HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
Question 1 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: B
Rationale: Amlodipine, a calcium channel blocker, lowers blood pressure to manage hypertension. Measuring blood pressure directly assesses its effectiveness. Electrolytes, intake/output, or calcium levels are not primary indicators of amlodipine’s therapeutic effect.
Question 2 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: B
Rationale: Adalimumab, an immunosuppressant, increases infection risk. Avoiding crowds and sick individuals minimizes exposure, protecting the client’s compromised immune system. Eye exams, chest x-rays, or vaccinations are not specifically required for adalimumab initiation.
Question 3 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 4 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: B
Rationale: Amlodipine, a calcium channel blocker, lowers blood pressure to manage hypertension. Measuring blood pressure directly assesses its effectiveness. Electrolytes, intake/output, or calcium levels are not primary indicators of amlodipine’s therapeutic effect.
Question 5 of 5
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to the healthcare provider immediately? Reference Range: Sodium [Adult 136 to 145 mEq/L (136 to 145 mmol/L)] Digoxin level [0.8 to 2.0 ng/mL (0.6 to 13 nmol/L)] Potassium (K+) [Adult: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)]
Correct Answer: C
Rationale: Hypokalemia (3.2 mEq/L) increases digoxin toxicity risk, potentially causing arrhythmias. Immediate reporting allows potassium correction. Therapeutic digoxin, normal creatinine, and mild hyponatremia are less urgent.