NCLEX-RN practice › Pharmacological and Parenteral Therapies
NCLEX question: amiodarone monitoring (SATA)
Pharmacological and Parenteral Therapies · Select all that apply · Clinical judgment step: Generate solutions
Client record
Medication list
Amiodarone 200 mg orally daily
Apixaban 5 mg orally twice daily
Atorvastatin 40 mg orally daily
A client is being discharged on long-term oral amiodarone. Which tests should the nurse expect to be part of the follow-up plan? Select all that apply.
- A. Serum ammonia level
- B. Liver function tests
- C. Eye examinations
- D. Audiometry
- E. Creatine kinase every week
- F. Chest x-ray and pulmonary function tests
- G. Thyroid function tests
Show the answer and rationales
Answer: B, C, F, G
Long-term amiodarone requires baseline and periodic thyroid, liver, lung and eye monitoring, plus ECG monitoring for QT prolongation.
- A. Incorrect. Ammonia is monitored in hepatic encephalopathy, not as amiodarone monitoring.
- B. Correct. Amiodarone can cause hepatotoxicity.
- C. Correct. Corneal microdeposits and optic neuropathy can occur.
- D. Incorrect. Hearing loss is associated with aminoglycosides and loop diuretics, not amiodarone.
- E. Incorrect. Statin myopathy is checked when symptoms occur; routine weekly CK is not part of amiodarone monitoring.
- F. Correct. Pulmonary toxicity (interstitial pneumonitis, fibrosis) is the most serious adverse effect.
- G. Correct. Amiodarone contains iodine and can cause hypothyroidism or hyperthyroidism.
Scoring: select all that apply items on the Next Generation NCLEX use plus/minus scoring. You gain a point for each correct option you choose and lose a point for each incorrect one, with a minimum of zero. This item is worth 4 points.
Practise more NCLEX questions like this, free →
10 free questions a day, with rationales. Unlimited with a weekly or monthly pass.
More NCLEX practice questions
- NCLEX dosage calculation: prandial plus correction insulin
- NCLEX question: warfarin reversal in a major bleed (SATA)
- NCLEX dosage calculation: pediatric acetaminophen in mL
- NCLEX question: restraint safety and legal standards (SATA)
- NCLEX question: posterior hip replacement precautions (SATA)
- NCLEX question: which home medications to stop before surgery (SATA)
All Pharmacological and Parenteral Therapies questions → · NCLEX-RN practice hub →
NCLEX® and NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN). RecallMed is independent and is not affiliated with, or endorsed by, NCSBN or any board of nursing. All questions are original, written and reviewed for exam practice, and do not come from any NCLEX exam. They are not a substitute for your nursing education or clinical guidelines.