HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
The nurse is reviewing the client’s laboratory results. Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? Which action should the nurse expect to implement?
Correct Answer: D
Rationale: Digoxin toxicity is often exacerbated by electrolyte imbalances, such as hypokalemia or hypercalcemia. Checking acid-base and electrolyte values identifies contributing factors, guiding appropriate interventions like withholding digoxin or correcting imbalances.
Question 2 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Rising AST levels suggest potential hepatotoxicity from fluconazole. Holding the dose and notifying the provider ensures timely evaluation and prevents further liver damage, prioritizing client safety.
Question 3 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 4 of 5
A client with peptic ulcer disease (PUD) is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take? Which action should the nurse take?
Correct Answer: D
Rationale: Pantoprazole reduces acid production, and sucralfate forms a protective barrier over ulcers, both most effective when given before meals. Administering both as scheduled addresses heartburn and promotes ulcer healing.
Question 5 of 5
A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication? Which information should the nurse obtain prior to administering the medication?
Correct Answer: A
Rationale: Pyridostigmine, a cholinesterase inhibitor, is taken orally and can cause gastrointestinal side effects. Ensuring recent oral intake minimizes these effects and optimizes absorption, making it the most critical information to obtain before administration.