HESI RN
HESI RN 311 Pharmacology Questions
Extract:
Question 1 of 5
Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?
Correct Answer: D
Rationale: Statins risk hepatotoxicity; reviewing baseline serum liver enzymes (
D) monitors for liver damage. CBC (
A), electrolytes (
B), and glucose (
C) are not primary concerns unless other conditions exist.
Question 2 of 5
When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the client’s upper back and the client denies pain. Which action should the nurse take?
Correct Answer: C
Rationale: Applying a new fentanyl patch in a different location after removing the old one (
C) prevents overdose and skin irritation. Multiple patches (
A) risk toxicity. Consulting the provider (
B) is unnecessary without pain. Oral analgesics (
D) are not needed if pain is controlled.
Question 3 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?
Correct Answer: B
Rationale: Insulin glargine, a long-acting insulin, requires daily subcutaneous injection. Teaching self-injection skills (
B) ensures proper administration. It’s not for hypoglycemia (
A). Dosing is fixed, not based on pre-meal glucose (
C). Ketoacidosis (
D) requires emergency care, not dose increases.
Question 4 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
Correct Answer: B
Rationale: Determining bowel movement frequency/consistency (
B) assesses the need for a laxative, preventing overuse or complications (e.g., diarrhea). Strength (
A), skin integrity (
C), and urge recognition (
D) are secondary.
Question 5 of 5
A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
Correct Answer: A
Rationale: Benzonatate suppresses cough reflex; denying coughing spells (
A) indicates efficacy. Sleep (
B) may improve indirectly. Expectorating secretions (
C) and nasal discharge (
D) are unrelated, as benzonatate is not an expectorant or decongestant.