HESI RN
Wgu RN HESI Pharmacology Questions
Extract:
Question 1 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: B
Rationale: Fluticasone/salmeterol is for maintenance, used twice daily maximum to avoid side effects. Rapid exhalation, acute attack use, or hypotension are incorrect.
Question 2 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: A
Rationale: Mydriatics dilate pupils, causing photophobia. A dimly lit room reduces discomfort from light sensitivity. Warm temperatures, humid air, or quiet environments do not address this primary issue.
Question 3 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
Correct Answer: B
Rationale: Adequate fluid intake (1,500-3,000 mL/day) prevents dehydration, which can elevate lithium levels and risk toxicity. Food intake, weight reporting, or fliers are less critical to lithium safety.
Question 4 of 5
The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond?
Correct Answer: D
Rationale: Sucralfate forms a protective barrier over irritated stomach and intestinal areas, requiring an empty stomach for optimal effectiveness. Taking it at least 1 hour before meals ensures proper coating without food interference. Post-meal administration reduces efficacy, and documenting refusal is inappropriate without education.
Question 5 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: C
Rationale: Adalimumab’s immunosuppression increases infection risk. Avoiding crowds and sick individuals minimizes exposure. Eye exams are more relevant for methotrexate, chest x-rays are not routine, and live vaccines may be contraindicated.