HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: C
Rationale: Involuntary movements may indicate extrapyramidal side effects like tardive dyskinesia, a serious, potentially irreversible metoclopramide complication, requiring immediate reporting. Diarrhea, irritability, or nausea are less urgent, with nausea being the treated symptom.
Question 2 of 5
The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?
Correct Answer: D
Rationale: Echinacea may have immune-boosting properties, potentially aiding canker sore treatment, though evidence is mixed. This response balances its possible benefits without dismissing its use, unlike suggesting placebo effects, ineffectiveness, or burns.
Question 3 of 5
A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?
Correct Answer: C
Rationale: Dextroamphetamine-amphetamine, a stimulant, can cause insomnia if taken late. Determining dose timing identifies if adjusting to earlier administration reduces sleep issues. Caffeine, bedtime routines, or anxiety are secondary considerations.
Question 4 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 5 of 5
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
Correct Answer: B
Rationale: Scopolamine prevents postoperative nausea, not pain. Explaining its purpose clarifies the client’s misunderstanding. Placement checks, expired effects, or new patches do not address the pain, which requires separate analgesia.