HESI RN
Wgu HESI RN Pharmacology 1 Questions
Question 1 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: A
Rationale: Glucagon raises blood glucose in severe hypoglycemia (e.g., unconsciousness), preventing complications. It’s not for hyperglycemia, sick days, or diabetic ketoacidosis, which require insulin and other treatments.
Question 2 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately? Reference Range: Sodium [Adult 136 to 145 mEq/L (136 to 145 mmol/L)] Digoxin level [0.8 to 2.0 ng/mL (0.6 to 13 nmol/L)] Potassium (K+) [Adult: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)]
Correct Answer: C
Rationale: Hypokalemia (3.2 mEq/L) increases digoxin toxicity risk, potentially causing arrhythmias. Immediate reporting allows potassium correction. Therapeutic digoxin, normal creatinine, and mild hyponatremia are less urgent.
Question 3 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
Correct Answer: D
Rationale: Persistent respiratory depression (4 breaths/minute, 75% oxygen saturation) suggests ongoing opioid toxicity. A second dose of naloxone is needed to reverse opioid effects, as the initial dose may have worn off or been insufficient. GCS, chest tubes, or CPR do not address the opioid-related cause.
Question 4 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: B
Rationale: Adalimumab, an immunosuppressant, increases infection risk. Avoiding crowds and sick individuals minimizes exposure, protecting the client’s compromised immune system. Eye exams, chest x-rays, or vaccinations are not specifically required for adalimumab initiation.
Question 5 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Bleeding and bruising suggest anticoagulant-related complications. Completing a variance report documents issues, reviewing coagulation labs guides management, reporting to the provider ensures intervention, and a soft toothbrush reduces gum trauma. NSAIDs increase bleeding risk and are contraindicated.