HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Antiretrovirals reduce viral load and transmission risk but do not fully prevent HIV transmission; safe practices are still needed. The other statements are accurate regarding HIV management and ART benefits.
Question 2 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Correct Answer: D
Rationale: Erythromycin may reduce oral contraceptive efficacy by altering metabolism. Using additional contraception (e.g., condoms) prevents unintended pregnancy. Stopping the contraceptive, spacing doses, or avoiding sunlight are not necessary.
Question 3 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: D
Rationale: Persistent respiratory depression (4 breaths/minute, 75% oxygen saturation) suggests ongoing opioid toxicity. A second dose of naloxone is needed to reverse opioid effects, as the initial dose may have worn off or been insufficient. GCS, chest tubes, or CPR do not address the opioid-related cause.
Question 4 of 5
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. Client reports she is having this done because her heart rate has been staying very low, she is always tired, and she has passed out once from low heart rate. Client has history of worsening symptomatic bradycardia. History of atrial fibrillation controlled. The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.
Correct Answer: A,B,D,F
Rationale: No known allergies reduce allergic reaction risks. A large vein IV minimizes thrombophlebitis. Prophylactic use is appropriate for surgery. Safe dosage prevents toxicity. Potassium and BUN, while important, are less specific to vancomycin safety.
Question 5 of 5
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?
Correct Answer: B
Rationale: Chronic alcoholism increases the risk of gastrointestinal bleeding or ulcers with diclofenac, an NSAID, due to mucosal irritation. This history requires vigilant monitoring for GI symptoms, making it the greatest concern over migraines, osteoarthritis, or diabetes.