HESI RN
HESI Pharmacology Questions
Extract:
Question 1 of 5
Which assessment data indicated to the nurse that a client is having an anaphylactic reaction to a medication?
Correct Answer: D
Rationale: Anaphylaxis is a severe allergic reaction involving multiple systems. Wheezing and dyspnea (
D) indicate respiratory involvement, a hallmark of anaphylaxis, requiring urgent intervention. Urticaria/pruritis (
A) are common but less specific. Insomnia/irritability (
B) and tinnitus/diplopia (
C) are unrelated.
Question 2 of 5
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head-to-toe assessment, the nurse discovers four patches on the client’s body. Which action should the nurse take first?
Correct Answer: A
Rationale: Multiple morphine patches suggest overdose, causing respiratory depression and sedation. Removing patches (
A) stops further absorption, the priority. Blood pressure (
B), oxygen (
C), and reversal (
D) follow.
Question 3 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: A
Rationale: Misoprostol risks fetal harm, requiring contraception (
B), pregnancy notification (
C), and a negative pregnancy test before starting (
D). Starting before menstruation (
A) is incorrect, needing teaching.
Question 4 of 5
A client is scheduled for a spiral computed topography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?
Correct Answer: B
Rationale: Metformin risks lactic acidosis with contrast dye due to renal effects. Follow-up (
B) ensures temporary discontinuation. Prior CT (
A), prosthesis (
C), and sobriety (
D) are less critical.
Question 5 of 5
When caring for a client with diabetes insipidus who is receiving antidiuretic hormone intranasally, which serum lab test is most important for the nurse to monitor?
Correct Answer: C
Rationale: Antidiuretic hormone (ADH) conserves water in diabetes insipidus. Serum osmolality (
C) reflects hydration status and ADH efficacy. Platelets (
A), glucose (
B), and calcium (
D) are unrelated.