HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 of 5
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct Answer: D
Rationale: Codeine causes drowsiness, increasing fall risk. Instructing assistance when ambulating (
D) is the priority for safety. Notifying about pain (
A), onset time (
B), and stool softeners (
C) are secondary.
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: C
Rationale: Mydriatic medications dilate pupils, increasing light sensitivity. A dimly lit room (
C) reduces discomfort. Cool air (
A), quiet environment (
B), and warm temperature (
D) are less relevant.
Question 3 of 5
An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote best absorption of the medication, which information should the nurse include in the discharge instructions?
Correct Answer: A
Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (
A) (matches 55-Q13). Bedtime dosing (
B) isn’t specific. Multivitamins (
C) may reduce absorption. Crushing enteric-coated tablets (
D) disrupts their coating.
Question 4 of 5
A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?
Correct Answer: A
Rationale: Zolpidem should be taken at bedtime (
A) to avoid daytime drowsiness and fall risk (matches 55-Q4). Fluids (
B) are unrelated. Noon meal dosing (
C) reduces efficacy. Two hours (
D) is insufficient for clearance.
Question 5 of 5
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head to toe assessment, the nurse discovers four patches on the client's body. Which action should the nurse take first?
Correct Answer: C
Rationale: Four morphine patches suggest overdose, causing respiratory depression and sedation (matches 55-Q28). Removing patches (
C) stops further absorption. Oxygen (
A) or naloxone (
B) may follow. Blood pressure (
D) is secondary.