Care Hope College RN HESI Pharmacology

Extract:

Question 1 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.

Question 2 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 3 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) has been prescribed a new ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?

A. The client primes the inhaler with 7 pumps. B. The client stores the medication at room temperature. C. The client rinses their mouth after each use. D. The client attaches a spacer device to the inhaler.

Correct Answer: A

Rationale: Ipratropium inhalers require 2-3 priming sprays for new devices, not 7 (
A), indicating a need for teaching. Room temperature storage (
B), mouth rinsing (
C), and spacer use (
D) are correct.

Question 4 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 5 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.

Care Hope College RN HESI Pharmacology | Nurselytic

Nurselytic

HESI RN

HESI RN