HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding? Which action should the nurse take in response to this finding?
Correct Answer: A
Rationale: Yellow skin suggests jaundice, indicating potential liver damage from acetaminophen, which is hepatotoxic in high doses. Reporting to the provider ensures evaluation and possible dose adjustment. Glucose, oxygen saturation, or self-reducing the dose are inappropriate without further assessment.
Question 2 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.
Question 3 of 5
A client with nasal congestion receives a prescription for phenylephrine 10 mg by mouth every 4 hours. Which client condition should the nurse report to the healthcare provider before administering the medication? Which condition should the nurse report to the healthcare provider before administering the medication?
Correct Answer: C
Rationale: Phenylephrine, a vasoconstrictor, can elevate blood pressure, exacerbating hypertension and risking cardiovascular complications. Reporting this condition to the provider ensures safe administration. Diarrhea, bronchitis, or edema are not contraindications for phenylephrine.
Question 4 of 5
The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care? Which action should the nurse include in this client's plan of care?
Correct Answer: B
Rationale: Sucralfate forms a protective barrier over ulcers in an acidic environment, requiring administration on an empty stomach, one hour before meals or at bedtime. Once-daily dosing is insufficient, and electrolyte imbalances or Candida infections are not primary concerns with sucralfate.
Question 5 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, manifesting as confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. Neurological exams or vital signs are secondary, and glucagon is premature without confirmed low glucose.