HESI RN
Wgu RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client who is experiencing vasomotor symptoms related to menopause receives a new prescription for estrogen replacement. Which client condition should the nurse report to the healthcare provider prior to administering the first dose of the medication?
Correct Answer: B
Rationale: Estrogen increases thromboembolism risk, and a history of pulmonary embolism is a contraindication due to potential recurrence. Colorectal cancer, dyspareunia, and osteoporosis are not absolute contraindications; estrogen may even benefit osteoporosis.
Question 2 of 5
A client has a prescription for heparin 1,000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: C
Rationale: Standard heparin (IV) and low molecular weight heparin (subcutaneous) are not interchangeable. Requesting standard heparin ensures the correct medication and route, preventing errors.
Question 3 of 5
Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?
Correct Answer: A
Rationale: Bethanechol stimulates bladder contraction, improving urinary retention. Equal urinary output to intake indicates effective bladder emptying. Dribbling, stress incontinence, and xerostomia are less direct indicators.
Question 4 of 5
The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Baclofen causes dizziness and weakness, increasing fall risk. Advising slow, cautious movement prevents injuries. Intake/output, stopping antispasmodics, or frequent strength checks are less relevant.
Question 5 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: C
Rationale: Adalimumab’s immunosuppression increases infection risk. Avoiding crowds and sick individuals minimizes exposure. Eye exams are more relevant for methotrexate, chest x-rays are not routine, and live vaccines may be contraindicated.