HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is providing instructions about a client’s new medication. How should the nurse explain the purpose of probenecid, a uricosuric drug?
Correct Answer: C
Rationale: Probenecid promotes uric acid excretion (
C), treating gout/hyperuricemia. It doesn’t reduce urination pain (
A), strengthen urinary system (
B), or directly prevent kidney stones (
D).
Question 2 of 5
After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent fatty stools and flatus. Which action should the nurse take?
Correct Answer: B
Rationale: Orlistat blocks dietary fat absorption, commonly causing fatty stools and flatus. Reviewing dietary intake (
B) assesses adherence to a low-fat diet, which can reduce these side effects. Stopping the drug (
A) is premature without evaluation. Increasing saturated fats (
C) worsens symptoms. Stool tests (D, E) are unnecessary as symptoms are expected.
Question 3 of 5
The nurse administers risedronate to a client with osteoporosis at 07:00. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate requires an empty stomach and plain water (
D) for absorption. Milk (
B) contains calcium, reducing efficacy. Delaying for food (A,
C) is unnecessary.
Question 4 of 5
A client is scheduled for a spiral computed topography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?
Correct Answer: B
Rationale: Metformin risks lactic acidosis with contrast dye due to renal effects. Follow-up (
B) ensures temporary discontinuation. Prior CT (
A), prosthesis (
C), and sobriety (
D) are less critical.
Question 5 of 5
The nurse is planning to discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Insulin glargine, a long-acting insulin, requires daily subcutaneous injection at a consistent dose. Teaching self-injection skills (
A) ensures proper administration. Dosing is not based on pre-meal glucose (
B). Glargine treats hyperglycemia, not hypoglycemia (
C). Ketoacidosis requires medical intervention, not dose increases (
D).