HESI RN
HESI Pharmacology Exam 2 Questions
Extract:
History and Physical
The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine
Orders
• prescription for captopril 25mg by mouth twice a day
Laboratory Test
Hemoglobin A1C
• Result- 6.8%
• Reference Range- 4 to 5.9%
Question 1 of 5
The provider would like the client to continue with the captopril dose and restart the spironolactone. The provider wants the client to return to the clinic in 6 weeks with lab work done. What 2 labs would be most appropriate for this client to complete on their return visit?
Correct Answer: D,E,
Rationale: Captopril and spironolactone can cause renal impairment and hyperkalemia. Kidney function tests (e.g.creatinine) and electrolyte panels (e.g. potassium) monitor these risks. Coagulation cardiac enzymes osmolality and blood counts are less relevant."
Extract:
Question 2 of 5
Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client’s total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement? Reference Range: Total Calcium [Reference Range: Adult 9 to 10.5 mg/dL or 2.25 to 2.62 mmol/L]
Correct Answer: B
Rationale: A calcium level of 14 mg/dL indicates hypercalcemia, risking complications like arrhythmias. Holding both calcitriol and calcium carbonate and contacting the provider prevents further calcium elevation. Administering either medication could worsen hypercalcemia, making holding both the safest action.
Extract:
History and Physical
The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine
Orders
• prescription for captopril 25mg by mouth twice a day
Laboratory Test
Hemoglobin A1C
• Result- 6.8%
• Reference Range- 4 to 5.9%
Question 3 of 5
The provider would like the client to continue with the captopril dose and restart the spironolactone. The provider wants the client to return to the clinic in 6 weeks with lab work done. What 2 labs would be most appropriate for this client to complete on their return visit?
Correct Answer: D,E,
Rationale: Captopril and spironolactone can cause renal impairment and hyperkalemia. Kidney function tests (e.g.creatinine) and electrolyte panels (e.g. potassium) monitor these risks. Coagulation cardiac enzymes osmolality and blood counts are less relevant."
Extract:
Question 4 of 5
A client on alcohol withdrawal protocol suddenly begins to have a seizure in his bed. After several minutes the seizure has not ended and the nurse suspects the client is suffering from status epilepticus. What is the priority action the nurse will take?
Correct Answer: A
Rationale: Status epilepticus requires immediate seizure cessation to prevent brain damage. IV lorazepam is the priority to stop the seizure. Lowering to the floor, waiting, or calling a code delays critical intervention.
Question 5 of 5
A nurse is assessing a client’s ability to swallow. Which of the following, when selected by the nurse, indicates an understanding of the cranial nerve that tests the ability to swallow?
Correct Answer: C
Rationale: The glossopharyngeal nerve (IX) controls swallowing and the gag reflex. Selecting this nerve demonstrates understanding. The facial (VII) nerve manages facial expressions, trigeminal (V) handles chewing, and hypoglossal (XII) controls tongue movements.