HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 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 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: Severe respiratory depression (4 breaths/min), hypoxia (75% SpO₂), 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 3 of 5
After receiving five doses of filgrastim, the nurse notes that the client's white blood cell count has increased from 2,500/mm3 (2.5 x 109/L) to 5,000/mm3 (5 x 109/L). Which action should the nurse implement?
Correct Answer: B
Rationale: Filgrastim stimulates white blood cell production. An increase to 5,000/mm3 (
B) indicates effectiveness (matches 55-Q11). Neutropenic precautions (
A) are unnecessary. Culture reports (
C) and vital signs (
D) don’t assess filgrastim’s efficacy.
Question 4 of 5
A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?
Correct Answer: A
Rationale: Zolpidem should be taken at bedtime (
A) to avoid daytime drowsiness and fall risk (matches 55-Q4). Fluids (
B) are unrelated. Noon meal dosing (
C) reduces efficacy. Two hours (
D) is insufficient for clearance.
Question 5 of 5
The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse to report to the healthcare provider?
Correct Answer: A
Rationale: Hematemesis (
A), vomiting blood, indicates possible gastrointestinal bleeding, a serious ibuprofen side effect requiring immediate reporting. Insomnia (
B), dizziness (
C), and nausea (
D) are less urgent.