HESI LPN
HESI Pharmacology Exam Test Bank Questions
Question 1 of 5
A client with asthma is prescribed fluticasone. The nurse should instruct the client to use this medication at which time?
Correct Answer: C
Rationale: Fluticasone is a maintenance medication for asthma aimed at controlling symptoms. It should be taken once a day on a regular basis to provide ongoing relief and prevent asthma symptoms, rather than being used to treat acute asthma attacks.
Question 2 of 5
A client with chronic kidney disease is prescribed darbepoetin alfa. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: Darbepoetin alfa, a medication used to treat anemia in chronic kidney disease, can lead to hypertension as a side effect. Therefore, monitoring blood pressure regularly is essential to detect and manage this potential adverse effect.
Question 3 of 5
A client with anxiety is prescribed alprazolam. What instruction should the nurse include in the client's teaching plan?
Correct Answer: C
Rationale: The correct answer is C: 'Do not stop taking this medication abruptly.' Alprazolam should not be stopped suddenly as it can lead to withdrawal symptoms. It is important for clients to taper off the medication gradually under medical supervision to prevent adverse effects.
Question 4 of 5
A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two weeks. The nurse notes that the client remains weak with observable muscle atrophy. What action should the nurse take?
Correct Answer: D
Rationale: In this scenario, the nurse's priority is to document the assessment findings in the electronic health record. This action is crucial for maintaining an accurate record of the client's health status and can provide valuable information for the healthcare team. Withholding medication or advising additional tests should only be done after consulting with the healthcare provider based on the documented assessment findings.
Question 5 of 5
A 43-year-old female client who has had a thyroidectomy due to Grave's disease is prescribed a thyroid replacement hormone. Which signs and symptoms are associated with thyroid hormone toxicity and should be reported promptly to the health care provider?
Correct Answer: B
Rationale: The signs and symptoms of thyroid hormone toxicity, especially when the dosage is excessive, include tachycardia (rapid heart rate) and chest pain. These symptoms are indicative of hyperthyroidism, where the body receives an excessive amount of thyroid hormone. It is crucial to report these symptoms promptly to the healthcare provider to adjust the medication dosage and prevent potential complications.
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