HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Clarifying the client’s concern about carbidopa-levodopa’s effectiveness guides targeted assessment and intervention. Meal timing, dyskinesia, or urine color are secondary until the specific issue is understood.
Question 2 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’s administration is not tied to menstrual cycles; it’s used to prevent NSAID-induced ulcers and requires no specific cycle timing. Contacting providers for conception risks, using contraception, and confirming negative pregnancy tests are critical due to teratogenic risks.
Question 3 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Smoking exacerbates peptic ulcers and impairs healing. Reducing to a pack daily is insufficient; quitting is ideal. Notifying about lethargy, monitoring sexual dysfunction, and timing with antacids are appropriate.
Question 4 of 5
The nurse is reviewing the client's laboratory values. Which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
Correct Answer: B
Rationale: Atorvastatin lowers LDL cholesterol, reducing coronary artery disease risk. Decreased LDL levels indicate effectiveness. HDL, CK, and PT are not primary measures of atorvastatin’s therapeutic effect.
Question 5 of 5
A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?
Correct Answer: C
Rationale: Dextroamphetamine-amphetamine, a stimulant, can cause insomnia if taken late. Determining dose timing identifies if adjusting to earlier administration reduces sleep issues. Caffeine, bedtime routines, or anxiety are secondary considerations.