Pharmacology WGU D441 Test with
Complete Solutions
While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary
teaching has been affective if the patient includes which foods in the daily menus -
ANSWER-Oranges and sweet potatoes, they help to replace potassium losses from the
Furosemide
A client newly diagnosed with diabetes tells the nurse, "I cant take any insulin from pigs
or cows." Which response bu the nurse is best. - ANSWER-Most insulin is synthetic
now, so your insulin won't be from animal sources.
While providing medications to clients on the cardiac unit, the nurse anticipates that
hydralazine hydrochloride and isosorbide dinitrate (BiDi) would most likely be prescribed
for which of the following clients? - ANSWER-a 64 year old african american male
diagnosed with heart failure
The nurse initiates therapy with normal saline nasal spray, 2 sprays per nostril tid PRN.
Prior to administration the best action by the nurse is to: - ANSWER-have the patient
blow their nose to assist with absorbing the solution and clearing the passages for
maximum benefit
When preparing to provide medication to a child with asthma using a spacing chamber,
the nurse will use which mode of delivery? - ANSWER-Metered dose inhaler
What type of patient is most likely to benefit from a cpap machine? - ANSWER-a 48
year old patient with obstructive sleep apnea
While working with the parents of a child newly diagnosed with cystic fibrosis, the nurse
will teach them how to use which type of equipment for respiratory therapy? -
ANSWER-Nebulizer, to aid in loosening secretions
A nurse working at the health clinic is administering TB tests. The test will need to be
repeated if which of the following is noted? - ANSWER-Some of the medication leaks
after completion, meaning the patient didnt receive the appropriate dose
When preparing to provide an IM injection at the ventrogluteal site, the nurse would
identify which landmarks? - ANSWER-Greater trochanter, anterior iliac spine and iliac
crest
, The student is asked to demonstrate the Z track method of IM injection in a laboratory
model. Which action would cause the instructor to intervene? - ANSWER-The student
pulls the skin laterally one-half inch from the injection site
The nurse is instructing a patient diagnosed with diabetes on self-injection technique for
insulin. Which angle of insertion will the nurse teach the patient - ANSWER-45 degrees
for subcutaneous injection of insulin
While preparing a patient with diabetes for discharge, the nurse recognizes teaching
has been affective by which statement? - ANSWER-I will rotate sites along my thighs
and across my abdomen
The nurse is caring for a patient with early symptoms of shock. The physician has
ordered a unit of blood. The nurse will hang this using Y tubing and which solution? -
ANSWER-0.9% NS
The nurse is attempting to flush and IV catheter with out success. The side has no
redness, swelling or pain. The nurse determines the difficulty is most likely due to what?
- ANSWER-Thrombus
A patient turns on his call light and reports his IV site is painful and seems to be leaking.
What action is required by the nurse? - ANSWER-Assess the site for any local tissue
damage and remove the IV, these are symptoms caused by IV infiltration and needs to
be removed to prevent tissue damage.
Which action by the nurse will help reduce the risk for air emboli for a patient receiving
IV therapy? - ANSWER-Make sure all tubing and ports are sufficiently filled when
priming the tubing
The student nurse is preparing to provide a flu shot to an 18 year old. The medication is
provided by a pharmacy in a cial containing .5ml of medication. What syringe should the
student use? - ANSWER-A 3ml hypodermic syringe
Which routes are considered parenteral routes of medication administration? -
ANSWER-Intramuscular, Transdermal, Nasal, Otic
The student is providing opthalmic medication in drop form to a 5 year old child. What
appropriate actions should be taken? - ANSWER-Wash hands and don gloves prior to
administration of drops, encourage the child to apply light pressure to the inner canthus
after instillation of the drops, identify the patient and explain what the student will be
doing
While caring for a patient scheduled for knee replacement surgery, the nurse provides
cefazolin (ancef) as ordered 30 mins preoperatively. The nurse knows that teaching has
been affective by which of the following client statements? - ANSWER-This antibiotic is
given as a prophylactic to help reduce the risk of infection after surgery
Complete Solutions
While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary
teaching has been affective if the patient includes which foods in the daily menus -
ANSWER-Oranges and sweet potatoes, they help to replace potassium losses from the
Furosemide
A client newly diagnosed with diabetes tells the nurse, "I cant take any insulin from pigs
or cows." Which response bu the nurse is best. - ANSWER-Most insulin is synthetic
now, so your insulin won't be from animal sources.
