HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative? Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?
Correct Answer: C
Rationale: Bulk-forming laxatives absorb water to soften stool and promote bowel movements. Following administration with an additional glass of water ensures adequate hydration, preventing intestinal obstruction and enhancing efficacy.
Question 2 of 5
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow up by the nurse? Which information in the client’s history requires follow up by the nurse?
Correct Answer: B
Rationale: Metformin can increase the risk of lactic acidosis when combined with iodinated contrast media, especially if renal function is compromised. Follow-up is needed to consider temporarily discontinuing metformin before and after the CT scan to prevent this serious complication.
Question 3 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? Which assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Assessing the frequency and consistency of bowel movements provides critical information about the client's bowel function, establishing a baseline to determine the need for a laxative and evaluate its effectiveness. This helps avoid overmedication or complications like diarrhea or fecal impaction, making it the most important assessment before administering a laxative.
Question 4 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect? Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning by soothing irritated bladder mucosa. Explaining this effect helps the client understand its role in symptom relief, not infection treatment.
Question 5 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus (DM) who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching? Which action should the nurse plan to include in the discharge teaching?
Correct Answer: B
Rationale: Insulin glargine is a long-acting insulin requiring daily subcutaneous administration. Teaching self-injection skills, including proper technique, site rotation, and storage, is essential for effective diabetes management and client independence.