HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 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 2 of 5
A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Correct Answer: A
Rationale: Worsening headache may indicate water intoxication or hyponatremia from excessive vasopressin-induced water retention, requiring immediate provider notification. Polyuria, low specific gravity, and polydipsia are DI symptoms, not vasopressin side effects.
Question 3 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: B
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding or ulcers with diclofenac, an NSAID, due to mucosal irritation. This history requires vigilant monitoring for GI symptoms, making it the greatest concern over migraines, osteoarthritis, or diabetes.
Question 4 of 5
A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run a half-marathon. Which instruction should the nurse emphasize?
Correct Answer: B
Rationale: Oxybutynin’s anticholinergic effects reduce sweating, increasing dehydration and overheating risks during marathon training. Emphasizing hydration and heat precautions is critical to prevent complications. Bruising, infections, or sun injury are less relevant concerns.
Question 5 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Reference Range: Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)]
Correct Answer: D
Rationale: Epoetin alfa stimulates red blood cell production, directly increasing hemoglobin levels. A rise to 12 g/dL, though below the male reference range, objectively indicates effectiveness in treating anemia. Dietary changes, subjective energy improvements, or iron therapy tolerance are less direct measures.