HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure. What instructions should be included in the teaching plan?
Correct Answer: B,D,E
Rationale: Ciprofloxacin requires high fluid intake (
B) to prevent crystalluria, immediate reporting of tendon pain/swelling (
D) due to rupture risk, and sun protection (E) due to photosensitivity. Crushing tablets (
A) alters release, risking side effects. NSAIDs (
C) increase seizure risk with ciprofloxacin.
Question 2 of 5
A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?
Correct Answer: C
Rationale: Zolpidem, a sedative-hypnotic, should be taken at bedtime (
C) to avoid daytime drowsiness and fall risk. Two hours of sleep (
A) is insufficient for safe clearance. Taking with meals (
B) reduces efficacy. Fluid intake (
D) is unrelated to zolpidem’s administration.
Question 3 of 5
The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease. What should be included in this patient’s care plan?
Correct Answer: B
Rationale: Sucralfate forms a protective barrier over ulcers and should be given on an empty stomach (
B), 1 hour before meals or at bedtime, for optimal efficacy. Once-daily dosing (
A) is incorrect; it’s typically 4 times daily. Candida infection (
C) and electrolyte imbalances (
D) are not associated with sucralfate.
Question 4 of 5
After administering five doses of filgrastim, the nurse observes that the patient’s white blood cell count has increased from 2,500/mm^3 to 5,000/mm^3. What action should the nurse take?
Correct Answer: A
Rationale: Filgrastim stimulates white blood cell production. An increase from 2,500/mm^3 to 5,000/mm^3 (
A) indicates effectiveness, and the patient should be informed. Culture reports (
B) are unrelated to filgrastim’s action. Neutropenic precautions (
C) are unnecessary with improved counts. Vital signs (
D) don’t directly assess filgrastim’s efficacy.
Question 5 of 5
After taking orlistat for one week, a female patient tells the home health nurse that she is experiencing increasingly frequent oily stools and gas. What action should the nurse take?
Correct Answer: A
Rationale: Orlistat inhibits fat absorption, causing oily stools and gas if dietary fat is high. Assessing dietary intake (
A) identifies the cause. Stopping the drug (
B) is premature. Increasing fats (
C) worsens symptoms. Stool testing (
D) is unnecessary for known side effects.