HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 of 5
When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)?
Correct Answer: B
Rationale: Vancomycin (
B) is nephrotoxic, requiring AKI monitoring (matches 55-Q14). Sucralfate (
A), lorazepam (
C), and digoxin (
D) have minimal renal toxicity risks.
Question 2 of 5
The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instruction(s) should be included in the teaching plan?
Correct Answer: B,C,E
Rationale: Ciprofloxacin requires reporting tendon pain (
B) due to rupture risk, high fluid intake (
C) to prevent crystalluria, and sun protection (E) due to photosensitivity (matches 55-Q24). Crushing tablets (
A) alters release. NSAIDs (
D) increase seizure risk.
Question 3 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.
Question 4 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: B
Rationale: Involuntary movements (
B), such as tardive dyskinesia, are a serious, potentially irreversible metoclopramide side effect (matches 55-Q5/12). Diarrhea (
A) and irritability (
D) are less severe. Nausea (
C) is the treated condition.
Question 5 of 5
A client receives a new prescription for levothyroxine. Which statement made by client indicates to the nurse that education was effective?
Correct Answer: D
Rationale: Levothyroxine should be taken on an empty stomach (
D), 30-60 minutes before breakfast, for optimal absorption (matches 55-Q15). Bedtime dosing (
A) is less effective. Iodine foods (
B) don’t enhance efficacy. Iron supplements (
C) should be timed separately.