HESI RN
RN HESI Pharmacology 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? Which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Insulin lispro is rapid-acting, peaking quickly. Providing meals at the same time as administration prevents hypoglycemia by ensuring glucose availability.
Question 2 of 5
The nurse observes that a client has become lethargic 30 minutes after receiving an opioid injection for pain. Which vital sign should the nurse obtain first? Which vital sign should the nurse obtain first?
Correct Answer: B
Rationale: Opioids can cause respiratory depression, a life-threatening side effect. Assessing respiratory rate first ensures the client’s airway and breathing are adequate.
Question 3 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse? Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Smoking exacerbates peptic ulcers and hinders healing. Reducing to a pack per day is insufficient; complete cessation is recommended.
Question 4 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report? Which adverse effect is most important for the nurse to report?
Correct Answer: D
Rationale: Involuntary movements, such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide. This requires immediate reporting to the provider for possible discontinuation and evaluation.
Question 5 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client’s caregivers? Which instruction should the nurse provide to this client’s caregivers?
Correct Answer: A
Rationale: The fluticasone propionate and salmeterol discus is a maintenance medication designed for twice-daily use, approximately 12 hours apart. Using it more frequently increases the risk of side effects without additional benefit. It is not intended for acute asthma attacks, which require a short-acting bronchodilator like albuterol.