HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
An adult patient at an outpatient clinic has been prescribed the antibiotic tetracycline HCI. What should the nurse include in the patient’s teaching plan?
Correct Answer: B
Rationale: Tetracycline causes photosensitivity, increasing sunburn risk, so sun protection (
B) is essential. Milk/antacids (
A) reduce absorption by chelating tetracycline. Orange juice (
C) contains calcium, impairing absorption. Weekly drug level checks (
D) are not required for tetracycline.
Question 2 of 5
A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing the client’s pain level using a pain scale (
C) is the first step to quantify pain and guide appropriate dosing. Determining the last dose (
A) and reviewing drug history (
B) are secondary. Diversional thoughts (
D) are a non-pharmacological adjunct, not the priority.
Question 3 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 4 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 5 of 5
A female patient who follows a vegetarian diet has recently been prescribed warfarin. She mentions that she consumes leafy green vegetables daily. What should be the nurse’s response?
Correct Answer: C
Rationale: Leafy greens, high in vitamin K, can reduce warfarin’s anticoagulant effect. Informing the provider (
C) ensures dose adjustment. Praising (
A) or assuring enhanced efficacy (
B) ignores the interaction. Substituting vegetables (
D) is unnecessary with proper monitoring.