HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse is reviewing the client’s laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease? Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect?
Correct Answer: A
Rationale: Atorvastatin reduces LDL cholesterol, a key risk factor for coronary artery disease. Lower LDL levels indicate the medication’s effectiveness.
Question 2 of 5
The healthcare provider prescribes propylthiouracil (PTU) and Lugol’s solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications? How should the nurse schedule the administration of these medications?
Correct Answer: A
Rationale: Administering iodine before PTU enhances thyroid hormone reduction, as iodine prepares the gland before PTU inhibits hormone synthesis.
Extract:
History and Physical
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Nurses’ Notes
0700:
Laboratory specimens have been drawn and completed during a preadmission visit. After changing clothes and settling into bed, the client was placed on continuous monitoring. Admission process completed. 0800: Peripheral IV (PIV) started in the right antecubital with a 20 gauge catheter. IV fluids of 0.9% sodium chloride started at 50 mL/hr. Cardiac surgeon in to see the client and answer questions about the procedure. 0830: Client reports no known allergies. Vancomycin 1 gram in 250 mL 0.9% sodium chloride started at 125 mL/hr as endocarditis prophylaxis. 0840: Awaiting transport to the operating room.
Orders
0800:
• a. Start peripheral IV
• b. Vancomycin 1 gram in 250 mL 0.9% sodium chloride
0840:
• c. Stop vancomycin
Question 3 of 5
The nurse is assessing the client to update the plan of care. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The nurse determines that the client is experiencing ___ and the blood pressure changes are the result of ___.
Correct Answer: A,E
Rationale: Syncope from bradycardia causes low blood flow, with vasodilation contributing to blood pressure changes.
Extract:
Question 4 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? Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause electrolyte imbalances leading to arrhythmias. Palpitations and tiredness suggest cardiac issues, making cardiac monitoring the priority.
Question 5 of 5
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete? Which assessment is most important for the nurse to complete?
Correct Answer: C
Rationale: Hydromorphone can cause constipation, potentially leading to paralytic ileus. Auscultating bowel sounds detects early signs of this complication.