HESI LPN
HESI Pharmacology Exam Test Bank Questions
Question 1 of 5
The practical nurse administered 15 units of NPH insulin subcutaneously to a client before they consumed their breakfast at 7:30 AM. At what time is the client at an increased risk for a hypoglycemic reaction?
Correct Answer: B
Rationale: NPH insulin, an intermediate-acting type, peaks approximately 8 to 12 hours after subcutaneous administration. Considering this, the client is most likely to experience a hypoglycemic reaction between 3:30 and 7:30 PM, making option B the correct answer.
Question 2 of 5
What instructions should the practical nurse (PN) review with a client diagnosed with vaginal trichomoniasis who is prescribed oral metronidazole?
Correct Answer: B
Rationale: The correct answer is B. The practical nurse should instruct the client that their sexual partner(s) should also be treated when dealing with vaginal trichomoniasis. This is crucial to prevent reinfection as sexual intercourse is the route of spread for this infection.
Question 3 of 5
A client with a history of atrial fibrillation is prescribed diltiazem. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. Diltiazem is a calcium channel blocker that can cause hypotension by relaxing blood vessels and reducing blood pressure. Monitoring blood pressure is essential to detect and manage this potential side effect.
Question 4 of 5
A client with a history of hypertension is prescribed amlodipine. The nurse should monitor the client for which potential adverse effect?
Correct Answer: A
Rationale: Amlodipine is a calcium channel blocker commonly associated with causing peripheral edema as an adverse effect. The nurse should monitor the client for signs of swelling, particularly in the lower extremities, as it may indicate a need for dosage adjustment or further evaluation.
Question 5 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: Corrected Question: When a patient with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium, the nurse should monitor for potential side effects. The correct answer is dry mouth. Ipratropium can cause dry mouth as a common side effect due to its anticholinergic effects. This side effect can impact the patient's oral health and comfort, requiring close monitoring and appropriate interventions.
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