PN PHARM PRACTICE 2023-2024 EXAM FULLY SOLVED
100% #8
A nurse is performing the third check before administering hydromorphone to a client.
After opening the unit-dose packet, the client tells the nurse they do not want to take the
medication now. Which of the following actions should the nurse take? - correct answer
Dispose of the medication with a second nurse as a witness
The nurse is legally required to have a witness when disposing of a controlled
substance
A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to
treat hypertension. Which of the following conditions should the nurse include as a
contraindication for this medication? - correct answer Bradycardia
Metoprolol is a beta blocker that slows the conduction through the AV node. Therefore,
it is contraindicated for clients who have bradycardia, or a heart rate that is consistently
less than 60/min
A nurse is reinforcing teaching about immunizations with a client who is pregnant.
Which of the following vaccines should the nurse include in the teaching as a safe to
administer during pregnancy? - correct answer Tetanus and Diphtheria(td)
The nurse should include that either the Td vaccine or the tetanus, diphtheria, and
pertussis(Tdap) vaccine is safe for administration during pregnancy. Tdap is the
preferred vaccine
A nurse is assisting in the care of a client who has a history of psychosis and is taking
chlorpromazine. Which of the following actions should the nurse take to contract the
adverse effects of this medication? - correct answer Inform the client to apply sunblock
before going outside
Counter act photosensitivity. Chlorpromazine increases skin's sensitivity to UV light =
temporary pigmentation changes and increase risk of sunburn
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the
following actions should the nurse take after instilling the eyedrops? - correct answer
Press the nasolacrimal duct
To prevent the medication from absorbing into systemic circulation
A nurse is reinforcing teaching with a client who is receiving Enalapril 20mg PO daily.
The nurse should instruct the client to monitor for which of the following adverse effects
of this medication? - correct answer Dry cough
, Persistent fry of nonproductive cough is an adverse effect of enalapril. Underlying cause
of the dry cough is the accumulation of bradykinin from the medication. Client should
notify the provider of this adverse effects.
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? - correct answer Increase Heart rate
Due to cardiac effects, can cause tachycardia and other cardiac dysrhythmias
A nurse is caring for a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following findings indicates to the nurse that the medication is
having a therapeutic effects? - correct answer Decreased muscle spasticity
Baclofen is a antispasmodic that decrease muscle spasticity in a client who has MS
A nurse is caring for a client who is reeceiving methylprednisolone. Which of the
following laboratory values should the nurse plan to monitor? (SATA) - correct answer
WBC
Serum K
Blood glucose
Increase risk for infection = leukocytosis
Causes hypokalemia as well as fluid and sodium retention
Increase blood glucose levels
A nurse is reinforcing teaching with a client who has a prescription for scopolamine
transdermal patches to prevent motion sickness, which of the following statements by
the client indicates an understanding of the teaching? - correct answer I should place
the patch behind my ear
Place patch on the hairless area of skin behind the ear
A nurse is evaluating a male client who is receiving amphotericin B via intermittent IV
bolus. Which of the following findings indicates an adverse reaction to this medication? -
correct answer Hypotension
High-alert medication due to potentially serious adverse effects, including hypotension.
Should report nephrotoxicity, hypokalemia, and cardiac dysrhythmias
At 0800, 1,000ml IV infusion for a client, which is running at 125ml/hr. How much fluid is
left in the IV bag at 1300. - correct answer 375 ml
A nurse is reviewing the medical record of a client who has a new prescription for
dimenhydrinate to treat motion sickness. Which of the following conditions in the client's
100% #8
A nurse is performing the third check before administering hydromorphone to a client.
After opening the unit-dose packet, the client tells the nurse they do not want to take the
medication now. Which of the following actions should the nurse take? - correct answer
Dispose of the medication with a second nurse as a witness
The nurse is legally required to have a witness when disposing of a controlled
substance
A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to
treat hypertension. Which of the following conditions should the nurse include as a
contraindication for this medication? - correct answer Bradycardia
Metoprolol is a beta blocker that slows the conduction through the AV node. Therefore,
it is contraindicated for clients who have bradycardia, or a heart rate that is consistently
less than 60/min
A nurse is reinforcing teaching about immunizations with a client who is pregnant.
Which of the following vaccines should the nurse include in the teaching as a safe to
administer during pregnancy? - correct answer Tetanus and Diphtheria(td)
The nurse should include that either the Td vaccine or the tetanus, diphtheria, and
pertussis(Tdap) vaccine is safe for administration during pregnancy. Tdap is the
preferred vaccine
A nurse is assisting in the care of a client who has a history of psychosis and is taking
chlorpromazine. Which of the following actions should the nurse take to contract the
adverse effects of this medication? - correct answer Inform the client to apply sunblock
before going outside
Counter act photosensitivity. Chlorpromazine increases skin's sensitivity to UV light =
temporary pigmentation changes and increase risk of sunburn
A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the
following actions should the nurse take after instilling the eyedrops? - correct answer
Press the nasolacrimal duct
To prevent the medication from absorbing into systemic circulation
A nurse is reinforcing teaching with a client who is receiving Enalapril 20mg PO daily.
The nurse should instruct the client to monitor for which of the following adverse effects
of this medication? - correct answer Dry cough
, Persistent fry of nonproductive cough is an adverse effect of enalapril. Underlying cause
of the dry cough is the accumulation of bradykinin from the medication. Client should
notify the provider of this adverse effects.
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? - correct answer Increase Heart rate
Due to cardiac effects, can cause tachycardia and other cardiac dysrhythmias
A nurse is caring for a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following findings indicates to the nurse that the medication is
having a therapeutic effects? - correct answer Decreased muscle spasticity
Baclofen is a antispasmodic that decrease muscle spasticity in a client who has MS
A nurse is caring for a client who is reeceiving methylprednisolone. Which of the
following laboratory values should the nurse plan to monitor? (SATA) - correct answer
WBC
Serum K
Blood glucose
Increase risk for infection = leukocytosis
Causes hypokalemia as well as fluid and sodium retention
Increase blood glucose levels
A nurse is reinforcing teaching with a client who has a prescription for scopolamine
transdermal patches to prevent motion sickness, which of the following statements by
the client indicates an understanding of the teaching? - correct answer I should place
the patch behind my ear
Place patch on the hairless area of skin behind the ear
A nurse is evaluating a male client who is receiving amphotericin B via intermittent IV
bolus. Which of the following findings indicates an adverse reaction to this medication? -
correct answer Hypotension
High-alert medication due to potentially serious adverse effects, including hypotension.
Should report nephrotoxicity, hypokalemia, and cardiac dysrhythmias
At 0800, 1,000ml IV infusion for a client, which is running at 125ml/hr. How much fluid is
left in the IV bag at 1300. - correct answer 375 ml
A nurse is reviewing the medical record of a client who has a new prescription for
dimenhydrinate to treat motion sickness. Which of the following conditions in the client's
