HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?
Correct Answer: D
Rationale: Furosemide can cause hypokalemia, leading to palpitations and cramps, risking arrhythmias. Cardiac monitoring first detects potential arrhythmias, prioritizing safety. Compresses, intake/output, or bed elevation are secondary to addressing cardiac risks.
Question 2 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Bleeding and bruising suggest anticoagulant-related complications. Completing a variance report documents issues, reviewing coagulation labs guides management, reporting to the provider ensures intervention, and a soft toothbrush reduces gum trauma. NSAIDs increase bleeding risk and are contraindicated.
Question 3 of 5
A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of heartburn and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider? Reference Ranges: Hemoglobin [14 to 18 g/dL (8.7 to 11.2 mmol/L)] Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)] Gastric pH [1.5 to 3.5]
Correct Answer: C
Rationale: A positive guaiac test indicates occult blood, suggesting gastrointestinal bleeding, potentially from ibuprofen use, which exacerbates gastric irritation. This requires immediate reporting for evaluation, given the client’s fatigue and dizziness. Normal hematocrit, slightly low hemoglobin, and normal gastric pH are less urgent.
Question 4 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’s administration is not tied to menstrual cycles; it’s used to prevent NSAID-induced ulcers and requires no specific cycle timing. Contacting providers for conception risks, using contraception, and confirming negative pregnancy tests are critical due to teratogenic risks.
Question 5 of 5
The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: B
Rationale: Atorvastatin lowers LDL cholesterol, reducing coronary artery disease risk. Decreased LDL levels indicate effectiveness. HDL, CK, and PT are not primary measures of atorvastatin’s therapeutic effect.