Pharmacology HESI 55 Questions 2023

Questions 45

HESI LPN

HESI LPN Test Bank

Pharmacology HESI 55 Questions 2023 Questions

Question 1 of 5

A client with a history of stroke is prescribed dabigatran. The nurse should monitor for which potential side effect?

Correct Answer: C

Rationale: The correct answer is C: Headache. Dabigatran, an anticoagulant, can cause headache as a potential side effect. Monitoring for headaches is crucial as it may indicate adverse effects or complications that need attention.

Question 2 of 5

A client with chronic heart failure is prescribed furosemide. The nurse should monitor the client for which potential adverse effect?

Correct Answer: C

Rationale: When a client with chronic heart failure is prescribed furosemide, a diuretic, the nurse should be vigilant for potential adverse effects. Furosemide can lead to excessive fluid loss, resulting in dehydration. Dehydration is a significant concern as it can exacerbate heart failure symptoms. Additionally, furosemide can cause electrolyte imbalances, particularly affecting potassium and sodium levels. Monitoring for signs of dehydration and electrolyte disturbances is crucial to prevent complications and ensure the client's safety and well-being.

Question 3 of 5

What class of laxative would the nurse recommend to a patient asking about the best way to prevent constipation?

Correct Answer: B

Rationale: Bulk-forming laxatives are recommended to prevent constipation because they are safe and considered the most natural option. These laxatives work by absorbing liquid in the intestines, forming a bulky, soft stool that is easier to pass, thereby helping to prevent constipation.

Question 4 of 5

A client taking long-term steroids also has ranitidine prescribed. The nurse provides which explanation as to why these drugs are given together?

Correct Answer: A

Rationale: The correct answer is A. Ranitidine is prescribed with long-term steroids to reduce the risk of ulcers associated with steroid therapy. Although steroids can increase the risk of ulcers due to their effect on the gastrointestinal system, ranitidine works by reducing stomach acid production, thus helping to prevent ulcer formation. Choices B, C, and D are incorrect as ranitidine is not given to decrease the risk of infection, reduce blood sugar elevations, or reduce sodium retention associated with steroid usage.

Question 5 of 5

In a capillary glucose measurement, a client is to receive 10 units of regular insulin and isophane insulin. How should the nurse prepare?

Correct Answer: B

Rationale: In insulin administration, regular insulin is typically administered before isophane insulin to manage blood glucose effectively. Therefore, if regular insulin is not available, it is best to withhold the dose until it can be administered as prescribed.

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