HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct Answer: A
Rationale: Codeine, an opioid, causes drowsiness and dizziness, increasing fall risk. Instructing the client to request assistance when ambulating (
A) is the highest priority for safety. Stool softeners (
B) address constipation but are secondary. Notifying about unrelieved pain (
C) and onset time (
D) are important but not immediate safety concerns.
Question 2 of 5
A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?
Correct Answer: A
Rationale: This question is identical to Question 29. Tamsulosin can cause hypotension (
A), necessitating blood pressure monitoring. Urine output (
B), bladder scans (
C), and weights (
D) don’t address adverse effects. Note: Duplicate question; consider removing.
Question 3 of 5
A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera. Which laboratory result should the nurse review?
Correct Answer: B
Rationale: Albendazole can cause hepatotoxicity, indicated by fatigue, nausea, dark urine, and jaundice. Reviewing liver function tests (
B) assesses damage. Thyroid (
A), renal (
C), and metabolic panels (
D) are unrelated to these symptoms.
Question 4 of 5
Before administering the evening dose of carbamazepine, the nurse notes that the patient’s morning carbamazepine level was 84 mcg/mL. What action should the nurse take?
Correct Answer: A
Rationale: Carbamazepine’s therapeutic range is 4-12 mcg/mL; 84 mcg/mL (
A) indicates toxicity risk, requiring provider notification. Administering (
B) or withholding (
C) without consultation is unsafe. Assessing side effects (
D) is secondary to reporting.
Question 5 of 5
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client’s plan of care?
Correct Answer: C
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia. Limiting high-potassium foods (
C) prevents this risk. Salt substitutes (
A) often contain potassium, worsening hyperkalemia. Sun protection (
B) and bruising (
D) are unrelated to spironolactone’s primary risks.