HESI RN
HESI Pharmacology Questions
Extract:
Question 1 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. Which instructions should be included in the teaching plan?
Correct Answer: A,D
Rationale: Ciprofloxacin, a fluoroquinolone, risks tendonitis/tendon rupture (
A), requiring immediate reporting, especially in older adults or those on corticosteroids. It causes photosensitivity (
D), necessitating sun protection. NSAIDs (
B) increase seizure risk, not recommended. Crushing tablets (
C) alters efficacy and is contraindicated.
Question 2 of 5
A client with benign prostatic receives a new prescription of tamsulosin. Which intervention should the nurse use to monitor an adverse reaction?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, risks hypotension, causing dizziness or fainting. Monitoring blood pressure (
C) detects this adverse effect. Urine output (
A), bladder scans (
B), and weights (
D) are unrelated.
Question 3 of 5
An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote the best absorption of the medication, which information should the nurse include in the discharge instructions?
Correct Answer: D
Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (
D). Multivitamins (
A) may contain interfering minerals. Crushing (
B) destroys enteric coating. Bedtime (
C) is not optimal.
Question 4 of 5
The nurse administers risedronate to a client with osteoporosis at 07:00. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate requires an empty stomach and plain water (
D) for absorption. Milk (
B) contains calcium, reducing efficacy. Delaying for food (A,
C) is unnecessary.
Question 5 of 5
Which nursing action had the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct Answer: C
Rationale: Codeine causes sedation and dizziness, increasing fall risk. Instructing assistance for ambulation (
C) prioritizes safety. Onset time (
A), constipation prevention (
B), and pain relief reporting (
D) are secondary.