HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro?
Correct Answer: C
Rationale: Insulin lispro, a rapid-acting insulin, peaks quickly and should be given with meals (
C) to match food intake and prevent hypoglycemia. Assessing for hypoglycemia (
A) and keeping glucose sources (
D) are important but secondary. Six-hour glucose checks (
B) are too infrequent.
Question 2 of 5
The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease. What should be included in this patient’s care plan?
Correct Answer: B
Rationale: Sucralfate forms a protective barrier over ulcers and should be given on an empty stomach (
B), 1 hour before meals or at bedtime, for optimal efficacy. Once-daily dosing (
A) is incorrect; it’s typically 4 times daily. Candida infection (
C) and electrolyte imbalances (
D) are not associated with sucralfate.
Question 3 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this client?
Correct Answer: C
Rationale: Ginkgo biloba increases bleeding risk, especially with aspirin/NSAIDs (
C), a critical interaction for safety. Nausea/diarrhea (
A) and anxiety/headaches (
D) are less severe. Pregnancy restrictions (
B) are relevant but secondary unless applicable.
Question 4 of 5
A patient in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system to manage asthma. This system delivers an inhaled powdered form of these combined medications. What instruction should the nurse provide to this patient’s caregivers?
Correct Answer: B
Rationale: Fluticasone/salmeterol is a maintenance therapy, used twice daily (
B). Exhaling into the mouthpiece (
A) is incorrect; inhalation is required. Hypotension (
C) isn’t a common side effect. It’s not for acute attacks (
D), which require rescue inhalers.
Question 5 of 5
A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing the client’s pain level using a pain scale (
C) is the first step to quantify pain and guide appropriate dosing. Determining the last dose (
A) and reviewing drug history (
B) are secondary. Diversional thoughts (
D) are a non-pharmacological adjunct, not the priority.