KAPLAN INTEG PHARM Complete Questions with Answers Exam Guide

KAPLAN INTEG PHARM
Complete Questions with Answers Exam Guide
1. The nurse prepares to administer digoxin 0.01 mg/kg PO to a 2-month-old infant. The infant
weighs 5kg.The sleeping infant's apical pulse is 70 bpm. The nurse takes which most appropriate
action?
Withholds the medication and notifies the health care provider immediately.
2. The nurse instructs a client who is to take rifampin. The nursing informs the client that which
adverseeffect may occur?
Orange-colored urine
3. The nurse provides care for a client diagnosed with Hodgkin's disease. The client received
cyclophosphamide. Which laboratory value does the nurse report to the healthcare provider?
Platelets 40,000 mm3 (40x10^9/L)
4. Th nurse reviews laboratory reports for a client receiving digoxin and furosemide. Which
laboratoryvalues most concern the nurse?
K= 3.2 mEq/L (3.2 mmol) ; digoxin level= 2.2 ng/mL (2.8 n mmol/L)
5. The nurse instructs the client who is to take risperidone daily. Which adverse effects are included in
theteaching?
Diarrhea and increased salivation
6. The nurse provides care for a client diagnosed with bipolar disorder. The client receives lithium.
Whichsign or symptom indicates lithium toxicity?
Unsteady gait
7. The nurse teaches the client about sublingual nitroglycerin administration. Which client statement
indicates further teaching is necessary?
I will swallow frequently until the tablet completely dissolves.
8. A client is receiving 5% dextrose in 0.45% saline IV at 150 mL per hour in the forearm. Which
finding bestindicates to the nurse the IV is infilt ?
The client reports the arm is painful.
9. The client is diagnosed with rheumatoid arthritis. The nurse instructs the client about taking
methotrexate. The nurse includes which statement?
Report any temperature increases to your health care provider immediately.
10. A school-aged child is to receive 1.2 million units of penicillin G potassium IV daily. The
medication is divided and given every 6 hours. The medication vial contains 300,000 units/mL. How
many mL does thenurse minister per dose?
mL
11. A health care provider's prescription reads, "Diphenhydramine 25 mg at hour of sleep." Which is
themost appropriate action for the nurse to take?
Ask the health care provider for clarification of the prescription
12. A toddler is diagnosed with cystic fibrosis. The nurse instructs the family about pancreatic enzymes.
Atwhich time is the medication to be given?
immediately before meals.
13. The nurse teaches a client about isoniazid. Which client statement indicates the need for further
teaching?
I will stop the medication if I have fatigue and nausea.
14. The client takes oral ibandronate 150 mg once a month. The nurse includes which instructions in the
teaching ?
Take the medication the same day of each month.
Sit or stand 60 minutes after taking the medications.
15. The nurse cares for a client diagnosed with acute salicylate poisoning. Which signs and symptoms
doesthe nurse expect to observe?
Disorientation or increased pulse rate
16. A client starts chemotherapy for treatment of colon cancer. The client returns four days later. It is
mostimportant for the nurse to take which action?
Observe the skin
17. The nurse cares for an older client who is confused. The nurse notes the client charges the
settings on the IV infusion pup. The client received 250 ml of IV fluid in one hour. The nurse
makes which priority assessment ?
Distended hand veins, elevated blood pressure, and moist lung crackles.
18. A client is to self-administer enoxaparin. The nurse instructs the client to avoid which herbal
preparation.Ginkgo biloba

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