HESI Pharmacology | Nurselytic

Questions 46

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HESI Pharmacology Questions

Extract:


Question 1 of 5

Prior to administering the evening dose of carbamazepine, the nurse noted that the client’s morning carbamazepine level was 8.4 mg/L. Which action should the nurse take?

Correct Answer: D

Rationale: A carbamazepine level of 8.4 mg/L is therapeutic (4-12 mg/L). Administering the dose (
D) is appropriate. Withholding (
A), notifying (
B), or assessing side effects (
C) are unnecessary.

Question 2 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, which information should the nurse include in the discharge instructions?

Correct Answer: D

Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (
D). Multivitamins (
A) may contain interfering minerals. Crushing (
B) destroys enteric coating. Bedtime (
C) is not optimal.

Question 3 of 5

A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

Correct Answer: B

Rationale: Open-angle glaucoma requires lifelong eye drops to control intraocular pressure (
B), preventing optic nerve damage. Angle restoration (
A), temporary pressure reduction (
C), and pain/swelling (
D) are incorrect.

Question 4 of 5

The nurse is caring for a client who is taking diclofenac, an NSAID drug for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client’s serum laboratory values is most important for the nurse to review?

Correct Answer: D

Rationale: Diclofenac risks GI bleeding, causing anemia. Pallor and fatigue suggest low hemoglobin (
D), requiring review. Glucose (
A), protein (
B), and sodium (
C) are unrelated.

Question 5 of 5

Rivastigmine, a cholinesterase inhibitor, is prescribed for a female client with early-stage Alzheimer’s disease. The client’s daughter tells the nurse that she plans to start administering the drug when her mothers’ symptoms are no longer manageable, in hopes that her mother will not have to go to a nursing home. How should the nurse respond?

Correct Answer: A

Rationale: Rivastigmine slows cognitive decline in early Alzheimer’s, most effective when started early (
A). Delaying until symptoms worsen (
B) reduces efficacy. Assessing mental status (
C) or discussing progression (
D) are less direct.

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