HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of heartburn and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider? Reference Ranges: Hemoglobin [14 to 18 g/dL (8.7 to 11.2 mmol/L)] Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)] Gastric pH [1.5 to 3.5]
Correct Answer: C
Rationale: A positive guaiac test indicates occult blood, suggesting gastrointestinal bleeding, potentially from ibuprofen use, which exacerbates gastric irritation. This requires immediate reporting for evaluation, given the client’s fatigue and dizziness. Normal hematocrit, slightly low hemoglobin, and normal gastric pH are less urgent.
Question 2 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
Correct Answer: D
Rationale: Persistent respiratory depression (4 breaths/minute, 75% oxygen saturation) suggests ongoing opioid toxicity. A second dose of naloxone is needed to reverse opioid effects, as the initial dose may have worn off or been insufficient. GCS, chest tubes, or CPR do not address the opioid-related cause.
Question 3 of 5
Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid analgesic?
Correct Answer: A
Rationale: Opioids in epidural infusions risk respiratory depression. Applying a pulse oximeter monitors oxygen saturation, enabling early detection of hypoxia, prioritizing safety. Catheters, antiemetics, or stool softeners address secondary concerns like urinary retention, nausea, or constipation.
Question 4 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 5 of 5
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has history of worsening symptomatic bradycardia. History of atrial fibrillation controlled. The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.
Correct Answer: A,B,D,F
Rationale: No known allergies reduce allergic reaction risks. A large vein IV minimizes thrombophlebitis. Prophylactic use is appropriate for surgery. Safe dosage prevents toxicity. Potassium and BUN, while important, are less specific to vancomycin safety.