HESI RN
HESI RN 311 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?
Correct Answer: A
Rationale: Morphine causes constipation; monitoring bowel patterns and using stool softeners (
A) shows understanding of managing this side effect. Grapefruit juice (
B) does not significantly interact with morphine (metabolized by UGT2B7, not CYP3A4). Combining with benzodiazepines (
C) risks CNS depression. Agitation/insomnia (
D) are not primary concerns; sedation is more common.
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 the risk for injury. This nursing problem is based on which etiology?
Correct Answer: A
Rationale: Miotics (e.g., pilocarpine) cause pupil constriction, reducing night vision (
A), increasing injury risk in low-light conditions. Photophobia (
B), tearing (
C), and color perception (
D) are less directly linked to injury.
Question 3 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: D
Rationale: This question is identical to Question 15. Zolpidem treats insomnia; sleeping soundly (
D) indicates efficacy. Incontinence (
A), concentration (
B), and outbursts (
C) are unrelated. Note: Duplicate question; consider removing.
Question 4 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
Correct Answer: B
Rationale: Determining bowel movement frequency/consistency (
B) assesses the need for a laxative, preventing overuse or complications (e.g., diarrhea). Strength (
A), skin integrity (
C), and urge recognition (
D) are secondary.
Question 5 of 5
A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?
Correct Answer: C
Rationale: Montelukast is a maintenance drug taken daily, typically in the evening (
C), to prevent asthma symptoms by reducing airway inflammation. It is not for acute attacks (A,
D). It does not replace inhalers (
B), which remain critical for asthma control.