HESI RN
RN HESI Pharmacology Exam 3 Questions
Extract:
Question 1 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: A
Rationale: Orlistat inhibits fat absorption, aiding weight loss. Monitoring BMI directly assesses weight changes, indicating the medication’s effectiveness. Calorie counts, depression, or protein levels are less specific to orlistat’s primary goal of weight reduction.
Question 2 of 5
The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: D
Rationale: Atorvastatin lowers LDL cholesterol, reducing coronary artery disease risk. Decreased LDL levels indicate effectiveness. HDL, PT, and CK are not primary measures of atorvastatin’s therapeutic effect.
Question 3 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, lowers blood pressure to manage hypertension. Measuring blood pressure directly assesses its effectiveness. Calcium levels, electrolytes, or intake/output are not primary indicators of amlodipine’s therapeutic effect.
Question 4 of 5
A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?
Correct Answer: A
Rationale: Long-term ibuprofen use risks gastrointestinal bleeding or ulcers. Assessing for abdominal pain detects these serious side effects. Pulse volume, pain levels, or sleep patterns are less critical to NSAID-related complications.
Question 5 of 5
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
Correct Answer: D
Rationale: Lugol’s solution reduces thyroid hormone production rapidly, preparing the gland for PTU, which inhibits hormone synthesis. Administering iodine one hour before PTU optimizes treatment efficacy. Parenteral dosing, meal timing, or bedtime scheduling are incorrect.