HESI RN
Wgu RN HESI Pharmocology Questions
Question 1 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
Correct Answer: D
Rationale: Duloxetine is metabolized by the liver, and impaired liver function increases toxicity risk (
D) (matches 55-Q40). Liver function tests are critical. Other antidepressants (
A), weight changes (
B), and family history (
C) are relevant but secondary.
Question 2 of 5
The nurse receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter Calculation(ans only)al value only.)
Correct Answer: 200
Rationale: Infusion rate: 200 mL / 1 hr = 200 mL/hr (matches 55-Q55). The pump should deliver 200 mL/hr for correct ciprofloxacin administration.
Question 3 of 5
A client with Parkinson's disease who is taking carbidopa/levodopa reports that urine appears to be darker in color. Which action should the nurse take?
Correct Answer: C
Rationale: Carbidopa/levodopa can darken urine (
C), a benign side effect (matches 55-Q37). Increased fluids (
A) or urine culture (
D) are unnecessary unless other symptoms arise. Measuring output (
B) doesn’t address the color change.
Question 4 of 5
A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before a scheduled procedure. The medication is available in a 5000 units/0.2 mL prefilled syringe. How many mL should the nurse administer? (Enter Calculation(ans only) value only)
Correct Answer: 0.1
Rationale: Dosage calculation: (2500 units / 5000 units) × 0.2 mL = 0.1 mL. The nurse should administer 0.1 mL to deliver 2500 units of dalteparin.
Question 5 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: A
Rationale: Risedronate, a bisphosphonate, must be taken with plain water on an empty stomach, 30 minutes before food or beverages (
A) to ensure absorption (matches 55-Q1/16). Milk (
B) contains calcium, reducing efficacy. Delaying until breakfast (
C) or post-meal dosing (
D) violates guidelines.