HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
The nurse is teaching a client how to use an inhaler device. Which client statement indicates to the nurse that the client understands the instructions?
Correct Answer: B
Rationale: Rinsing the mouth after inhaler use, especially with corticosteroids, prevents oral thrush by removing residual medication. Bedtime-only use, meal timing, or caffeine limits are incorrect and unrelated to proper inhaler technique.
Question 2 of 5
A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?
Correct Answer: C
Rationale: Diphenhydramine causes significant drowsiness, posing a safety risk for driving. Avoiding driving is critical to prevent accidents. Dosing frequency (every 4-6 hours, not 8), gastric upset (minimal), and dry mouth are less urgent concerns.
Question 3 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Bleeding and bruising suggest anticoagulant-related complications. Completing a variance report documents issues, reviewing coagulation labs guides management, reporting to the provider ensures intervention, and a soft toothbrush reduces gum trauma. NSAIDs increase bleeding risk and are contraindicated.
Question 4 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 5 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: A
Rationale: Doubling a missed allopurinol dose risks toxicity and is incorrect; clients should take it as soon as remembered or skip it if near the next dose. Reducing caffeine/acidic intake, taking with food, and hydration are appropriate to manage uric acid and GI effects.