RN Pharmacology LATEST 2024
ACTUAL EXAM 242 QUESTIONS AND
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+
E. When the same pathway metabolizes two medications, they compete for metabolism,
thereby increasing the concentration of one or both medications. This requires
decreasing the dosage of one or both medications.
A nurse is preparing to administer
eye drops to a client. Which of
the following actions should the
nurse take? (Select all that apply.)
A.have the client lie on her side.
B.Ask the client to look
up at the ceiling.
C.Tell the client to blink when the drops enter her eye.
D.Drop the medication
into the center of the
client's conjunctival sac.
E.Instruct the client to close her eye gently after instillation - ANSWER-B. The client
should look upward to
keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently
to promote distribution of the medication
A nurse is completing discharge teaching for a client who has a new prescription for
transdermal patches. Which of the following
statements should the nurse identify as an indication that the client
understands the instructions?
,A."I will clean the site with
an alcohol swab before
I apply the patch."
B."I will rotate the application sites weekly."
C."I will apply the patch to an area of skin with no hair."
D."I will place the new patch on the site of the old patch. - ANSWER-C. The client
should apply the patch to a hairless
area of skin to promote absorption of the medication.
A nurse reviewing a client's
medical record notes a new prescription for verifying the trough
level of the client's medication. Which of the following actions should the nurse take?
A.Obtain a blood specimen
immediately prior to
administering the next
dose of medication.
B.Verify that the client has
been taking the medication
for 24 hr before obtaining
a blood specimen.
C.Ask the client to pr
ovide a urine specimen after the next dose of medication.
D.Administer the medication,and obtain a blood specimen 30 min late - ANSWER-A. To
verify trough levels of a medication, the
nurse should obtain a blood specimen immediately
before administering the next dose of medication.
A nurse is preparing a client's medications. Which of the following actions should the
nurse take in following legal practice
guidelines? (Select all that apply.)
A.maintain skill competency.
B.Determine the dosage.
C. monitor for adverse effects.
D.Safeguard medications.
,E.Identify the client's diagnosis - ANSWER-A.maintaining skill competency and using
appropriate
administration techniques are legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring
for side and adverse effects of medication
D. Safeguarding of medications, such as controlled
substances, is a legal responsibility of the nurse
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg
PO once every day. The nurse should identify this as which of the following types of
prescription?
A.Single
B.Stat
C.Routine
D.Standing - ANSWER-C. A routine or standard prescription identifies medications
to give on a regular schedule with or without a termination
date or a specific number of doses. The nurse will administer
this medication every day until the provider discontinues it.
A nurse is reviewing a new
prescription for ondansetron 4 mg
PO PRN for nausea and vomiting for a client who has hyperemesis
gravidarum. The nurse should clarify which of the following parts of the
prescription with the provider?
A.Name
B.Dosage
C.Route
D.Frequency - ANSWER-D. This prescription does not include the time or frequency of
medication administration. The nurse must clarify this with the prescribing provide
A nurse is admitting a client and completing a preassessment before administering
medications.
Which of the following data
should the nurse include in the preassessment? (Select all that apply.)
, A.Use of herbal teas
B.Daily fluid intake
C.Current health status
D.Previous surgical history
E.Food allergies - ANSWER-A. The nurse should inquire about the client's use of herbal
products, which often contain caffeine, prior to medication
administration because caffeine can affect medication biotransformation
C. The nurse should review the client's current health status
because new prescriptions can cause alterations in current health status
E. The nurse should inquire about food allergies during
the preassessment to identify any potential reactions or interactions
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?
A."A second nurse enters
the prescription into the
client's medical record."
B."Another nurse should
listen to the phone call."
C."The provider can clarify
the prescription when he
signs the health record."
D."I should omit the 'r
ead back' if this is a one-time prescription - ANSWER-B.A second nurse should listen to
a telephone
prescription to prevent errors in communication.
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is
vancomycin 1 g
in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the
manual IV tubing is 10 gtt/mL. The nurse should
adjust the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Do not use a trailing zero. - ANSWER-22 A
provider prescribes phenobarbital for a client who has a seizure disorder. The
ACTUAL EXAM 242 QUESTIONS AND
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+
E. When the same pathway metabolizes two medications, they compete for metabolism,
thereby increasing the concentration of one or both medications. This requires
decreasing the dosage of one or both medications.
