HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 of 5
A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The intravenous (IV) administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter Calculation(ans only)al value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 42
Rationale: Infusion rate: 500 mL / 2 hr = 250 mL/hr. Drops per minute: (250 mL/hr × 10 gtt/mL) / 60 min = 41.67, rounded to 42 gtt/min (matches 55-Q54). This ensures accurate azithromycin delivery.
Question 2 of 5
When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)?
Correct Answer: B
Rationale: Vancomycin (
B) is nephrotoxic, requiring AKI monitoring (matches 55-Q14). Sucralfate (
A), lorazepam (
C), and digoxin (
D) have minimal renal toxicity risks.
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: C
Rationale: Mydriatic medications dilate pupils, increasing light sensitivity. A dimly lit room (
C) reduces discomfort. Cool air (
A), quiet environment (
B), and warm temperature (
D) are less relevant.
Question 4 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 5 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.