HESI RN
HESI RN 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. 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 2 of 5
The loop diuretic furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat? Which foods should the nurse encourage this client to eat?
Correct Answer: B
Rationale: Furosemide causes potassium loss, risking hypokalemia. Encouraging potassium-rich foods like bananas, oranges, and peaches helps maintain electrolyte balance, supporting heart function in heart failure.
Question 3 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.
Question 4 of 5
A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Which observation indicates an adverse effect of gentamicin?
Correct Answer: B
Rationale: Gentamicin is associated with ototoxicity, which can manifest as decreased hearing due to damage to the inner ear. This adverse effect requires immediate attention to prevent permanent hearing loss.
Question 5 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.