HESI RN
RN HESI Pharmacology Exam 3 Questions
Extract:
Question 1 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: A
Rationale: Rapid weight gain may indicate fluid retention or other complications, requiring provider evaluation, though not a common gabapentin side effect. Photosensitivity, gastric irritation, and sexual dysfunction are less associated with gabapentin and less urgent.
Question 2 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?
Correct Answer: A
Rationale: Furosemide can cause hypokalemia, leading to palpitations and cramps, risking arrhythmias. Cardiac monitoring first detects potential arrhythmias, prioritizing safety. Intake/output, compresses, or bed elevation are secondary to addressing cardiac risks.
Question 3 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: D
Rationale: Adalimumab, an immunosuppressant, increases infection risk. Avoiding crowds and sick individuals minimizes exposure, protecting the client’s compromised immune system. Chest x-rays, vaccinations, or eye exams are not specifically required for adalimumab initiation.
Question 4 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Correct Answer: A
Rationale: Scopolamine prevents postoperative nausea, not pain. Explaining its purpose clarifies the client’s misunderstanding. New patches, expired effects, or placement checks do not address the pain, which requires separate analgesia.
Question 5 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run a half-marathon. Which Instruction should the nurse emphasize?
Correct Answer: D
Rationale: Oxybutynin’s anticholinergic effects reduce sweating, increasing dehydration and overheating risks during marathon training. Emphasizing hydration and heat precautions is critical. Bruising, infections, or sun injury are less relevant concerns.