Question 17
HESI RN Pharmacology. A client with a history of heart failure (HF) reports episodes of heartburn when lying down after dinner. The home health nurse should encourage the client to talk to the healthcare provider (HCP) about using which over the counter (OTC) medication to relieve this problem?
- A Acetaminophen.
- B Low sodium antacid.
- C Low dose aspirin.
- D Diphenhydramine.
Question 18
The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain. Which intervention should the nurse implement first?
- A Ask the client what is causing the grimacing.
- B Review the pain medications prescribed.
- C Administer PRN oral pain medication.
- D Monitor the client’s nonverbal behavior.
Question 19
The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
- A Observe for edema around the ankles.
- B Measure the client’s capillary glucose level.
- C Count the apical and radial rate simultaneously.
- D Auscultate the client’s bowel sounds.
Question 20
A postoperative male client asks the nurse to bring the largest possible dose of a prescribed narcotic. Which action should the nurse implement first?
- A Encourage the client to use diversional thoughts to manage pain.
- B Determine when the last dose was administered.
- C Ask the client to rate his current pain level using a pain scale.
- D Review the history for past use of recreational drugs.
Question 21
The nurse is caring for a client receiving a prescription for paroxetine who suddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action should the nurse implement first? HESI RN Pharmacology
- A Obtain a cooling blanket from the hospital central supply.
- B Document the findings in the electronic medical record.
- C Withhold the next dose and contact the healthcare provider.
- D Give a PRN dose for benzodiazepine and acetaminophen.
Question 22
The client with a history of diverticulosis has a prescription for psyllium hydrophilic laxative and the nurse is planning medication teaching. Which instruction should the nurse include when teaching the client about this medication?
- A Take the psyllium hydrophilic on an empty stomach every morning.
- B Psyllium hydrophilic should be taken with a full glass of water.
- C Psyllium hydrophilic is effective in approximately 8 hours.
- D The urine may turn brownish-pink while taking psyllium hydrophilic.
Question 23
The nurse is preparing a client with chronic obstructive pulmonary disease (COPD) and a chronic productive cough for discharge. Which prescribed medication should the nurse review with the client to manage this symptom?
- Tiotropium.
- Salmeterol.
- Guaifenesin.
- Prednisone.
Question 24
A male client tells the nurse that he takes a daily low dose of acetaminophen to reduce his risk of a stroke. How should the nurse respond?
- A Instruct the client that liver function tests should be performed while taking this medication.
- B Advise the client that this medication will not reduce the risk for stroke or heart attack.
- C Encourage the client to continue taking the medication and to increase his daily exercise.
- D Remind the client to report any bleeding or gastrointestinal (GI) distress to the healthcare provider (HCP) immediately.
Question 25
A female client with multiple sclerosis reports to the nurse that she has been having trouble sleeping. The client states, “I am going to stop taking that baclofen.” Which action should the nurse take first?
- A Determine if the client has been taking the baclofen as prescribed.
- B Remind the client not to stop taking the baclofen abruptly.
- C Ask if the baclofen has relieved the client’s muscle spasms.
- D Ask about other changes impacting her sleep since starting the baclofen.
Question 26
The nurse is caring for a client who is taking acetaminophen for chronic pain. During the assessment, the nurse notes that the client’s skin looks yellow in color. Which action should the nurse implement?
- A Report the finding to the healthcare provider.
- B Check the client’s capillary glucose level.
- C Advise the client to reduce the medication dose.
- D Use a pulse oximeter to assess oxygen saturation.
Question 27
A client with peptic ulcer disease (PUD) is scheduled to receive pantoprazole 40 mg IV and sucralfate 1 gram PO at 0730 before breakfast. The client tells the nurse, “I’m having some heartburn now.” Which action should the nurse take?
- A Provide a PRN dose of antacid along with the scheduled medications.
- B Hold the dose of pantoprazole IV until the client has finished eating breakfast.
- C Instruct the client to take the dose of sucralfate PO while eating breakfast.
- D Administer both of the medications before breakfast as scheduled.
Question 28 of 60
A client who had a vaginal delivery with a midline episiotomy is being discharged. Such clients are routinely advised to take stool softener such as docusate sodium at bedtime. Which instruction should the nurse provide to this client?
