HESI RN
RN HESI Pharmacology Exam 3 Questions
Extract:
Question 1 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, lowers blood pressure to manage hypertension. Measuring blood pressure directly assesses its effectiveness. Calcium levels, electrolytes, or intake/output are not primary indicators of amlodipine’s therapeutic effect.
Question 2 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Correct Answer: A
Rationale: Scopolamine prevents postoperative nausea, not pain. Explaining its purpose clarifies the client’s misunderstanding. New patches, expired effects, or placement checks do not address the pain, which requires separate analgesia.
Question 3 of 5
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)
Correct Answer: 200
Rationale: Infusion rate = 200 mL ÷ 1 hour = 200 mL/hr. The pump should be set to deliver 200 mL/hr to infuse the entire dose over one hour.
Question 4 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Bleeding and bruising suggest anticoagulant-related complications. Completing a variance report documents potential issues, a soft toothbrush reduces gum trauma, reporting to the provider ensures intervention, and reviewing coagulation labs guides management. NSAIDs increase bleeding risk and are contraindicated.
Question 5 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: A
Rationale: Orlistat inhibits fat absorption, aiding weight loss. Monitoring BMI directly assesses weight changes, indicating the medication’s effectiveness. Calorie counts, depression, or protein levels are less specific to orlistat’s primary goal of weight reduction.