HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a scheduled dose of labetalol orally to a client with hypertension. The client’s vital signs are temperature 99° F (37.2 C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (BP) 150/90 mm Hg. What action should the nurse take?
Correct Answer: A
Rationale: Labetalol, a beta-blocker, can worsen bradycardia (heart rate 48 bpm). Withholding the dose and notifying the provider (
A) is safest. Administering (
B) risks exacerbating bradycardia. Orthostatic hypotension assessment (
C) and telemetry (
D) are secondary.
Question 2 of 5
A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing the client’s pain level using a pain scale (
C) is the first step to quantify pain and guide appropriate dosing. Determining the last dose (
A) and reviewing drug history (
B) are secondary. Diversional thoughts (
D) are a non-pharmacological adjunct, not the priority.
Question 3 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 4 of 5
A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?
Correct Answer: A
Rationale: Erythromycin may reduce oral contraceptive efficacy by inducing hepatic metabolism. Using an additional contraceptive method (
A) prevents unintended pregnancy. Discontinuing the contraceptive (
B) is unnecessary. Timing gaps (
C) don’t mitigate the interaction. Sunlight avoidance (
D) relates to other antibiotics like tetracycline.
Question 5 of 5
The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
Correct Answer: B
Rationale: A scratchy throat (
B) may indicate an allergic reaction, potentially anaphylaxis, requiring immediate cessation of the piperacillin-tazobactam infusion and assessment. Hypertension (
A), bradycardia (
C), and pupillary constriction (
D) are not typical signs of an allergic response to this antibiotic.