HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Smoking exacerbates peptic ulcers and impairs healing. Reducing to a pack daily is insufficient; quitting is ideal. Notifying about lethargy, monitoring sexual dysfunction, and timing with antacids are appropriate.
Question 2 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: B
Rationale: Amlodipine, a calcium channel blocker, lowers blood pressure to manage hypertension. Measuring blood pressure directly assesses its effectiveness. Electrolytes, intake/output, or calcium levels are not primary indicators of amlodipine’s therapeutic effect.
Question 3 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 4 of 5
The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective? Reference Range: Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] Hemoglobin [14 to 18 g/dL (140 to 180 g/L)] Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)] Ammonia [10 to 80 μg/dL (6 to 47 μmol/L)]
Correct Answer: C
Rationale: Sodium polystyrene sulfonate lowers potassium by exchanging sodium for potassium in the gut. A potassium level of 3.8 mEq/L (normal range) indicates effective hyperkalemia treatment in AKI. Ammonia, hemoglobin, and glucose are unaffected by this medication.
Question 5 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: B
Rationale: Rapid weight gain may indicate fluid retention or other complications, requiring provider evaluation, though not a common gabapentin side effect. Gastric irritation, sexual dysfunction, and photosensitivity are less associated with gabapentin and less urgent.