NUR 275 Passpoint Module 6 Pharmacological (GRADED A) Questions and Answers /LATEST UPDATE

Question 1 6m 5s Report this Question When administering IV replacement of 5% dextrose in water with potassium chloride, what should the nurse do first? You Selected: • Evaluate laboratory results for electrolytes. Correct response: • Evaluate laboratory results for electrolytes. Explanation: Remediation: Add a Note Question 2 1m 44s Report this Question A client is receiving cilostazol for intermittent claudication. What should the nurse ask the client to determine the effectiveness of the drug? You Selected: • “Do you have less pain in the legs?” Correct response: • “Do you have less pain in the legs?” Explanation: Remediation: Add a Note Question 3 31m 1s Report this Question A nurse is instructing a client with asthma on the use of an inhaler with a spacer. The client asks what the purpose of the spacer is. The nurse's best response is You Selected: • "The spacer traps medicine from the inhaler, then breaks up and slows down the medication particles, so you get more medication." Correct response: • "The spacer traps medicine from the inhaler, then breaks up and slows down the medication particles, so you get more medication." Explanation: Remediation: Add a Note Question 4 2m 48s Report this Question A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The physician begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption? You Selected: • intrinsic factor Correct response: • intrinsic factor Explanation: Remediation: Add a Note Question 5 4m 18s Report this Question A client is brought to the emergency department unconscious. An empty bottle of aspirin was found in the car, and a drug overdose is suspected. Which medication should the nurse have available for further emergency treatment? You Selected: • activated charcoal powder Correct response: • activated charcoal powder Explanation: Remediation: Add a Note Question 6 1m 59s Report this Question The nurse assesses the client for active phase of labor who has just received continuous epidural anesthesia. What common side effects would the nurse teach the client about with this type of anesthesia? Select all that apply. • loss of bladder control • pruritis • rales Question 1 3m 12s Report this Question The nurse is checking the client's chart for possible contraindications, before administering meperidine, 50 mg I.M., to a client with pain after an appendectomy. The nurse should hold the meperidine when the nurse sees an order for what type of drug? You Selected: • a monoamine oxidase (MAO) inhibitor Correct response: • a monoamine oxidase (MAO) inhibitor Explanation: Remediation: Add a Note Question 2 1m 57s Report this Question The healthcare provider orders nitroglycerin transdermal patch for a client having angina pain. What priority teaching would the nurse include? Select all that apply. • "Apply nitroglycerin patches at or around the same time every day." • "Remove the nitroglycerin patch before going to bed." • "Remove the nitroglycerin patch before bathing or swimming." Question 1 39s Report this Question A woman who is Rh negative has given birth to an Rh-positive infant. The nurse explains to the client that she will receive Rho(D) immune globulin. The nurse determines that the client understands the purpose of the treatment when she reports that Rho(D) immune globulin has which action? You Selected: • preventing antibody formation in her blood Correct response: • preventing antibody formation in her blood Explanation: Remediation: Add a Note Question 2 25s Report this Question A physician orders heparin, Question 1 43s Report this Question The nurse is administering an IV potassium chloride supplement to a client who has heart failure. What should the nurse consider when developing a plan of care for this client? You Selected: • The administration of the IV potassium chloride should not exceed 10 mEq/h or a concentration of 40 mEq/L. Correct response: • The administration of the IV potassium chloride should not exceed 10 mEq/h or a concentration of 40 mEq/L. Explanation: Add a Note Question 2 8s Report this Question An older adult is receiving morphine to manage pain after abdominal surgery. The nurse should observe the client for which side effect of this drug? You Selected: • respiratory depression Correct response: • respiratory depression Explanation: Remediation: Add a Note Question 3 25s Report this Question A client is receiving total parenteral nutrition (TPN). The nurse notices that the bag of TPN solution has been infusing for 24 hours but has 300 mL of solution left. What should the nurse do? You Selected: • Discontinue the current solution, change the tubing, and hang a new bag of TPN solution. Correct response: • Discontinue the current solution, change the tubing, and hang a new bag of TPN solution. Explanation: Remediation: Add a Note Question 4 35s Report this Question A nurse is preparing to administer intravenous cefazolin 1 gram in 50 mL of normal saline over 30 minutes. The client will receive the medication at what rate per hour? Record your answer using a whole number. Your response: • 100 Correct response: • 100 Explanation: Remediation: Add a Note Question 5 51s Report this Question The nurse is caring for a client who is scheduled for surgery tomorrow. The client is to have patient-controlled analgesia (PCA) following surgery and asks the nurse, "What does the PCA do?" What is the best response(s) by the nurse? Select all that apply. Question 1 1m 40s Report this Question A pediatric client is to receive an oral antibiotic