HESI RN
HESI RN D441 Pharmacology 0A1 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?
Correct Answer: A
Rationale: Atorvastatin lowers LDL cholesterol, a key risk factor for coronary artery disease. A decrease in LDL levels indicates the medication is effectively reducing cardiovascular risk, making it the primary indicator of therapeutic success.
Question 2 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: B
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage with NSAIDs like diclofenac. This history is the most concerning, requiring close monitoring for GI complications and hepatotoxicity during treatment.
Question 3 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: B
Rationale: Glucagon is used to treat severe hypoglycemia when a client cannot consume oral glucose due to altered consciousness or inability to swallow. It rapidly increases blood glucose levels, making it critical for emergency management of severe hypoglycemic episodes.
Question 4 of 5
A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of heartburn and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider?
Correct Answer: C
Rationale: A positive guaiac test indicates gastrointestinal bleeding, likely related to ibuprofen use, which can cause fatigue and dizziness due to anemia. This finding requires immediate reporting to address potential bleeding and prevent further complications.
Question 5 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Doubling the dose of allopurinol if missed is incorrect and requires instruction. Patients should take a missed dose as soon as remembered unless it’s close to the next dose, then skip it. Doubling doses can increase the risk of side effects without therapeutic benefit.