Care Hope College RN HESI Pharmacology

Extract:

Question 1 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 2 of 5

A patient who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the patient’s skin and sclera. Which laboratory result should the nurse review?

A. Thyroid function test. B. Liver function test. C. Renal function panel. D. Basic metabolic panel.

Correct Answer: B

Rationale: Albendazole can cause hepatotoxicity, indicated by fatigue, nausea, dark urine, and jaundice. Reviewing liver function tests (
B) assesses damage. Thyroid (
A), renal (
C), and metabolic panels (
D) are unrelated to these symptoms.

Question 3 of 5

A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?

A. Diarrhea. B. Unusual irritability. C. Nausea. D. Involuntary movements.

Correct Answer: D

Rationale: Involuntary movements (
D), such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide, requiring immediate reporting. Diarrhea (
A) and irritability (
B) are less severe. Nausea (
C) is the treated condition, not an adverse effect.

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

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.

Care Hope College RN HESI Pharmacology | Nurselytic

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HESI RN

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