HESI RN
RN HESI Pharmacology Exam 3 Questions
Extract:
Question 1 of 5
Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus (DM) who is receiving insulin lispro?
Correct Answer: C
Rationale: Insulin lispro, rapid-acting, peaks 1-2 hours post-dose, requiring meals shortly after administration to prevent hypoglycemia. Synchronizing meal timing with insulin is critical. Glucose monitoring, hypoglycemia checks, and glucose sources are supportive but secondary.
Question 2 of 5
The nurse is caring for an adult client who is taking carbidopa-levodopa for Parkinson's disease. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Clarifying the client’s concern about carbidopa-levodopa’s effectiveness guides targeted assessment and intervention. Meal timing, dyskinesia, or urine color are secondary until the specific issue is understood.
Question 3 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate requires a full glass of water on an empty stomach, with the client upright for 30 minutes, to ensure absorption and prevent esophageal irritation. Milk or food reduces bioavailability, making water the only appropriate accompaniment.
Question 4 of 5
A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?
Correct Answer: A
Rationale: Long-term ibuprofen use risks gastrointestinal bleeding or ulcers. Assessing for abdominal pain detects these serious side effects. Pulse volume, pain levels, or sleep patterns are less critical to NSAID-related complications.
Question 5 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: A
Rationale: Orlistat inhibits fat absorption, aiding weight loss. Monitoring BMI directly assesses weight changes, indicating the medication’s effectiveness. Calorie counts, depression, or protein levels are less specific to orlistat’s primary goal of weight reduction.