HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
The nurse is preparing client teaching materials on commonly used medications. Which client is most likely to benefit from a client education packet about simvastatin?
Correct Answer: B
Rationale: Simvastatin lowers cholesterol, benefiting those with angina due to coronary artery disease risk. Vaginal infections, pregnancy (contraindicated), and bone cancer are unrelated.
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
Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dl (3.5 mmol/l). Which action should the nurse implement?
Correct Answer: D
Rationale: A calcium level of 14 mg/dL indicates hypercalcemia, risking toxicity. Both calcitriol and calcium carbonate increase calcium levels, so holding both and contacting the provider is safest.
Question 4 of 5
Digoxin and furosemide were prescribed for a client with chronic heart failure, and the home health nurse is evaluating the client's self-care knowledge of these drugs. Which statement indicates that the client has a good understanding about the use of these drugs?
Correct Answer: A
Rationale: Nausea and appetite loss are signs of digoxin toxicity, requiring provider notification, showing good understanding. Furosemide is taken regularly, not symptom-based, and blood pressure or weight-based dose adjustments need medical guidance.
Question 5 of 5
During an annual physical exam, an older adult tells the nurse of using goldenseal as an herbal supplement. Which additional history should the nurse gather from the client?
Correct Answer: B
Rationale: Goldenseal’s antimicrobial properties may affect infection response or interact with antibiotics. Recent infection history is critical. Weight, sleep, and forgetfulness are less relevant.