HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?
Correct Answer: C
Rationale: Ginkgo biloba increases bleeding risk with aspirin/NSAIDs (
C), a critical interaction (matches 55-Q39/52). Nausea/diarrhea (
A) and anxiety/headaches (
B) are less severe. Pregnancy restrictions (
D) are secondary unless applicable.
Question 2 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
Correct Answer: D
Rationale: Duloxetine is metabolized by the liver, and impaired liver function increases toxicity risk (
D) (matches 55-Q40). Liver function tests are critical. Other antidepressants (
A), weight changes (
B), and family history (
C) are relevant but secondary.
Question 3 of 5
The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
Correct Answer: D
Rationale: A scratchy throat (
D) may indicate anaphylaxis, requiring immediate cessation of piperacillin-tazobactam (matches 55-Q2). Hypertension (
A), bradycardia (
B), and pupillary constriction (
C) are not typical allergic response signs.
Question 4 of 5
A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The intravenous (IV) administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter Calculation(ans only)al value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 42
Rationale: Infusion rate: 500 mL / 2 hr = 250 mL/hr. Drops per minute: (250 mL/hr × 10 gtt/mL) / 60 min = 41.67, rounded to 42 gtt/min (matches 55-Q54). This ensures accurate azithromycin delivery.
Question 5 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.