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FREE PHARMACOLOGY AND STUDY GAMES ABOUT BSN
315 WEEK 7/8 EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -71 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: A client receiving doxorubicin intravenously (IV) complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement?
Answer:
Discontinue the IV fluids Question 2: A client asks the nurse if glipizide is an oral insulin. Which response should the nurse provide?
Answer:
"No, it is not an oral insulin and can be used only when some beta cell function is present." Question 3: An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac 30 mg IV every 6 hours. Which action should the nurse implement?
Answer:
Administer both medications according to the prescription.
Question 4: The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan?
Answer:
Do not get up quickly. Always rise slowly.Question 5: The RN is reviewing the (PCA) pump w/ a pt in PACU. The pt will receive morphine
- mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV max per
hour. Which assessment has the highest priority before initiating the PCA pump?
Answer:
The rate and depth of the client's respirations.Question 6: A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. Which medication would be contraindicated for this client?
Answer:
Phentobarbital sodium for sleep.Question 7: A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which condition?
Answer:
Heart Failure Question 8: Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved?
Answer:
Blood pressure reduced from 160/90 to 130/80 mmHg.Question 9: The nurse is transcribing a new prescription for spironolactone for a client who receives an angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse implement?
Answer:
Verify both prescriptions with the healthcare provider.Question 10: A peak and trough level must be drawn for a client receiving antibiotic therapy.Which is the optimum time for the nurse to obtain the trough level?
Answer:
Immediately before the next antibiotic dose is given.
Question 11: A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. Which adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider?
Answer:
Tachycardia and chest pain.Question 12: The healthcare provider prescribes naloxone for a client in the emergency room.Which assessment data would indicate that the naloxone has been effective?
Answer:
Respiratory rate is 16 breaths/minute.Question 13: Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan?
Answer:
Risk for injury Question 14: A female client with rheumatoid arthritis takes ibuprofen 600 mg PO 4 times a day.To prevent gastrointestinal bleeding, misoprostol 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching?
Answer:
Use contraception during intercourse.Question 15: An older client with a decreased percentage of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process?
Answer:
Distribution Question 16: A client receiving albuterol tablets complains of nausea every evening with her
9:00 p.m. dose. Which action can the nurse take to alleviate this side effect?
Answer:
Administer the dose with a snack.Question 17: A client with hyperlipidemia receives a prescription for niacin. Which client teaching is most important for the nurse to provide?
Answer:
Expected duration of flushing.
Question 18: A client with heart failure is prescribed spironolactone. Which information is most important for the nurse to provide to the client about diet modifications?
Answer:
Refrain from eating foods high in potassium.Question 19: A client with Parkinson's disease is taking levodopa-carbidopa. Which observation by the nurse would indicate that the desired outcome of the medication is being achieved?
Answer:
Lessening of tremors.Question 20: Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved?
Answer:
Client states Chest pain is relieved Question 21: A client is receiving ampicillin sodium for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs?
Answer:
Rash Question 22: The nurse is making early morning rounds on a group of clients when a client begins exhibiting symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2 receptor agonist agent. Which client response should the nurse expect?
Answer:
Rapid resolution of wheezing.Improved pulse oximetry values.Question 23: Which symptoms are serious adverse effects of beta-adrenergic blockers such as propranolol?
Answer:
Wheezing, hypotension, and AV block.
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