Questions 39

HESI RN

HESI RN Test Bank

Wgu RN HESI Pharmocology Questions

Extract:


Question 1 of 5

A female client who is a vegetarian has a new prescription for warfarin. The client states she eats leafy green vegetables every day. How should the nurse respond?

Correct Answer: C

Rationale: Leafy greens, high in vitamin K, reduce warfarin’s anticoagulant effect (
C) (matches 55-Q46). Informing the provider ensures dose adjustment. Substituting vegetables (
A) is unnecessary. Praising (
B) or claiming enhanced efficacy (
D) ignores the interaction.

Question 2 of 5

The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse to report to the healthcare provider?

Correct Answer: A

Rationale: Hematemesis (
A), vomiting blood, indicates possible gastrointestinal bleeding, a serious ibuprofen side effect requiring immediate reporting. Insomnia (
B), dizziness (
C), and nausea (
D) are less urgent.

Question 3 of 5

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote best absorption of the medication, which information should the nurse include in the discharge instructions?

Correct Answer: A

Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (
A) (matches 55-Q13). Bedtime dosing (
B) isn’t specific. Multivitamins (
C) may reduce absorption. Crushing enteric-coated tablets (
D) disrupts their coating.

Question 4 of 5

A client with pneumonia who has an emergent episode of respiratory distress is intubated and transferred to the intensive care unit. The client's chest x-ray shows consolidation in the left lobe, and physical assessment reveals diminished lung sounds. The nurse administers acetylcysteine as prescribed per nebulization via endotracheal tube. Which therapeutic response of this medication should the nurse expect?

Correct Answer: C

Rationale: Acetylcysteine, a mucolytic, breaks down mucus, increasing sputum production (
C) to clear airways. Bronchodilation (
A) is not its action. Unpleasant smell (
B) is a side effect, not therapeutic. Hypotension (
D) is a rare adverse effect.

Question 5 of 5

The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head to toe assessment, the nurse discovers four patches on the client's body. Which action should the nurse take first?

Correct Answer: C

Rationale: Four morphine patches suggest overdose, causing respiratory depression and sedation (matches 55-Q28). Removing patches (
C) stops further absorption. Oxygen (
A) or naloxone (
B) may follow. Blood pressure (
D) is secondary.

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