HESI RN
HESI Pharmacology Practice Exam Questions
Question 1 of 5
The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication?
Correct Answer: B
Rationale: The correct answer is B: Calcium level. Tamoxifen may increase calcium levels, leading to hypercalcemia. Symptoms of hypercalcemia include increased urine volume, excessive thirst, nausea, vomiting, constipation, muscle weakness, and bone pain. Monitoring serum calcium levels is essential to detect and manage this potential side effect.
Question 2 of 5
An older client recently has been taking cimetidine (Tagamet). The nurse monitors the client for which most frequent central nervous system side effect of this medication?
Correct Answer: C
Rationale: Older clients are particularly vulnerable to central nervous system side effects of cimetidine. The most frequent side effect is confusion. It is crucial for nurses to be vigilant in monitoring for confusion as it can impact the client's safety and well-being. While tremors, dizziness, and hallucinations are possible side effects, confusion is the most common in older clients taking cimetidine.
Question 3 of 5
A nurse is providing instructions to an adolescent who has a history of seizures and is taking an anticonvulsant medication. Which of the following statements indicates that the client understands the instructions?
Correct Answer: C
Rationale: Alcohol lowers the seizure threshold and should be avoided by individuals taking anticonvulsants.
Question 4 of 5
A client is learning how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching?
Correct Answer: A
Rationale: When mixing regular insulin with another insulin preparation, it is crucial to withdraw the regular insulin first to prevent contamination. NPH insulin should be drawn after the regular insulin to maintain the integrity of each insulin type. Therefore, if the client withdraws the NPH insulin first, it indicates the need for further teaching.
Question 5 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.
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