HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: A
Rationale: Glucagon raises blood glucose in severe hypoglycemia (e.g., unconsciousness), preventing complications. It’s not for hyperglycemia, sick days, or diabetic ketoacidosis, which require insulin and other treatments.
Question 2 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 3 of 5
The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: C
Rationale: Taking additional acetaminophen doses risks overdose and liver damage. Clients should follow prescribed dosing and consult providers if pain persists. Avoiding alcohol, reporting urine color changes, and stopping for rashes are appropriate.
Question 4 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: A
Rationale: Risedronate requires a full glass of water on an empty stomach, with the client upright for 30 minutes, to ensure absorption and prevent esophageal irritation. Milk or food reduces bioavailability, making water the only appropriate accompaniment.
Question 5 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately? Reference Range: Sodium [Adult 136 to 145 mEq/L (136 to 145 mmol/L)] Digoxin level [0.8 to 2.0 ng/mL (0.6 to 13 nmol/L)] Potassium (K+) [Adult: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)]
Correct Answer: C
Rationale: Hypokalemia (3.2 mEq/L) increases digoxin toxicity risk, potentially causing arrhythmias. Immediate reporting allows potassium correction. Therapeutic digoxin, normal creatinine, and mild hyponatremia are less urgent.