HESI RN
RN HESI Pharmacology Questions
Extract:
History and physical
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The 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 a low heart rate. The 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 transfer to the operating room (OR). Vancomycin infusing at 125 mL/hr.
Question 1 of 5
The nurse would determine what actions to implement in an emergent situation. Drag from Word Choices to complete the sentence. "The client is at immediate risk for developing: ---------------,---------------------and-----------------------
Correct Answer: C,E,F
Rationale: The client’s bradycardia and atrial fibrillation increase risks for cardiac arrest, arrhythmias, and anaphylaxis (from vancomycin), requiring emergency preparedness.
Extract:
Question 2 of 5
A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete? Which assessment is most important for the nurse to complete?
Correct Answer: A
Rationale: Long-term ibuprofen use can cause gastrointestinal complications, such as ulcers or bleeding. Abdominal pain may indicate these issues, making it the most critical assessment to monitor for potential adverse effects.
Extract:
History and physical
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The 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 a low heart rate. The 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 transfer to the operating room (OR). Vancomycin infusing at 125 mL/hr.
Question 3 of 5
The nurse would determine what actions to implement in an emergent situation. Drag from Word Choices to complete the sentence. "The client is at immediate risk for developing: ---------------,---------------------and-----------------------
Correct Answer: C,E,F
Rationale: The client’s bradycardia and atrial fibrillation increase risks for cardiac arrest, arrhythmias, and anaphylaxis (from vancomycin), requiring emergency preparedness.
Extract:
Question 4 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse? Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Smoking exacerbates peptic ulcers and hinders healing. Reducing to a pack per day is insufficient; complete cessation is recommended.
Question 5 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.