HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client is receiving intravenous vancomycin, and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times would provide the best determination of these levels?
Correct Answer: A
Rationale: This question is identical to Question 30. Peak vancomycin levels are drawn 1 hour post-infusion, troughs 1 hour pre-dose (
A). Other timings (B, C,
D) miss accurate concentrations. Note: Duplicate question; consider removing.
Question 2 of 5
A patient with heart failure develops hyperaldosteronism and is prescribed spironolactone. What instructions should the nurse include in the patient’s care plan?
Correct Answer: C
Rationale: This question is identical to Question 7. Spironolactone increases potassium retention, so limiting high-potassium foods (
C) prevents hyperkalemia. Salt substitutes (
A) contain potassium. Sun protection (
B) and bruising (
D) are unrelated. Note: Duplicate question; consider removing.
Question 3 of 5
A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication. What should the nurse’s response be?
Correct Answer: A
Rationale: This question is identical to Question 1. Risedronate requires plain water on an empty stomach (
A) to ensure absorption. Milk (
D) reduces efficacy. Delaying for breakfast (
B) or post-meal dosing (
C) violates guidelines. Note: Duplicate question; consider removing.
Question 4 of 5
A patient has received a new prescription for levothyroxine. Which statement made by the patient indicates that the education was effective?
Correct Answer: C
Rationale: Levothyroxine should be taken on an empty stomach (
C), 30-60 minutes before breakfast, for optimal absorption. Iron supplements (
A) should be timed separately, not avoided. High-iodine foods (
B) don’t enhance efficacy. Bedtime dosing (
D) is less effective than morning.
Question 5 of 5
A patient with chemotherapy-induced nausea has been prescribed metoclopramide. What adverse effect should the nurse report?
Correct Answer: D
Rationale: This question is identical to Question 5. Involuntary movements (
D), such as tardive dyskinesia, are a serious metoclopramide side effect, requiring immediate reporting. Diarrhea (
A) and irritability (
B) are less severe. Nausea (
C) is the treated condition. Note: Duplicate question; consider removing.