- A “Take with a full glass of water.”
- B “Take with one ounce (30 mL) of milk of magnesia.”
- C “Take with orange juice to add fiber.”
- D “Do not take if you are breastfeeding.”
Question 30 of 60
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?
- A Caffeinated beverages should be limited to two cups per day.
- B Rinsing the mouth with water should be done after each use.
- C To mask taste of the medication, inhaler can be used during meals.
- D The inhaler will be used before bed each night.
Question 31 of 60
The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is “Naloxone 0.4 mg/mL.” How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
- 2.5
Question 32 of 60
A male client who has been taking a high dose of a nonsteroidal antiinflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider (HCP) discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client’s teaching plan?
- A Call the clinic if diarrhea or headaches occur when taking esomeprazole.
- B Notify the HCP of the passage of black stools.
- C Once pain subsides, NSAID therapy can be resumed.
- D Resume a diet that consists of milk, cream, and bland foods.
Question 33 of 60
A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?
- A “I should take this medication only when I am having an asthma attack.”
- B “This medication will stop an asthma attack immediately.”
- C “I will take the tablet every evening to control my asthma.”
- D “I will not need to use my inhalers twice a day when I start this medicine.”
Question 34 of 60
A client receives a new prescription for montelukast. Which information should the nurse include in the client’s teaching?
- A Montelukast will increase the production of mucus in the lungs.
- B The medication will contract the smooth muscles located in the respiratory tract.
- C The medication will prophylactically limit the inflammatory response to allergens.
- D Montelukast will help repair damaged tissue in the base of the lungs.
Question 35 of 60
A client with nasal congestion receives a prescription for phenylephrine 10 mg PO every 4 hours. Which client condition should the nurse report to the healthcare provider (HCP) before administering the medication? HESI RN Pharmacology
- A Hypertension.
- B Bronchitis.
- C Edema.
- D Diarrhea.
Question 36 of 60
An older adult client returns to the clinic for chronic pain management after taking morphine sulfate 25 mg PO every 12 hours. The client reports taking the medication only when the pain was too severe to sleep. Which action should the nurse implement?
- A Tell the client to continue taking the morphine sulfate with severe pain.
- B Instruct the client to take the morphine sulfate every 12 hours as prescribed.
- C Explain the risk of drug addiction from long term pain medications.
- D Teach the client alternative ways to manage chronic pain.
Question 37 of 60
A client with heart failure (HF), who is taking furosemide, reports having muscle cramps and weakness in the lower extremities. Which action should the nurse implement?
- A Collect blood for serum electrolytes.
- B Stretch the foot into dorsiflexion.
- C Restrict potassium rich foods.
- D Encourage the use of salt with meals.
Question 39 of 60
A client is admitted to an inpatient psychiatric unit, and the antipsychotic medication clozapine is prescribed. Which intervention should the nurse include in this client’s plan of care (POC)?
- A Inform unlicensed assistive personnel (UAP) that the client will likely verbalize having a sore throat and fever.
- B Place the client in protective isolation for the first two weeks of treatment with this medication.
- C Offer this medication to the client with food to decrease the possibility of gastric upset.
- D Report findings from the client’s weekly white blood cell (WBC) counts to the healthcare provider (HCP).
Question 40 of 60
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? HESI RN Pharmacology
- A Liver function laboratory results.
- B Recent use of other antidepressants.
- C Weight change in the last month.
- D Family history of mental illness.
Question 41 of 60
A client with emphysema is reporting a difficulty in breathing and exhibiting an audible wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse?
- A Irregular rapid heart rate.
- B Throat irritation.
- C Uncontrollable shaking.
- D Increased anxiety.
Question 42 of 60
A client reports experiencing an increase in frequency of anxiety attacks even after the use of relaxation techniques. Which medication should the nurse anticipate being prescribed by the healthcare provider?
- A Buspirone.
- B Phenobarbital.
- C Alprazolam.
- D Clonazepam.
Question 43 of 60
The nurse is administering the muscle relaxant baclofen PO to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?
- A Ensure the client knows to stop baclofen before using other antispasmodics.
- B Monitor intake and output every 8 hours.
- C Evaluate muscle strength every 4 hours.
- D Advise the client to move slowly and cautiously when rising and walking.
