HESI RN
Wgu RN HESI Pharmacology 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: D
Rationale: Clarifying the client’s concern about carbidopa-levodopa’s effectiveness guides targeted assessment. Urine color, dyskinesia, or meal timing are secondary until the specific issue is understood.
Question 2 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: Persistent respiratory depression (4 breaths/min, 75% saturation) indicates ongoing opioid toxicity. Naloxone’s short half-life may require a second dose to reverse opioid effects. Chest tubes, GCS, or CPR do not address the opioid-related cause.
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 impairs ulcer healing. Reducing to a pack daily is insufficient; quitting is ideal. Monitoring sexual dysfunction, reporting lethargy, and timing with antacids are appropriate.
Question 4 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
Correct Answer: B
Rationale: Adequate fluid intake (1,500-3,000 mL/day) prevents dehydration, which can elevate lithium levels and risk toxicity. Food intake, weight reporting, or fliers are less critical to lithium safety.
Question 5 of 5
A client with plaque psoriasis receives a new prescription for betamethasone valerate lotion. Which instruction should the nurse include in client teaching?
Correct Answer: D
Rationale: Massaging betamethasone lotion into plaques enhances absorption and effectiveness. Facial application risks skin thinning, prolonged use is not specified, and gloves are unnecessary.