HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 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: B
Rationale: Severe respiratory depression (4 breaths/min), hypoxia (75% SpOâ‚‚), and unresponsiveness require immediate CPR (
B) to restore circulation/oxygenation (matches 55-Q19). Naloxone (
D) may be needed but is secondary. Chest tubes (
A) are irrelevant. Glasgow scoring (
C) delays intervention. Note: Provided answer D corrected to B.
Question 2 of 5
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause hypotension and dizziness (
C) (matches 55-Q29/32). Bladder scans (
A) and urine output (
B) assess BPH, not adverse effects. Daily weights (
D) monitor fluid status, not tamsulosin risks.
Question 3 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: B
Rationale: Involuntary movements (
B), such as tardive dyskinesia, are a serious, potentially irreversible metoclopramide side effect (matches 55-Q5/12). Diarrhea (
A) and irritability (
D) are less severe. Nausea (
C) is the treated condition.
Question 4 of 5
The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?
Correct Answer: C
Rationale: Mydriatic medications dilate pupils, increasing light sensitivity. A dimly lit room (
C) reduces discomfort. Cool air (
A), quiet environment (
B), and warm temperature (
D) are less relevant.
Question 5 of 5
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia (matches 55-Q7/17). Limiting high-potassium foods (
C) prevents this. Sun protection (
A) and bruising (
B) are unrelated. Salt substitutes (
D) contain potassium, worsening hyperkalemia.