Wgu RN HESI Pharmocology

Extract:

Question 1 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 2 of 5

The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head to toe assessment, the nurse discovers four patches on the client's body. Which action should the nurse take first?

A. Apply oxygen face mask. B. Administer a narcotic reversal drug. C. Remove the morphine patches. D. Monitor blood pressure.

Correct Answer: C

Rationale: Four morphine patches suggest overdose, causing respiratory depression and sedation (matches 55-Q28). Removing patches (
C) stops further absorption. Oxygen (
A) or naloxone (
B) may follow. Blood pressure (
D) is secondary.

Question 3 of 5

A client is receiving intravenous (IV) vancomycin and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times provide the best determination of these levels?

A. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication. B. One hour after completion of the IV dose and one hour before the next administration of the medication. C. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication. D. Two hours after completion of the IV dose and two hours before the next administration of the medication.

Correct Answer: A

Rationale: Vancomycin peak is typically drawn 1 hour post-infusion, trough 30-60 minutes pre-dose (matches 55-Q30/38, answer
B). Option A may overestimate peak but is provided as correct. Other timings (C,
D) miss accurate concentrations. Note: Confirm if B is intended.

Question 4 of 5

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

A. Perform a bladder scan. B. Assess urine output. C. Monitor blood pressure. D. Obtain daily weights.

Correct Answer: C

Rationale: Tamsulosin, an alpha-blocker, can cause hypotension and dizziness (
C) (matches 55-Q29/32). Bladder scans (
A) and urine output (
B) assess BPH, not adverse effects. Daily weights (
D) monitor fluid status, not tamsulosin risks.

Question 5 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?

A. Encourage the client to wait until bedtime to take the medication. B. Remind the client to drink plenty of fluids when taking the medication. C. Advise the client to take the medication with the noon meal. D. Explain that the client needs to allow for sleep time of at least two hours.

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.

Wgu RN HESI Pharmocology | Nurselytic

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