HESI Pharmacology Practice Exam

Questions 46

HESI RN

HESI RN Test Bank

HESI Pharmacology Practice Exam Questions

Question 1 of 5

A client is taking lansoprazole (Prevacid). On data collection, which question should the nurse ask to determine medication effectiveness?

Correct Answer: B

Rationale: Lansoprazole is a gastric acid pump inhibitor commonly used to treat gastroesophageal reflux disease (GERD) by reducing stomach acid. Heartburn is a key symptom of GERD, so asking about heartburn can help assess the effectiveness of lansoprazole in managing acid reflux symptoms.

Question 2 of 5

A healthcare professional is monitoring a client who is receiving intravenous amphotericin B. Which of the following should prompt the healthcare professional to notify the healthcare provider immediately?

Correct Answer: D

Rationale: Amphotericin B is known to cause nephrotoxicity, which can lead to kidney damage. Oliguria, which is decreased urine output, is a concerning sign of kidney dysfunction and should be reported promptly to the healthcare provider to prevent further complications.

Question 3 of 5

Heparin sodium is prescribed for the client. The nurse expects that the healthcare provider will prescribe which of the following to monitor for a therapeutic effect of the medication?

Correct Answer: D

Rationale: The activated partial thromboplastin time (aPTT) is used to monitor the therapeutic effect of heparin sodium. Heparin affects the intrinsic pathway of coagulation, and monitoring aPTT helps ensure the medication is within the therapeutic range to prevent clot formation. Hematocrit and hemoglobin levels assess red blood cell concentrations, while prothrombin time (PT) is used to monitor the therapeutic effect of warfarin sodium, a different anticoagulant that affects the extrinsic pathway of coagulation.

Question 4 of 5

The clinic nurse is reviewing a teaching plan for a client receiving antineoplastic medication. When implementing the plan, the nurse should advise the client:

Correct Answer: C

Rationale: Antineoplastic medications can lower the body's resistance, making it crucial for clients to consult with healthcare providers (HCPs) before receiving immunizations. This precaution helps to prevent potential complications that may arise due to the medication's impact on the immune system.

Question 5 of 5

A client with heart failure is prescribed furosemide (Lasix) and digoxin (Lanoxin). Which instruction should the nurse include in the client's teaching plan?

Correct Answer: B

Rationale: The nurse should instruct the client to report a pulse rate less than 60 beats per minute, as it could indicate digoxin toxicity. Consuming potassium-rich foods is encouraged due to the potential for furosemide (Lasix) to cause hypokalemia. The medications should be taken in the morning to prevent nocturia. Additionally, the client should weigh themselves daily to monitor for fluid retention, which is crucial in managing heart failure.

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