HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 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.
Extract:
History and physical
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg, 1 inhalation twice daily, and albuterol 90 mcg/inhalation, 2 inhalations every 4 to 6 hours PRN.
Nurses notes
The client reports that she has had more severe asthma symptoms than usual in the past week. Her forced expiratory volume has been 60 to 65% even with multiple doses of albuterol for several days in a row. She came to the hospital feeling dizzy, lightheaded, and reporting “heart palpitations.” Upon assessment, no wheezes were found. Her oxygen saturation is 99% on room air.
Question 2 of 5
Review H and P, and nurse’s note. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Correct Answer:
Rationale: Tachydysrhythmia from albuterol overuse requires monitoring (
A) and cautious albuterol use (
C). Breath sounds (
A) and airway edema (H) assess respiratory status.
Extract:
Question 3 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? 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: C
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding and liver damage, both potential side effects of NSAIDs like diclofenac. Alcohol exacerbates these risks, making it the most concerning factor to monitor.
Question 4 of 5
A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: Oral terbinafine effectively treats toenail fungal infections by penetrating the nail bed, unlike topical antibiotics, which are ineffective for this condition.
Question 5 of 5
A client has a prescription for heparin 5000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client’s medication drawer. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: D
Rationale: Low molecular weight heparin and unfractionated heparin are not interchangeable. The nurse must obtain the correct heparin form as prescribed.