Care Hope College RN HESI Pharmacology

Extract:

Question 1 of 5

A female patient with multiple sclerosis reports less fatigue and improved memory since she started using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this patient?

Correct Answer: C

Rationale: This question is identical to Question 39. Ginkgo biloba’s interaction with aspirin/NSAIDs (
C) increases bleeding risk, a critical teaching point. Other side effects (A,
D) and pregnancy limits (
B) are less urgent. Note: Duplicate question; consider removing.

Question 2 of 5

A client reports confusion and blurred vision after receiving a dose of glipizide. What should the nurse do?

A. Administer glucagon intramuscularly. B. Measure the client’s vital signs. C. Obtain a fingerstick blood glucose. D. Perform a neurological exam.

Correct Answer: C

Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, presenting as confusion and blurred vision. Checking blood glucose (
C) confirms the cause. Glucagon (
A) treats severe hypoglycemia, not confirmed yet. Vital signs (
B) and neurological exams (
D) are secondary.

Question 3 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?

A. One hour after completion of the IV dose and one hour before the next administration of the medication. B. Two hours after completion of the IV dose and two hours before the next administration of the medication. C. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication. D. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication.

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 4 of 5

A client taking atorvastatin has an increased serum creatine phosphokinase (CK) level. What should the nurse assess the client for?

A. Excessive bruising. B. Peripheral edema. C. Muscle tenderness. D. Nausea and vomiting.

Correct Answer: C

Rationale: Elevated CK with atorvastatin indicates possible myopathy, causing muscle tenderness (
C). Bruising (
A) is unrelated to CK. Edema (
B) suggests other causes. Nausea/vomiting (
D) are gastrointestinal side effects, not linked to CK.

Question 5 of 5

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote the best absorption of the medication, what information should the nurse include in the discharge instructions?

A. The best time to take the tablet is at bedtime. B. Crush the tablets and mix with pudding. C. Wait 2 hours after meals to take the tablet. D. Take the tablet with a daily multivitamin.

Correct Answer: C

Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (
C). Bedtime dosing (
A) isn’t specific to absorption. Crushing enteric-coated tablets (
B) disrupts their protective coating. Multivitamins (
D) may contain minerals that reduce iron absorption.

Care Hope College RN HESI Pharmacology | Nurselytic

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HESI RN

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