HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Insulin glargine, a long-acting insulin, requires daily subcutaneous injection at a consistent dose. Teaching self-injection skills (
A) ensures proper administration. Dosing is not based on pre-meal glucose (
B). Glargine treats hyperglycemia, not hypoglycemia (
C). Ketoacidosis requires medical intervention, not dose increases (
D).
Question 2 of 5
On admission, the healthcare provider describes a broad spectrum of antibiotic, ticarcillin for a client with a gram-negative infection. Before administering the first dose, it is most important for the nurse to implement which prescription?
Correct Answer: B
Rationale: Culture and sensitivity tests (
B) identify the causative organism and effective antibiotic, preventing resistance from premature broad-spectrum use like ticarcillin. Monitoring sodium/fluid (
A), wound care (
C), and labs (
D) are secondary.
Question 3 of 5
A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: C
Rationale: Baclofen manages chronic spasticity; discontinuing when spasms cease (
C) risks withdrawal and recurrence, needing teaching. Stool softeners (
A), alcohol avoidance (
B), and meal timing (
D) are correct.
Question 4 of 5
The health care provider prescribes the antilipemic lovastatin for a client who has exhibited a consistently elevated serum cholesterol level. In evaluating the client’s treatment regimen, which remark by the client indicates to the nurse that the client understands the drug’s treatment protocol?
Correct Answer: B
Rationale: Lovastatin risks hepatotoxicity; avoiding alcohol (
B) reduces liver strain, indicating understanding. Stopping when cholesterol lowers (
A) is incorrect; it’s long-term. Diet restrictions persist (
C). WBC monitoring (
D) is unnecessary.
Question 5 of 5
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several days. Which observations by the nurse indicate that the client may be experiencing an adverse effect of gentamicin?
Correct Answer: A
Rationale: Gentamicin risks ototoxicity, causing hearing loss (
A). Decreased BUN (
B) suggests improved kidney function, not an adverse effect. Normal WBC (
C) and photophobia (
D) are unrelated.