HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with Parkinson’s disease who is taking carbidopa/levodopa reports that the urine appears to be darker in color. What action should the nurse take?
Correct Answer: B
Rationale: Carbidopa/levodopa can darken urine (
B), a benign side effect. Increased fluids (
A) or urine culture (
C) are unnecessary unless other symptoms arise. Measuring output (
D) doesn’t address the color change.
Question 2 of 5
A client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)
Correct Answer: 200
Rationale: Infusion rate: 200 mL / 1 hr = 200 mL/hr. The pump should be set to deliver 200 mL/hr to administer ciprofloxacin correctly.
Question 3 of 5
An adult patient at an outpatient clinic has been prescribed the antibiotic tetracycline HCl. What instructions should the nurse include in the patient’s teaching plan?
Correct Answer: B
Rationale: This question is identical to Question 9. Tetracycline increases photosensitivity, requiring sun protection (
B). Milk/antacids (
A) and orange juice (
C) impair absorption. Weekly drug checks (
D) are unnecessary. Note: Duplicate question; consider removing.
Question 4 of 5
When administering medications to a group of patients, which patient should the nurse closely monitor for the development of acute kidney injury (AKI)?
Correct Answer: A
Rationale: Vancomycin (
A) is nephrotoxic and requires monitoring for AKI, especially with high doses or prolonged use. Sucralfate (
B) protects the stomach, not kidneys. Lorazepam (
C) and digoxin (
D) have minimal renal toxicity risks.
Question 5 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. What action should the nurse take?
Correct Answer: A
Rationale: Risedronate, a bisphosphonate, must be taken with plain water on an empty stomach, 30 minutes before food or other beverages, to ensure optimal absorption. Milk (
B) contains calcium, reducing absorption. Delaying until breakfast (
C) violates timing requirements. Consulting a pharmacist (
D) is unnecessary, as administration guidelines are clear.