HESI RN
Wgu RN HESI Pharmacology Questions
Extract:
Question 1 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older client develops bleeding and tender gums and has many new bruises. Which action(s) should the nurse implement? Select all that apply.
Correct Answer: A,C,D
Rationale: Bleeding and bruising suggest anticoagulant complications. A soft toothbrush minimizes gum trauma, reviewing coagulation labs guides management, and reporting to the provider ensures intervention. NSAIDs increase bleeding risk, and a variance report, while useful, is not an immediate priority.
Question 2 of 5
A client who is experiencing vasomotor symptoms related to menopause receives a new prescription for estrogen replacement. Which client condition should the nurse report to the healthcare provider prior to administering the first dose of the medication?
Correct Answer: B
Rationale: Estrogen increases thromboembolism risk, and a history of pulmonary embolism is a contraindication due to potential recurrence. Colorectal cancer, dyspareunia, and osteoporosis are not absolute contraindications; estrogen may even benefit osteoporosis.
Question 3 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: A
Rationale: Misoprostol prevents NSAID-induced ulcers and is not tied to menstrual cycles. Starting therapy before menstruation is incorrect. Contraception, pregnancy testing, and reporting conception risks are critical due to misoprostol’s teratogenic effects.
Question 4 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: C
Rationale: Adalimumab’s immunosuppression increases infection risk. Avoiding crowds and sick individuals minimizes exposure. Eye exams are more relevant for methotrexate, chest x-rays are not routine, and live vaccines may be contraindicated.
Question 5 of 5
The nurse administers the initial dose of cefoxitin to a client whose medical record indicates an allergy to penicillin. Which finding is most important for the nurse to report to the healthcare provider?
Correct Answer: B
Rationale: Pruritis and rash suggest a possible allergic reaction to cefoxitin, a cephalosporin, due to cross-reactivity with penicillin. This requires immediate reporting. Renal output, GI symptoms, and vaginal discharge are less specific to allergic responses.