HESI RN
Care Hope College RN HESI Pharmacology Questions
Extract:
Question 1 of 5
When administering medications to a group of patients, which patient should the nurse closely monitor for the development of acute kidney injury (AKI)?
Correct Answer: A
Rationale: Vancomycin (
A) is nephrotoxic and requires monitoring for AKI, especially with high doses or prolonged use. Sucralfate (
B) protects the stomach, not kidneys. Lorazepam (
C) and digoxin (
D) have minimal renal toxicity risks.
Question 2 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 3 of 5
A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication. What should the nurse’s response be?
Correct Answer: A
Rationale: This question is identical to Question 1. Risedronate requires plain water on an empty stomach (
A) to ensure absorption. Milk (
D) reduces efficacy. Delaying for breakfast (
B) or post-meal dosing (
C) violates guidelines.
Note: Duplicate question; consider removing.
Question 4 of 5
A patient with heart failure develops hyperaldosteronism and is prescribed spironolactone. What instructions should the nurse include in the patient’s care plan?
Correct Answer: C
Rationale: This question is identical to Question 7. Spironolactone increases potassium retention, so limiting high-potassium foods (
C) prevents hyperkalemia. Salt substitutes (
A) contain potassium. Sun protection (
B) and bruising (
D) are unrelated.
Note: Duplicate question; consider removing.
Question 5 of 5
A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?
Correct Answer: D
Rationale: Open-angle glaucoma requires lifelong eye drops to maintain normal intraocular pressure (
D). They don’t control pain/swelling (
A) or restore angles (
B). Pressure reduction (
C) is ongoing, not temporary.