KAPLAN PHARM INTEGRATED EXAM
ACTUAL EXAM ALL 100 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
The nurse in the outpatient clinic obtains a client history during the initial visit. The client
relates of recently beginning to take isoniazid daily. The nurse recognizes this medication
is used to treat or prevent which problem – ….ANSWER….Tuberculosis
The nurse instructs a client receiving lovastatin for treatment of hypercholesterolemia.
The nurse determines further teaching is necessary if the client states which of the
following? – ….ANSWER….”I always take it on an empty stomach, so it can get right to
work”
The nurse counsels a clients receiving cromolyn to treat bilateral conjunctivitis. The nurse
intervenes if the client makes which statement – ….ANSWER….”I put the drops in after I
put my contact lens in”
The client calls the nurse 10 days after beginning to use beclomethasone nasal spray due
to seasonal allergies. The client reports that even though the medication is being used
correctly, only slight relief has been experienced. Which action by the nurse is most
important? – ….ANSWER….Remind the client that the peak effect can take up to three
weeks of regular use
The nurse discovers a client’s urine culture indicates at least 100,000 colonies of bacteria
per milliliter. The nurse should intervene if the client makes which statement? –
….ANSWER….”I am taking phenazophyridine to rid of the bacteria.”
The nurse cares for a client receiving simvastatin. To monitor for adverse effects of the
medication, the nurse expects the health care provider to order which tests? –
….ANSWER….Liver function tests and an ophthalmic examination
The nurse performs a nursing assessment on a client with a history of migraine
headaches. The nurse records the list of current medication and recognizes which
medication is used to treat migraine headaches? – ….ANSWER….Zolmitriptan
The nurse knows that disulfiram is most likely prescribed for which client? –
….ANSWER….A client abusing alcohol
The nurse cares for a client receiving sertraline. Which statement is most important for the
nurse to make? – ….ANSWER….”It might take four weeks for you to reach full therapeutic
effect”
A client plans to stop smoking. The health care provider prescribes bupropion. Which
client statement indicates further education is required? – ….ANSWER….”If i miss a dose
of mediccation, I should take it as soon as I remember it”
The health care provider order hydromorphone hydrochloride in a choice of doseequivalent forms for a postoperative client To ensure the client has a restful sleep, the
nurse knows which method of administration offers the client the longest duration of
medication action? – ….ANSWER….Rectal administration
The nurse receives a phone call from the radiology department. A department staff
member will come in 30 minutes for the client scheduled for abdominal x-rays. It is
essential that the nurse administer which medication to the client prior to leaving the unit?
- ….ANSWER….Ciprofloxacin 400 mg IV
The nurse knows the chlorpromazine hydrochloride is most likely to be prescribed for
which client? – ….ANSWER….A client diagnosed with schizophrenia
The nurse cares for a client with a history of asthma and bronchitis. The health care
provider prescribes montelukast. The nurse recognizes which as true about montelukast? - ….ANSWER….Montelukast takes several weeks to lessen the effects of chronic asthma
The nurse in the cardiac rehabilitation unit knows that for adult clients taking digoxin, the
maintenance dose of the medication should be in which range? – ….ANSWER….0.125-0.5
The nurse knows which anti-psychotic is used as a treatment for Tourette syndrome? –
….ANSWER….Haloperidol
The nurse cares for the client immediately after removal of a cataract in the left eye. The
health care provider orders prochlorperazine to be administered after the surgery. The
nurse understands it is important to administer the medication for which reason? –
….ANSWER….To prevent pressure on the suture line.
The nurse understands which occurrence is NOT an adverse effect or toxic effect of
aspirin? – ….ANSWER….Rash
The client is receiving 40 drops per minutes of dextros 5% in water. The IV set delivers 10
drops per milliliter. If the nurse starts the IV infusion at 1200 with 1,000 mL will remain at
1530? – ….ANSWER….160 mL
A client diagnosed with depression is scheduled to begin a series of electroconvulsive
therapy (ECT) treatments. It is most important for the nurse to notify the health care
provider about which information? – ….ANSWER….The client is being treated for
glaucoma
The nurse cares for a client admitted with a diagnosis of diabetic keto-acidosis. The nurse
anticipates the health care provider with order which type of insulin? –
….ANSWER….Short-acting insulin
The client comes back from an overseas trip reporting multiple, watery bowel movements.
The health care provider prescribes loperamide. It is most important for the nurse to follow
up on which client statement? – ….ANSWER….”My temperature is 101.2 F (38.0 C)
The home care nurse visits a client living in a dependent living facility. The client is
receiving risperidone. The nurse notes the client has a shuffling gait and trembles when
reaching for reading glasses. The nurse did not notice these behaviors on the previous
visit. Which action by the nurse is appropriate? – ….ANSWER….Contact the client’s health
care provider
The nurse learns a client has been taking simvastatin for seven months. Which statement
by a colleague does the nurse correct? – ….ANSWER….”I should take the client’s blood
pressure in supine, sitting, and standing positions.”
The adult child of an elderly client brings the parent to the clinic. The client states, “I have
indigestion and have been taking lots of over-the-counter cimetidine for 3 weeks.” Which
client statement requires an immediate followup? – ….ANSWER….”My child tells me that I
seem to be confused at times.”
The nurse identifies folic acid is prescribed for which conditions? –
….ANSWER….Pregnancy
Alcoholism
Liver disease
The health care provider orders IV codeine every 3-4 h PRN for a client after surgery. On
the second day post-op, the nurse assesses the client 3 hours after giving codeine. The
client’s vital signs are: BP 112/68 mm Hg, pulse 72/min, and respiration’s 110/min. The
client reports experiencing pain level of 5 on the 0-10 numeric pain distress scale. Which
action by the nurse is most appropriate? – ….ANSWER….Assess level of sedation
The health care provider prescribes captopril for a client diagnosed with hypertension.
Before administering the first dose, it is most important for the nurse to make which
statement – ….ANSWER….”Remain in bed for the first three hours after taking the first
dose of medication.”
The nurse instructs a client receiving phenytoin sodium. The nurse determines further
teaching is necessary if the client makes which statement? – ….ANSWER….”If my urine
changes color, I should immediately go to the emergency department.”
The health are provider orders 0.25 mg digoxin PO daily for the client. Digoxin is available
in 0.5 per mL of solution. How many mL should the nurse administer to then client? –
….ANSWER….0.5
A nurse counsels a client receiving alendronate (Fosamax). What is the most important
instruction for the nurse to include to prevent esophageal ulceration? –
….ANSWER….Swallow the medication with a full glass of water and remain upright for 30
mins.
The nurse cares for a patient hospitalized for treatment of an abdominal gunshot wound.
History reveals the pt has been enrolled in a methadone maintenance clinic for the past 2
years. The nurse notices the patient has no orders for continuation of methadone. The
nurse anticipates which of the following will occur? – ….ANSWER….The patient will
experience nausea, vomiting, and stomach cramps.
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