HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication? Which information from the client indicates to the nurse an understanding of the medication?
Correct Answer: D
Rationale: Morphine frequently causes constipation due to its effects on opioid receptors in the gut. Understanding the need to monitor bowel movements and use a stool softener demonstrates proper knowledge of managing this common side effect.
Question 2 of 5
A client is receiving miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is a 'Risk for injury' and this is based on which etiology? Which etiology is the basis for the 'Risk for injury' nursing problem?
Correct Answer: B
Rationale: Miotics constrict the pupil, reducing light entry and impairing night vision, which increases the risk of injury in low-light conditions. This etiology directly supports the 'Risk for injury' nursing problem.
Question 3 of 5
During a home visit, the nurse assesses a client with Alzheimer's Disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Insomnia is a common initial side effect of rivastigmine, a cholinesterase inhibitor, which may resolve as the body adjusts. Explaining this to the caregiver manages expectations and encourages continued adherence.
Question 4 of 5
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication? Which instruction should the nurse provide this client about taking the liquid medication?
Correct Answer: B
Rationale: Using a straw to ingest ferrous sulfate elixir minimizes contact with teeth, preventing staining, a common side effect. This instruction ensures effective administration while protecting dental health.
Question 5 of 5
A female client with mild depression reports to the nurse of recently starting St. John's wort. Which information provided by the client requires further instruction? Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John’s wort induces cytochrome P450 enzymes, reducing the efficacy of hormonal contraceptives. The client’s statement that no additional contraception is needed is incorrect, requiring instruction to use alternative methods to prevent pregnancy.