While providing medications to clients on the cardiac unit, the nurse anticipates that
hydralazine hydrochloride and isosorbide dinitrate (BiDi) would most likely be prescribed
for which of the following clients? - ANSWER-a 64 year old african american male
diagnosed with heart failure
The nurse initiates therapy with normal saline nasal spray, 2 sprays per nostril tid PRN.
Prior to administration the best action by the nurse is to: - ANSWER-have the patient
blow their nose to assist with absorbing the solution and clearing the passages for
maximum benefit
When preparing to provide medication to a child with asthma using a spacing chamber,
the nurse will use which mode of delivery? - ANSWER-Metered dose inhaler
What type of patient is most likely to benefit from a cpap machine? - ANSWER-a 48
year old patient with obstructive sleep apnea
While working with the parents of a child newly diagnosed with cystic fibrosis, the nurse
will teach them how to use which type of equipment for respiratory therapy? -
ANSWER-Nebulizer, to aid in loosening secretions
A nurse working at the health clinic is administering TB tests. The test will need to be
repeated if which of the following is noted? - ANSWER-Some of the medication leaks
after completion, meaning the patient didnt receive the appropriate dose
When preparing to provide an IM injection at the ventrogluteal site, the nurse would
identify which landmarks? - ANSWER-Greater trochanter, anterior iliac spine and iliac
crest
, The student is asked to demonstrate the Z track method of IM injection in a laboratory
model. Which action would cause the instructor to intervene? - ANSWER-The student
pulls the skin laterally one-half inch from the injection site
The nurse is instructing a patient diagnosed with diabetes on self-injection technique for
insulin. Which angle of insertion will the nurse teach the patient - ANSWER-45 degrees
for subcutaneous injection of insulin
While preparing a patient with diabetes for discharge, the nurse recognizes teaching
has been affective by which statement? - ANSWER-I will rotate sites along my thighs
and across my abdomen
The nurse is caring for a patient with early symptoms of shock. The physician has
ordered a unit of blood. The nurse will hang this using Y tubing and which solution? -
ANSWER-0.9% NS
The nurse is attempting to flush and IV catheter with out success. The side has no
redness, swelling or pain. The nurse determines the difficulty is most likely due to what?
- ANSWER-Thrombus
A patient turns on his call light and reports his IV site is painful and seems to be leaking.
What action is required by the nurse? - ANSWER-Assess the site for any local tissue
damage and remove the IV, these are symptoms caused by IV infiltration and needs to
be removed to prevent tissue damage.
Which action by the nurse will help reduce the risk for air emboli for a patient receiving
IV therapy? - ANSWER-Make sure all tubing and ports are sufficiently filled when
priming the tubing
The student nurse is preparing to provide a flu shot to an 18 year old. The medication is
provided by a pharmacy in a cial containing .5ml of medication. What syringe should the
student use? - ANSWER-A 3ml hypodermic syringe
Which routes are considered parenteral routes of medication administration? -
ANSWER-Intramuscular, Transdermal, Nasal, Otic
The student is providing opthalmic medication in drop form to a 5 year old child. What
appropriate actions should be taken? - ANSWER-Wash hands and don gloves prior to
administration of drops, encourage the child to apply light pressure to the inner canthus
after instillation of the drops, identify the patient and explain what the student will be
doing
While caring for a patient scheduled for knee replacement surgery, the nurse provides
cefazolin (ancef) as ordered 30 mins preoperatively. The nurse knows that teaching has
been affective by which of the following client statements? - ANSWER-This antibiotic is
given as a prophylactic to help reduce the risk of infection after surgery
