HESI RN
RN HESI Pharmacology Questions
Extract:
Question 1 of 5
The nurse notifies the healthcare provider (HCP) that the client is having trouble remembering to take his second dose of captopril. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day? Select all that apply. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day?
Correct Answer: A,B,C,E
Rationale: Lisinopril, Quinapril, Ramipril, and Trandolapril have long half-lives, allowing once-daily dosing, unlike captopril, which requires multiple doses.
Question 2 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication? Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Orlistat reduces fat absorption to aid weight loss. Monitoring BMI, calculated from height and weight, directly assesses weight changes, making it the most relevant measure of the medication’s effectiveness.
Question 3 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: C
Rationale: The client’s persistent respiratory depression indicates the opioid effects are not fully reversed. Administering a second dose of naloxone, an opioid antagonist, is the priority to restore normal breathing.
Question 4 of 5
A client with nasal congestion receives a prescription for phenylephrine 10 mg PO every 4 hours. Which client condition should the nurse report to the healthcare provider before administering the medication? Which client condition should the nurse report to the healthcare provider before administering the medication?
Correct Answer: C
Rationale: Phenylephrine causes vasoconstriction, which can elevate blood pressure. In clients with hypertension, this can worsen the condition and lead to cardiovascular complications, necessitating reporting to the healthcare provider.
Question 5 of 5
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.) The nurse should program the infusion pump to deliver how many mL/hr?
Correct Answer: 200
Rationale: The IV bag contains 200 mL to be infused over 1 hour. Infusion rate = 200 mL ÷ 1 hour = 200 mL/hr.