HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
Which instruction should the nurse provide an unlicensed assistive personnel (UAP) who is assisting with the personal care of a client receiving clopidogrel?
Correct Answer: B
Rationale: Clopidogrel increases bleeding risk, so a soft toothbrush minimizes gum bleeding. Environment, rest, and bed elevation are unrelated to clopidogrel’s effects.
Question 2 of 5
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?
Correct Answer: A
Rationale: Sublingual nitroglycerin provides rapid relief for acute angina, complementing the slower-acting transdermal patch. Reassuring about delayed patch effects, withholding doses, or adding another patch are inappropriate for acute pain.
Question 3 of 5
The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this patient's plan of care?
Correct Answer: D
Rationale: Sucralfate forms a protective barrier over ulcers and is most effective when taken on an empty stomach, 1 hour before or 2 hours after meals, to adhere to the ulcer site. Once-daily dosing is incorrect, as it’s typically given four times daily. Sucralfate doesn’t cause significant electrolyte imbalances or Candida infections.
Question 4 of 5
The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?
Correct Answer: A
Rationale: A platelet count of 100,000/mm3 indicates thrombocytopenia, increasing bleeding risk with enoxaparin, requiring immediate action. Normal BUN, creatinine, and hematocrit do not warrant urgency.
Question 5 of 5
A client is receiving morphine sulfate via a patient-controlled analgesia (PCA) pump postoperatively. Which assessment finding should prompt the nurse to administer a prescribed PRN dose of naloxone?
Correct Answer: B
Rationale: A respiratory rate of 7 breaths/minute indicates severe opioid-induced respiratory depression, requiring naloxone. Other findings suggest distress but are less specific for opioid overdose.