HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this patient's plan of care?
Correct Answer: D
Rationale: Sucralfate forms a protective barrier over ulcers and is most effective when taken on an empty stomach, 1 hour before or 2 hours after meals, to adhere to the ulcer site. Once-daily dosing is incorrect, as it’s typically given four times daily. Sucralfate doesn’t cause significant electrolyte imbalances or Candida infections.
Question 2 of 5
The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?
Correct Answer: B
Rationale: Mydriatic drops dilate pupils, inhibiting constriction during their effect. Accommodation, refraction, and convergence may be indirectly affected but remain functional.
Question 3 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: A
Rationale: Excessive levothyroxine can cause hyperthyroidism symptoms, like restlessness, due to increased metabolism. Decreased appetite, cold intolerance, and constipation are associated with hypothyroidism, not overdose.
Question 4 of 5
An older female client comes to the clinic for a regular check-up. The client tells the nurse that she has increased her daily doses of acetaminophen for the past month to control joint pain. Based on this patient's comment, which previous laboratory results should the nurse compare with today's laboratory report?
Correct Answer: D
Rationale: High acetaminophen doses risk hepatotoxicity, potentially elevating LDH, a marker of liver damage. Potassium, APTT, and hemoglobin/hematocrit are not primarily affected by acetaminophen overuse.
Question 5 of 5
A client is receiving morphine sulfate via a patient-controlled analgesia (PCA) pump postoperatively. Which assessment finding should prompt the nurse to administer a prescribed PRN dose of naloxone?
Correct Answer: B
Rationale: A respiratory rate of 7 breaths/minute indicates severe opioid-induced respiratory depression, requiring naloxone. Other findings suggest distress but are less specific for opioid overdose.