HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro? Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Insulin lispro, a rapid-acting insulin, peaks quickly and requires food intake within 15 minutes to prevent hypoglycemia. Providing meals at the same time as administration is the most critical intervention to ensure glucose availability, prioritizing safety over other monitoring actions.
Question 2 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Which finding best indicates that the medication is effective?
Correct Answer: D
Rationale: Epoetin alfa stimulates red blood cell production, increasing hemoglobin. A hemoglobin level of 12 g/dL indicates effective treatment of anemia. Subjective energy improvements are less reliable, and iron intake or therapy supports but does not directly measure epoetin’s efficacy.
Question 3 of 5
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to be darker in color. Which action should the nurse take? Which action should the nurse take?
Correct Answer: B
Rationale: Carbidopa/levodopa can cause harmless darkening of urine due to its metabolites. Explaining this normal side effect reassures the client and prevents unnecessary interventions. Other actions like urine cultures or increased intake are not indicated unless additional symptoms suggest infection or dehydration.
Question 4 of 5
The nurse is administering muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention is the most important for the nurse to implement? Which intervention is the most important for the nurse to implement?
Correct Answer: A
Rationale: Baclofen can cause drowsiness, dizziness, and orthostatic hypotension, increasing fall risk. Advising the client to move slowly and cautiously when rising and walking is the most critical intervention to ensure safety, particularly for a client with multiple sclerosis who may already have impaired coordination.
Question 5 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client? Which information is most important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: Ginkgo biloba’s antiplatelet effects increase bleeding risk when combined with aspirin or NSAIDs, a critical interaction for clients with multiple sclerosis who may use these for pain. This is the most important teaching point to prevent serious bleeding complications.