A nurse is preparing to administer
eye drops to a client. Which of
the following actions should the
nurse take? (Select all that apply.)
A.have the client lie on her side.
B.Ask the client to look
up at the ceiling.
C.Tell the client to blink when the drops enter her eye.
D.Drop the medication
into the center of the
client's conjunctival sac.
E.Instruct the client to close her eye gently after instillation - ANSWER-B. The client
should look upward to
keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently
to promote distribution of the medication
A nurse is completing discharge teaching for a client who has a new prescription for
transdermal patches. Which of the following
statements should the nurse identify as an indication that the client
understands the instructions?
,A."I will clean the site with
an alcohol swab before
I apply the patch."
B."I will rotate the application sites weekly."
C."I will apply the patch to an area of skin with no hair."
D."I will place the new patch on the site of the old patch. - ANSWER-C. The client
should apply the patch to a hairless
area of skin to promote absorption of the medication.
A nurse reviewing a client's
medical record notes a new prescription for verifying the trough
level of the client's medication. Which of the following actions should the nurse take?
A.Obtain a blood specimen
immediately prior to
administering the next
dose of medication.
B.Verify that the client has
been taking the medication
for 24 hr before obtaining
a blood specimen.
C.Ask the client to pr
ovide a urine specimen after the next dose of medication.
D.Administer the medication,and obtain a blood specimen 30 min late - ANSWER-A. To
verify trough levels of a medication, the
nurse should obtain a blood specimen immediately
before administering the next dose of medication.
A nurse is preparing a client's medications. Which of the following actions should the
nurse take in following legal practice
guidelines? (Select all that apply.)
A.maintain skill competency.
B.Determine the dosage.
C. monitor for adverse effects.
D.Safeguard medications.
,E.Identify the client's diagnosis - ANSWER-A.maintaining skill competency and using
appropriate
administration techniques are legal responsibilities of the nurse
C. A nurse is legally responsible for monitoring
for side and adverse effects of medication
D. Safeguarding of medications, such as controlled
substances, is a legal responsibility of the nurse
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg
PO once every day. The nurse should identify this as which of the following types of
prescription?
A.Single
B.Stat
C.Routine
D.Standing - ANSWER-C. A routine or standard prescription identifies medications
to give on a regular schedule with or without a termination
date or a specific number of doses. The nurse will administer
this medication every day until the provider discontinues it.
A nurse is reviewing a new
prescription for ondansetron 4 mg
PO PRN for nausea and vomiting for a client who has hyperemesis
gravidarum. The nurse should clarify which of the following parts of the
prescription with the provider?
A.Name
B.Dosage
C.Route
D.Frequency - ANSWER-D. This prescription does not include the time or frequency of
medication administration. The nurse must clarify this with the prescribing provide
A nurse is admitting a client and completing a preassessment before administering
medications.
Which of the following data
should the nurse include in the preassessment? (Select all that apply.)
, A.Use of herbal teas
B.Daily fluid intake
C.Current health status
D.Previous surgical history
E.Food allergies - ANSWER-A. The nurse should inquire about the client's use of herbal
products, which often contain caffeine, prior to medication
administration because caffeine can affect medication biotransformation
C. The nurse should review the client's current health status
because new prescriptions can cause alterations in current health status
E. The nurse should inquire about food allergies during
the preassessment to identify any potential reactions or interactions
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a
telephone prescription.
Which of the following statements should the nurse identify as an
indication that the newly licensed nurse understands the process?
A."A second nurse enters
the prescription into the
client's medical record."
B."Another nurse should
listen to the phone call."
C."The provider can clarify
the prescription when he
signs the health record."
D."I should omit the 'r
ead back' if this is a one-time prescription - ANSWER-B.A second nurse should listen to
a telephone
prescription to prevent errors in communication.
A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is
vancomycin 1 g
in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the
manual IV tubing is 10 gtt/mL. The nurse should
adjust the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Do not use a trailing zero. - ANSWER-22 A
provider prescribes phenobarbital for a client who has a seizure disorder. The
