HESI RN
HESI RN 301 Pharmacology Final Exam Questions
Extract:
Question 1 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: A
Rationale: Excessive levothyroxine can cause hyperthyroidism symptoms, like restlessness, due to increased metabolism. Decreased appetite, cold intolerance, and constipation are associated with hypothyroidism, not overdose.
Question 2 of 5
A client is using the nasal spray hormone calcitonin to reduce bone loss from osteoporosis. To reduce rhinitis associated with administration of the nasal spray, the nurse should provide the client with which instruction?
Correct Answer: A
Rationale: Alternating nostrils daily reduces local irritation and rhinitis from calcitonin nasal spray, allowing each nostril recovery time. Lying down doesn’t directly reduce rhinitis, and NSAIDs or antihistamines are not standard for managing this side effect.
Question 3 of 5
The nurse is preparing client teaching materials on commonly used medications. Which client is most likely to benefit from a client education packet about simvastatin?
Correct Answer: B
Rationale: Simvastatin lowers cholesterol, benefiting those with angina due to coronary artery disease risk. Vaginal infections, pregnancy (contraindicated), and bone cancer are unrelated.
Question 4 of 5
A client who is a vegetarian has a new prescription for warfarin. The client reports eating leafy green vegetables every day. How should the nurse respond?
Correct Answer: A
Rationale: Leafy greens, high in vitamin K, can reduce warfarin’s effectiveness. The provider needs to know to adjust dosing. Replacing greens, claiming enhanced efficacy, or encouraging unchanged habits are incorrect.
Question 5 of 5
An increase in which serum lab value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: D
Rationale: Atorvastatin lowers LDL and raises HDL to reduce coronary artery disease risk. An increase in HDL indicates a beneficial effect. Increased LDL, PT, or CK (indicating muscle damage) are not desired.