PN PHARMACOLOGY ONLINE PRACTICE EXAM 2020-2024 FULLY SOLVED
#5
1. A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which
of the following findings is the priority for the nurse to report to the provider?: Oxygen saturation
87%
2. A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the
client takes fluxetine. The nurse should notify the provider that the combination of these medications
will place the client at risk for which of the following adverse effects?: Tremors
3. A nurse is reinforcing teaching with the parent of a preschooler who has oti- tis media. The child
has had a low-grade fever and irritability for 2 days. Which of the following instructions should the
nurse include in the teaching?: "Give acetaminophen as needed for discomfort and fever."
4. A nurse is collecting data from the parent of a toddler who is about to receive the varicella
immunization. The nurse should identify that an anaphylactic re- action to which of the following
substances is a contraindication for receiving this immunization?: Gelatin
5. A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 ml to infuse over 8 hr.
The drop factor on the manual IV tubing is 15 gtt/ml. The nurse should ensure that the manual IV
infusion is set to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.): 31 gtt/min
Math steps:
1. Convert 8 hr to min (8hr = 480 min)
2. Set up a proportion to solve for X gtt/min (1,000ml/480min multiplied by 15 gtt/1ml)
3. Solve proportion (ml unit cancels out; 1,000*15 gtt = 15000 gtt; 480 min*1 = 480 min;
15,000 gtt/480 min = 31.25 gtt/min; rounds down to 31 gtt/min)
6. A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint
pain. The nurse should identify that which of the following findings is a contraindication to receiving
celecoxib?: History of myocardial infarction
7. A nurse is collecting data from a client who has Parkinson's disease and is taking
levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect of
this medication?: Dark urine
8. A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral
capsules. Which of the following instructions should the nurse include?: Swallow the medication
whole.
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, PN PHARMACOLOGY ONLINE PRACTICE EXAM 2020-2024 FULLY SOLVED
#5
9. A nurse is caring for a client who has multiple sclerosis and a new prescrip- tion for baclofen.
Which of the following findings indicates to the nurse that the medication is having a therapeutic
effect?: Decreased muscle spasticity
10.A nurse is reinforcing teaching about comfort measures with the parent of a 10-year-old child
who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated
because of the risk for which of the following conditions?: Reye syndrome
11.At 0800 a nurse assists with initiating a 1,000ml IV infusion for a client, which is running at 125
ml/hr. How much fluid is left in the IV bag at 1300? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.): 375 ml
Math Steps:
1. Determine how many hours between 0800 and 1300 (5 hr)
2. Determine how much fluid has already been infused (125 ml*5 hr = 625 ml infused)
3. Subtract the ml completed by the total ml to be administered (1000 ml - 625 ml
= 375 ml left to administer at 1300)
12.A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which
of the following statements by the client indicates an understanding of the teaching?: "I should
ensure that the insulin is clear prior to drawing it up."
13.A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the
following actions should the nurse take?: Determine the client's daily alcohol intake.
14.A nurse is caring for a client who has a prescription for an IM injection of penicillin G
benzathine. The client asks why the injection must be given IM instead of through the IV line. Which
of the following responses should the nurse make?: "Your medication can't be given IV because it
is not water-soluble."
15.A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension.
The nurse should monitor for which of the following adverse effects of this medication?:
Hyperkalemia
16.A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the
client for which of the following manifestations as an adverse effect of this medication?: Increased
heart rate
17.A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which
of the following actions should the nurse take to counteract the adverse effects of this medication?:
Inform the client to apply sunblock before going outside.
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6
#5
1. A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which
of the following findings is the priority for the nurse to report to the provider?: Oxygen saturation
87%
2. A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the
client takes fluxetine. The nurse should notify the provider that the combination of these medications
will place the client at risk for which of the following adverse effects?: Tremors
3. A nurse is reinforcing teaching with the parent of a preschooler who has oti- tis media. The child
has had a low-grade fever and irritability for 2 days. Which of the following instructions should the
nurse include in the teaching?: "Give acetaminophen as needed for discomfort and fever."
4. A nurse is collecting data from the parent of a toddler who is about to receive the varicella
immunization. The nurse should identify that an anaphylactic re- action to which of the following
substances is a contraindication for receiving this immunization?: Gelatin
5. A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 ml to infuse over 8 hr.
The drop factor on the manual IV tubing is 15 gtt/ml. The nurse should ensure that the manual IV
infusion is set to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.): 31 gtt/min
Math steps:
1. Convert 8 hr to min (8hr = 480 min)
2. Set up a proportion to solve for X gtt/min (1,000ml/480min multiplied by 15 gtt/1ml)
3. Solve proportion (ml unit cancels out; 1,000*15 gtt = 15000 gtt; 480 min*1 = 480 min;
15,000 gtt/480 min = 31.25 gtt/min; rounds down to 31 gtt/min)
6. A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint
pain. The nurse should identify that which of the following findings is a contraindication to receiving
celecoxib?: History of myocardial infarction
7. A nurse is collecting data from a client who has Parkinson's disease and is taking
levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect of
this medication?: Dark urine
8. A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral
capsules. Which of the following instructions should the nurse include?: Swallow the medication
whole.
1/
6
, PN PHARMACOLOGY ONLINE PRACTICE EXAM 2020-2024 FULLY SOLVED
#5
9. A nurse is caring for a client who has multiple sclerosis and a new prescrip- tion for baclofen.
Which of the following findings indicates to the nurse that the medication is having a therapeutic
effect?: Decreased muscle spasticity
10.A nurse is reinforcing teaching about comfort measures with the parent of a 10-year-old child
who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated
because of the risk for which of the following conditions?: Reye syndrome
11.At 0800 a nurse assists with initiating a 1,000ml IV infusion for a client, which is running at 125
ml/hr. How much fluid is left in the IV bag at 1300? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.): 375 ml
Math Steps:
1. Determine how many hours between 0800 and 1300 (5 hr)
2. Determine how much fluid has already been infused (125 ml*5 hr = 625 ml infused)
3. Subtract the ml completed by the total ml to be administered (1000 ml - 625 ml
= 375 ml left to administer at 1300)
12.A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which
of the following statements by the client indicates an understanding of the teaching?: "I should
ensure that the insulin is clear prior to drawing it up."
13.A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the
following actions should the nurse take?: Determine the client's daily alcohol intake.
14.A nurse is caring for a client who has a prescription for an IM injection of penicillin G
benzathine. The client asks why the injection must be given IM instead of through the IV line. Which
of the following responses should the nurse make?: "Your medication can't be given IV because it
is not water-soluble."
15.A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension.
The nurse should monitor for which of the following adverse effects of this medication?:
Hyperkalemia
16.A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the
client for which of the following manifestations as an adverse effect of this medication?: Increased
heart rate
17.A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which
of the following actions should the nurse take to counteract the adverse effects of this medication?:
Inform the client to apply sunblock before going outside.
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