HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 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.
Question 2 of 5
A client has a prescription for heparin 1,000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: B
Rationale: Standard heparin (IV) and low molecular weight heparin (LMWH, subcutaneous) are not interchangeable. Requesting standard heparin from the pharmacy ensures the correct medication and route, preventing dosing errors or inefficacy.
Question 3 of 5
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Antiretrovirals reduce viral load and transmission risk but do not fully prevent HIV transmission; safe practices are still needed. The other statements are accurate regarding HIV management and ART benefits.
Question 4 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.
Question 5 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Correct Answer: D
Rationale: Erythromycin may reduce oral contraceptive efficacy by altering metabolism. Using additional contraception (e.g., condoms) prevents unintended pregnancy. Stopping the contraceptive, spacing doses, or avoiding sunlight are not necessary.