WGU Pharmacology D441 EXAM
QUESTIONS WITH CORRECT ANSWERS
A client receives a prescription for ciprofloxacin 400 mg intravenously
| | | | | | | | | |
(IV) every 12 hours to be infused over an hour. The IV bag contains
| | | | | | | | | | | | | |
ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse
| | | | | | | | | | | | |
should program the infusion pump to deliver how many mL/hr? (Enter
| | | | | | | | | | |
numerical value only.) | |
200
A client with anemia secondary to chronic kidney disease (CKD)
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started a prescription for epoetin alfa two months ago. Which client
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finding best indicates that the medication is effective?
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Reference Range: |
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
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A. Reports of increased energy levels and decreased fatigue.
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B. Takes concurrent iron therapy without adverse effects.
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C. Food diary shows increased consumption of iron-rich foods.
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D. Hemoglobin level
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.
D. Hemoglobin level
| |
The nurse administers naloxone to a client with opioid-induced
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respiratory depression. One hour later, nursing assessment reveals
| | | | | | | |
,that the client has a respiratory rate of 4 breaths/minute, oxygen
| | | | | | | | | | |
saturation of 75%, and is unable to be aroused. Which action should
| | | | | | | | | | | |
the nurse implement?
| |
A. Administer a second dose of naloxone.
| | | | | |
B. Determine Glasgow Coma Scale score.
| | | | |
C. Initiate cardiopulmonary resuscitation (CPR)
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D. Prepare to assist with chest tube insertion.
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A. Administer a second dose of naloxone.
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The healthcare provider prescribes propylthiouracil (PTU) and Lugol's
| | | | | | | |
solution, a strong iodine solution, for a client with hyperthyroidism.
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How should the nurse schedule the administration of these
| | | | | | | | |
medications?
A. Offer both drugs together with a meal.
| | | | | | |
B. Schedule both medications at bedtime.
| | | | |
C. Give parental dose once every 24 hours.
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D. Administer iodine one hour before PTU.
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D. Administer iodine one hour before PTU.
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The nurse is assessing a client who was recently diagnosed with
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Parkinson's disease and is taking carbidopa-levodopa. The client is
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concerned that the medication is not working. Which intervention
| | | | | | | | |
should the nurse implement first?
| | | |
A. Ask if the dient's morning voids are dark colored.
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B. Explore what the client means by the drug "is not working."
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, C. Evaluate the client for signs of dyskinesia.
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D. Determine if the client is taking the medication before meals.
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B. Explore what the client means by the drug "is not working."
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A client who is taking dextroamphetamine-amphetamine extended-
| | | | | |
release tablets for attention deficit hyperactivity disorder (ADHD),
| | | | | | | |
reports about having difficulty sleeping at night. Which assessment is
| | | | | | | | | |
most important for the nurse to obtain?
| | | | | |
A. Determine what time the dose is taken.
| | | | | | |
B. Determine daily caffeine intake.
| | | |
C. Ask about the client's bedtime routine.
| | | | | |
D. Inquire about perceived anxiety.
| | | |
. Determine what time the dose is taken.
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A client receives a prescription for allopurinol. Which information
| | | | | | | | |
provided by the client requires additional instruction by the nurse?
| | | | | | | | |
A. Avoid taking on an empty stomach.
| | | | | |
B. Reduce caffeine and acidic intake.
| | | | |
C. Consume 2 liters of water daily.
| | | | | |
D. Double the dose if a dose is missed.
| | | | | | | |
D. Double the dose if a dose is missed.
| | | | | | | |
Which nursing intervention has priority when initiating a continuous
| | | | | | | | |
epidural infusion with an opioid analgesic?
| | | | |
A. Apply a pulse oximeter to the client per protocol.
| | | | | | | | |
QUESTIONS WITH CORRECT ANSWERS
A client receives a prescription for ciprofloxacin 400 mg intravenously
| | | | | | | | | |
(IV) every 12 hours to be infused over an hour. The IV bag contains
| | | | | | | | | | | | | |
ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse
| | | | | | | | | | | | |
should program the infusion pump to deliver how many mL/hr? (Enter
| | | | | | | | | | |
numerical value only.) | |
200
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)
| | | | | | | | |
A. Reports of increased energy levels and decreased fatigue.
| | | | | | | |
B. Takes concurrent iron therapy without adverse effects.
| | | | | | |
C. Food diary shows increased consumption of iron-rich foods.
| | | | | | | |
D. Hemoglobin level
| |
.
D. Hemoglobin level
| |
The nurse administers naloxone to a client with opioid-induced
| | | | | | | | |
respiratory depression. One hour later, nursing assessment reveals
| | | | | | | |
,that the client has a respiratory rate of 4 breaths/minute, oxygen
| | | | | | | | | | |
saturation of 75%, and is unable to be aroused. Which action should
| | | | | | | | | | | |
the nurse implement?
| |
A. Administer a second dose of naloxone.
| | | | | |
B. Determine Glasgow Coma Scale score.
| | | | |
C. Initiate cardiopulmonary resuscitation (CPR)
| | | |
D. Prepare to assist with chest tube insertion.
| | | | | | |
A. Administer a second dose of naloxone.
| | | | | |
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's
| | | | | | | |
solution, a strong iodine solution, for a client with hyperthyroidism.
| | | | | | | | | |
How should the nurse schedule the administration of these
| | | | | | | | |
medications?
A. Offer both drugs together with a meal.
| | | | | | |
B. Schedule both medications at bedtime.
| | | | |
C. Give parental dose once every 24 hours.
| | | | | | |
D. Administer iodine one hour before PTU.
| | | | | |
D. Administer iodine one hour before PTU.
| | | | | |
The nurse is assessing a client who was recently diagnosed with
| | | | | | | | | | |
Parkinson's disease and is taking carbidopa-levodopa. The client is
| | | | | | | | |
concerned that the medication is not working. Which intervention
| | | | | | | | |
should the nurse implement first?
| | | |
A. Ask if the dient's morning voids are dark colored.
| | | | | | | | |
B. Explore what the client means by the drug "is not working."
| | | | | | | | | | |
, C. Evaluate the client for signs of dyskinesia.
| | | | | | |
D. Determine if the client is taking the medication before meals.
| | | | | | | | | |
B. Explore what the client means by the drug "is not working."
| | | | | | | | | | |
A client who is taking dextroamphetamine-amphetamine extended-
| | | | | |
release tablets for attention deficit hyperactivity disorder (ADHD),
| | | | | | | |
reports about having difficulty sleeping at night. Which assessment is
| | | | | | | | | |
most important for the nurse to obtain?
| | | | | |
A. Determine what time the dose is taken.
| | | | | | |
B. Determine daily caffeine intake.
| | | |
C. Ask about the client's bedtime routine.
| | | | | |
D. Inquire about perceived anxiety.
| | | |
. Determine what time the dose is taken.
| | | | | | |
A client receives a prescription for allopurinol. Which information
| | | | | | | | |
provided by the client requires additional instruction by the nurse?
| | | | | | | | |
A. Avoid taking on an empty stomach.
| | | | | |
B. Reduce caffeine and acidic intake.
| | | | |
C. Consume 2 liters of water daily.
| | | | | |
D. Double the dose if a dose is missed.
| | | | | | | |
D. Double the dose if a dose is missed.
| | | | | | | |
Which nursing intervention has priority when initiating a continuous
| | | | | | | | |
epidural infusion with an opioid analgesic?
| | | | |
A. Apply a pulse oximeter to the client per protocol.
| | | | | | | | |