HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem is a sedative for insomnia, and sleeping soundly indicates effectiveness. Emotional outbursts, concentration, and incontinence are not primary targets.
Question 2 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take?
Correct Answer: A
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia, requiring immediate provider notification for evaluation. Tapering, dietary teaching, or milk administration are secondary to addressing this critical imbalance.
Question 3 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement?
Correct Answer: D
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. A neurological exam, glucagon administration, or vital signs assessment are secondary until glucose levels are verified.
Question 4 of 5
During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?
Correct Answer: A
Rationale: Insomnia is a common, often temporary side effect of rivastigmine. Explaining this reassures the caregiver. Rivastigmine is for cognition, not sleep, and withholding or increasing the dose is inappropriate without provider guidance.
Question 5 of 5
The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?
Correct Answer: A
Rationale: A platelet count of 100,000/mm³ indicates thrombocytopenia, increasing bleeding risk with enoxaparin, requiring immediate action. BUN, creatinine, and hematocrit are within normal ranges and do not warrant urgent intervention.