answer: A,B,D
Rationale: Ciprofloxacin can cause tendonitis or tendon rupture, photosensitivity, and crystalluria. Reporting tendon pain, limiting sun exposure, and increasing fluid intake are critical to prevent these adverse effects. Crushing tablets or using NSAIDs is not recommended due to altered absorption and increased tendon risk, respectively.
Question 5 of 5
The healthcare provider prescribes the antibiotic surgical prophylaxis protocol for a client who weighs 90 kg. The protocol is cefazolin 2 grams/100 mL 0.9% normal saline over 1 hour for clients weighing less than 265.5 pounds or cefazolin 3 grams/100 mL 0.9% normal saline over 90 minutes for clients weighing greater than 265.5 pounds. The nurse should program the pump to deliver how many mL/hr? (Enter number value only. If rounding is required, round to the nearest whole number.) The nurse should program the pump to deliver how many mL/hr?
Correct Answer: 100
Rationale: The client weighs 90 kg (198.45 pounds), which is less than 265.5 pounds, so the protocol is cefazolin 2 grams/100 mL over 1 hour. Infusion rate = 100 mL ÷ 1 hour = 100 mL/hr.