HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: A
Rationale: Doubling a missed allopurinol dose risks toxicity and is incorrect; clients should take it as soon as remembered or skip it if near the next dose. Reducing caffeine/acidic intake, taking with food, and hydration are appropriate to manage uric acid and GI effects.
Question 2 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 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
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 5 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.