HESI Pharmacology Version 1 (v1) Exit Exam – Brand
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Isotretinoin is prescribed for a client with severe acne.
Before the administration of this medication, the nurse
anticipates that which laboratory test will be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count - Answer-2. Triglyceride level
Rationale:
Isotretinoin can elevate triglyceride levels. Blood
triglyceride levels should be measured before treatment
and periodically thereafter until the effect on the
triglycerides has been evaluated. Options 1, 3, and 4 do
not need to be monitored specifically during this treatment.
A client with severe acne is seen in the clinic and the
health care provider (HCP) prescribes isotretinoin. The
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nurse reviews the client's medication record and would
contact the (HCP) if the client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin) - Answer-1. Vitamin A
Rationale:
Isotretinoin is a metabolite of vitamin A and can produce
generalized intensification of isotretinoin toxicity. Because
of the potential for increased toxicity, vitamin A
supplements should be discontinued before isotretinoin
therapy. Options 2, 3, and 4 are not contraindicated with
the use of isotretinoin
The nurse is applying a topical corticosteroid to a client
with eczema. The nurse would monitor for the potential for
increased systemic absorption of the medication if the
medication were being applied to which of the following
body areas?
1. Back
2. Axilla
3. Soles of the feet
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4. Palms of the hands - Answer-2. Axilla
Rationale:
Topical corticosteroids can be absorbed into the systemic
circulation. Absorption is higher from regions where the
skin is especially permeable (scalp, axilla, face, eyelids,
neck, perineum, genitalia), and lower from regions in
which permeability is poor (back, palms, soles).
A nurse is caring for a client with hyperparathyroidism and
notes that the client's serum calcium level is 13 mg/dL.
Which medication should the nurse prepare to administer
as prescribed to the client?1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - Answer-3. Calcitonin
(Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This
client is experiencing hypercalcemia. Calcium gluconate
and calcium chloride are medications used for the
treatment of tetany, which occurs as a result of acute
hypocalcemia. In hypercalcemia, large doses of vitamin D
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need to be avoided. Calcitonin, a thyroid hormone,
decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
Oral iron supplements are prescribed for a 6-year-old child
with iron deficiency anemia. The nurse instructs the
mother to administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - Answer-4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body.
The mother should be instructed to administer the
medication with a citrus fruit or a juice that is high in
vitamin C. Milk may affect absorption of the iron. Water will
not assist in absorption. Orange juice contains a greater
amount of vitamin C than apple juice.
Salicylic acid is prescribed for a client with a diagnosis of
psoriasis. The nurse monitors the client, knowing that