HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the client’s upper back and the client denies pain. Which action should the nurse take?
Correct Answer: C
Rationale: Applying a new fentanyl patch in a different location after removing the old one (
C) prevents overdose and skin irritation. Multiple patches (
A) risk toxicity. Consulting the provider (
B) is unnecessary without pain. Oral analgesics (
D) are not needed if pain is controlled.
Question 2 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: C
Rationale: Excess levothyroxine causes hyperthyroidism symptoms, including restlessness (
C) due to increased metabolism. Constipation (
A), cold intolerance (
B), and decreased appetite (
D) indicate hypothyroidism, not overdose.
Question 3 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 (1.375 mmol/L). What action is most important for the nurse to take?
Correct Answer: C
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia (normal: 8.5-10.2 mg/dL), risking arrhythmias/seizures. Notifying the provider (
C) ensures urgent correction. Dietary teaching (
A) and milk (
D) are insufficient. Tapering (
B) requires provider direction.
Question 4 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?
Correct Answer: D
Rationale: Priming ipratropium with 7 pumps (
D) is excessive; 2-4 sprays are sufficient, indicating a need for teaching. Rinsing mouth (
A), room temperature storage (
B), and spacer use (
C) are correct practices.
Question 5 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
Correct Answer: B
Rationale: Determining bowel movement frequency/consistency (
B) assesses the need for a laxative, preventing overuse or complications (e.g., diarrhea). Strength (
A), skin integrity (
C), and urge recognition (
D) are secondary.