NCLEX RN pharmacology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




RN Learning System Pharmacology Final 2026 A+ GRAD
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E ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
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WERS (F619E) vc




QUESTION 1 vc




Term
ANSWER

Definition



QUESTION 2 vc




A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg
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daily, but the client reports that she has been taking extra doses to promote weight loss.
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Which of the following findings should indicate to the nurse that the client is dehydrated
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?
A. Urine specific gravity 1.035
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B. Distended neck veins
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C. BUN 18 mg/dL
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D. Bouding radial pulses
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ANSWER

A. Urine specific gravity 1.035 Explanation: Oliguria, increased urine concentration, and an increase in u
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rine specific gravity greater than 1.030 are expected findings in clients who are dehydrated.
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B. Distended neck veins are indicators of fluid volume excess, not dehydration or fluid volume deficit.
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C. Elevations in laboratory values such as BUN, hematocrit, and others, can be seen in a client who is de
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hydrated. A BUN of 18 mg/dL is within the expected reference range.
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D. Full, bounding radial pulses are an indicator of fluid volume excess, not dehydration or fluid volume
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deficit.



QUESTION 3 vc




A nurse is preparing to administer heparin 900 units/hr via IV infusion. The amount ava
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ilable is heparin 25,000 units in 500 mL 5% dextrose in water. The nurse should set the
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, IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number.
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Use a leading zero if it applies. Do not use a trailing zero.)
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ANSWER

18 mL/hr vc




QUESTION 4 vc




A nurse is teaching a client who has chronic stable angina pectoris and a prescription for
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sublingual nitroglycerin tablets. Identify the sequence of instructions that the nurse sho
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uld tell the client to use if he experiences the chest pain. -Wait 5 Min -
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Call 911 if the pain is not relieved -Stop activity -Place a tablet under the tongue
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ANSWER

1. Stop activity 2. Place a tablet under the tongue 3. Wait 5 min 4. Call 911 if the pain is not relieved
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QUESTION 5 vc




A nurse is preparing to administer digoxin 0.2 mg via IV bolus to a client. The amount av
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ailable is digoxin 0.25 mg/1 mL. How many mL should the nurse administer? (Round the
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answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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ANSWER

0.8 mL vc




QUESTION 6 vc




A nurse is administering adenosine via IV bolus for a client who has developed paroxysm
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al atrial tachycardia. For which of the following findings should the nurse assess the clie
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nt during administration of adenosine?
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A. Seizures
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B. Cinchonism
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C. Dyspneavc



D. Transient pallor of the face
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ANSWER

C. Dyspnea Explanation: Dyspnea can occur during administration of adenosine due to bronchoconstricti
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on. Since adenosine has a very short half-life of about 10 seconds, this effect should be short-lived.
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A. Seizures are not an adverse effect of administration of adenosine.
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B. Cinchonism, manifested by tinnitus, headache, vertigo, and visual disturbances, occurs after administr
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ation of quinidine, another anti-
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dysrhythmic medication. Cinchonism is not seen in clients who receive adenosine.
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D. Flushing of the face and a feeling of warmth are transient findings that occur during administration o
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f adenosine. Pallor is not an adverse effect seen with administration of this medication.
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