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Exam Review

Wgu HESI RN Pharmacology 1

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Total Questions : 44

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Question 1:

A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?

Answer and Explanation

A
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Question 2:

The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?

Reference Range:
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] 
Hemoglobin [14 to 18 g/dL (140 to 180 g/L)] 
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)] 
Ammonia [10 to 80 μg/dL (6 to 47 μmol/dL)]

Answer and Explanation

A
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Question 3:

A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?

Answer and Explanation

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Question 4:

Which action should the nurse implement to assess the effectiveness of amlodipine?

Answer and Explanation

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Question 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?

Answer and Explanation

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Question 6:

A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?

Answer and Explanation

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Question 7:

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?

Answer and Explanation

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Question 8:

The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?

Answer and Explanation

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Question 9:

A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?

Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dl. (8.7 to 11.2 mmol/L)]

Answer and Explanation

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Question 10:

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.

Answer and Explanation

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