Wgu RN HESI Pharmocology

Extract:

Question 1 of 5

A client in the surgical recovery area asks the nurse to bring the largest possible dose of pain medication available. Which action should the nurse implement first?

Correct Answer: C

Rationale: Assessing pain level with a scale (
C) quantifies pain and guides dosing (matches 55-Q3). Last dose timing (
A) and drug history (
D) are secondary. Diversional thoughts (
B) are an adjunct, not the priority.

Question 2 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?

A. Encourage an increase in oral intake. B. Measure the client's urinary output. C. Explain that color change is normal. D. Obtain a specimen for a urine culture.

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 3 of 5

A client is receiving intravenous (IV) vancomycin and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times provide the best determination of these levels?

A. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication. B. One hour after completion of the IV dose and one hour before the next administration of the medication. C. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication. D. Two hours after completion of the IV dose and two hours before the next administration of the medication.

Correct Answer: A

Rationale: Vancomycin peak is typically drawn 1 hour post-infusion, trough 30-60 minutes pre-dose (matches 55-Q30/38, answer
B). Option A may overestimate peak but is provided as correct. Other timings (C,
D) miss accurate concentrations. Note: Confirm if B is intended.

Question 4 of 5

The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head to toe assessment, the nurse discovers four patches on the client's body. Which action should the nurse take first?

A. Apply oxygen face mask. B. Administer a narcotic reversal drug. C. Remove the morphine patches. D. Monitor blood pressure.

Correct Answer: C

Rationale: Four morphine patches suggest overdose, causing respiratory depression and sedation (matches 55-Q28). Removing patches (
C) stops further absorption. Oxygen (
A) or naloxone (
B) may follow. Blood pressure (
D) is secondary.

Question 5 of 5

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

A. Check the client's capillary glucose level. B. Advise the client to reduce the medication dose. C. Report the finding to the healthcare provider. D. Use a pulse oximeter to assess oxygen saturation.

Correct Answer: C

Rationale: Yellow skin (jaundice) suggests liver damage, a serious acetaminophen side effect (
C) (matches 55-Q47). Reporting to the provider is critical. Glucose (
A) and oxygen saturation (
D) are unrelated. Reducing dosage (
B) without consultation is unsafe.

Wgu RN HESI Pharmocology | Nurselytic

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HESI RN

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