HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?
Correct Answer: B
Rationale: Involuntary movements and confusion suggest a serious issue, possibly medication toxicity or disease progression, requiring immediate emergency evaluation. Clinic visits, medication lists, or disease duration are secondary to urgent care.
Question 2 of 5
A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?
Correct Answer: B
Rationale: Tremors are a potential side effect of pregabalin, warranting provider notification for possible dose adjustment. Anti-anxiety drugs, glucose levels, and blood pressure readings are not directly related to addressing tremors.
Question 3 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning from irritated bladder mucosa. It does not kill bacteria, calm spasms, or require specific timing related to intercourse.
Question 4 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?
Correct Answer: B
Rationale: Insulin glargine requires daily subcutaneous administration, so teaching self-injection is essential. It’s not used for hypoglycemia, dosed by meal readings, or adjusted for ketoacidosis.
Question 5 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?
Correct Answer: A,B
Rationale: A: Hard candy alleviates dry mouth, a common tamsulosin side effect. B: Insomnia is a potential side effect, and clients should be informed. However, the most critical instruction is typically to stand/sit slowly to prevent orthostatic hypotension, which is not listed. Dry mouth and insomnia are valid but secondary concerns.