HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: B
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding or ulcers with diclofenac, an NSAID, due to mucosal irritation. This history requires vigilant monitoring for GI symptoms, making it the greatest concern over migraines, osteoarthritis, or diabetes.
Question 2 of 5
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has history of worsening symptomatic bradycardia. History of atrial fibrillation controlled. The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.
Correct Answer: A,B,D,F
Rationale: No known allergies reduce allergic reaction risks. A large vein IV minimizes thrombophlebitis. Prophylactic use is appropriate for surgery. Safe dosage prevents toxicity. Potassium and BUN, while important, are less specific to vancomycin safety.
Question 3 of 5
The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?
Correct Answer: B
Rationale: Mydriatic medications dilate pupils, causing light sensitivity. A dimly lit room reduces discomfort from bright light. Quiet environments, warm temperatures, or humid air do not address the primary issue of photophobia.
Question 4 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 5 of 5
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: D
Rationale: Tamsulosin, an alpha-1 blocker, can cause orthostatic hypotension, risking dizziness or fainting. Monitoring blood pressure detects this adverse reaction. Bladder scans, weights, or urine output assess BPH symptoms, not tamsulosin’s side effects.