HESI RN
HESI RN 311 Pharmacology 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: D
Rationale: This question is identical to Question 15. Zolpidem treats insomnia; sleeping soundly (
D) indicates efficacy. Incontinence (
A), concentration (
B), and outbursts (
C) are unrelated. Note: Duplicate question; consider removing.
Question 2 of 5
A client who has been taking nonsteroidal anti-inflammatory drugs (NSAIDs) is experiencing gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client’s teaching plan?
Correct Answer: D
Rationale: Black stools (
D) indicate potential GI bleeding, a serious NSAID/esomeprazole risk, requiring immediate provider notification. Milk/cream (
A) may not help and could increase acid. Diarrhea/headache (
B) are less urgent. Resuming NSAIDs (
C) risks further bleeding without provider approval.
Question 3 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: A
Rationale: Benzonatate suppresses cough reflex; denying coughing spells (
A) indicates efficacy. Sleep (
B) may improve indirectly. Expectorating secretions (
C) and nasal discharge (
D) are unrelated, as benzonatate is not an expectorant or decongestant.
Question 4 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: D
Rationale: This question is identical to Question 15. Zolpidem treats insomnia; sleeping soundly (
D) indicates efficacy. Incontinence (
A), concentration (
B), and outbursts (
C) are unrelated. Note: Duplicate question; consider removing.
Question 5 of 5
A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500 mg PO twice daily. Which action should the nurse take?
Correct Answer: A
Rationale: Contacting the provider (
A) is priority due to a 1-4% cross-reactivity risk between penicillin and cephalexin (a cephalosporin) in penicillin-allergic patients, especially with anaphylaxis history. Antihistamines (
B) cannot prevent anaphylaxis. Administering without consultation (
C) risks severe reaction. Monitoring (
D) is secondary to preventing exposure.