HESI RN
Wgu RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client who is newly diagnosed with diabetes insipidus is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Correct Answer: A
Rationale: Worsening headache may indicate vasopressin-induced vasoconstriction or water intoxication, requiring immediate reporting. Polyuria, polydipsia, and low urine specific gravity are diabetes insipidus symptoms, not vasopressin side effects.
Question 2 of 5
A client is admitted for observation with reports of progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. The client has a history of heartburn and indigestion that is self-treated with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider? Reference Range: Guaiac stool [negative] Hemoglobin [14 to 18 g/dL (140 to 180 g/L)] Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)] Gastric Acid pH [1.5 to 3.5]
Correct Answer: A
Rationale: Positive guaiac indicates occult blood, suggesting GI bleeding possibly from ibuprofen. This requires immediate reporting given fatigue and dizziness. Normal hematocrit, gastric pH, and mild anemia are less urgent.
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: A
Rationale: Mydriatics dilate pupils, causing photophobia. A dimly lit room reduces discomfort from light sensitivity. Warm temperatures, humid air, or quiet environments do not address this primary issue.
Question 4 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 5 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: A
Rationale: Misoprostol prevents NSAID-induced ulcers and is not tied to menstrual cycles. Starting therapy before menstruation is incorrect. Contraception, pregnancy testing, and reporting conception risks are critical due to misoprostol’s teratogenic effects.