HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 of 5
The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?
Correct Answer: D
Rationale: Duloxetine is metabolized by the liver, and impaired liver function increases toxicity risk (
D) (matches 55-Q40). Liver function tests are critical. Other antidepressants (
A), weight changes (
B), and family history (
C) are relevant but secondary.
Question 2 of 5
The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
Correct Answer: A
Rationale: Sucralfate forms a protective barrier over ulcers and should be given on an empty stomach (
A), 1 hour before meals or at bedtime (matches 55-Q10). Candida infection (
B) and electrolyte imbalances (
D) are not associated. Once-daily dosing (
C) is incorrect; it’s typically 4 times daily.
Question 3 of 5
The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with hypertension. The client's vital signs are temperature 99°F (37.22°C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (B/P) 150/90 mm Hg. Which action should the nurse take?
Correct Answer: D
Rationale: Labetalol, a beta-blocker, can worsen bradycardia (48 bpm). Withholding the dose and notifying the provider (
D) is safest (matches 55-Q41). Administering (
B) risks exacerbating bradycardia. Orthostatic hypotension (
A) and telemetry (
C) are secondary.
Question 4 of 5
A female client who is a vegetarian has a new prescription for warfarin. The client states she eats leafy green vegetables every day. How should the nurse respond?
Correct Answer: C
Rationale: Leafy greens, high in vitamin K, reduce warfarin’s anticoagulant effect (
C) (matches 55-Q46). Informing the provider ensures dose adjustment. Substituting vegetables (
A) is unnecessary. Praising (
B) or claiming enhanced efficacy (
D) ignores the interaction.
Question 5 of 5
The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?
Correct Answer: D
Rationale: Probenecid increases uric acid excretion (
D) to treat gout. It doesn’t strengthen urine stream (
A), prevent kidney stones (
B), or reduce urinary pain (
C).