dose. The client’s meal tray is due to be delivered in 30 minutes. Which action shows how the nurse should coordinate the antibiotic dose with the client’s meal? You Selected: • Give the dose now before the tray arrives. Correct response: • Give the dose now before the tray arrives. Explanation: Remediation: Add a Note Question 2 40s Report this Question The nurse is reviewing the physician’s order written for a postmenopausal client: “calcitonin salmon nasal spray 200 IU, one spray every day.” What is the appropriate action to be taken by the nurse regarding this order? You Selected: • Clarify with the physician that the spray should be given in only one nostril per day. Correct response: • Clarify with the physician that the spray should be given in only one nostril per day. Explanation: Remediation: Add a Note Question 3 36s Report this Question Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors? You Selected: • Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Correct response: • Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Explanation: Add a Note Question 4 24s Report this Question A client calls the clinic and tells the nurse that she forgot to take her oral contraceptive this morning. What should the nurse tell the client to do? You Selected: • Take the medication immediately. Correct response: • Take the medication immediately. Explanation: Add a Note Question 5 1m 4s Report this Question The nurse is assessing a client for heroin addiction. Which finding indicates the client has used heroin? You Selected: • pupils large and dilated Correct response: • pupils small and constricted Explanation: Remediation: Add a Note Question 6 54s Report this Question A 10-year-old child is taking high doses of aspirin. Which finding indicates the child is experiencing early salicylate toxicity? You Selected: • slowed pulse rate Correct response: • dizziness Explanation: Remediation: Add a Note Question 7 39s Report this Question A client is refusing to take the prescribed oral medication. Which measure by the nurse can be used to get the client to take the medication? Select all that apply. • crushing the medication and hiding it in apple sauce Question 1 53s Report this Question A new nurse is preparing to dispense medications to the assigned clients. The medications are provided by the pharmacy in individualized single-dose packaging. Which step is most important to ensure that each client receives the correct medication? You Selected: • Compare the prescriber’s original order with the label on the pharmacy package. Correct response: • Compare the prescriber’s original order with the label on the pharmacy package. Explanation: Remediation: Add a Note Question 2 1m 12s Report this Question A physician prescribes several drugs for a client admitted to the emergency department with Laennec’s cirrhosis. Which drug order should the nurse question? You Selected: • warfarin Correct response: • warfarin Explanation: Remediation: Add a Note Question 3 35s Report this Question A client with chronic pancreatitis is discharged with a prescription for pancrelipase. Which instruction must the nurse include when providing discharge instructions regarding this medication? You Selected: • “Swallow this medication whole. Do not chew it.” Correct response: • “Swallow this medication whole. Do not chew it.” Explanation: Remediation: Add a Note Question 4 32s Report this Question A 15-month-old child with an IV line in place is prescribed to receive a total of 200 mL over the next 3 hours. The infusion set delivers 1 mL per 60 drops. At what rate (in drops/min) should the nurse run the infusion? Record your answer using a whole number. Your response: • 67 Correct response: • 67 Explanation: Add a Note Question 5 42s Report this Question The nurse assesses a 6-month-old for vaccination readiness. Which finding would most likely indicate the need to delay administering the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine? You Selected: • an acute bilateral ear infection Correct response: • an acute bilateral ear infection Explanation: Remediation: Add a Note Question 6 28s Report this Question The client has been taking magnesium hydroxide to control hiatal hernia symptoms. The nurse should assess the client for which condition most commonly associated with the ongoing use of magnesium-based antacids? You Selected: • anorexia Correct response: • diarrhea Explanation: Remediation: Add a Note Question 7 11s Report this Question When administering an IM injection, when should the nurse use the Z-track technique? You Selected: • when the medication is irritating to tissues Correct response: • when the medication is irritating to tissues Explanation: Remediation: Add a Note Question 8 1m 19s Report this Question A client is diagnosed with diabetes mellitus. The physician orders 15 units of U-100 regular insulin and 35 units of U-100 isophane insulin suspension (NPH) to be taken before breakfast. The nurse checks the medication order, assembles equipment, washes their hands, rotates the NPH insulin vial, puts on disposable gloves, and cleans the stoppers. To draw the two insulin doses into the single U-100 insulin syringe, which sequence should the nurse use? You Selected: • Inject 35 units air into NPH vial; inject 15 units air into regular insulin vial, withdraw 15 units regular insulin; withdraw 35 units NPH. Correct response: • Inject 35 units air into NPH vial; inject 15 units air into regular insulin vial, withdraw 15 units regular insulin; withdraw 35 units NPH. Explanation: Remediation: Add a Note Question 9 1m 25s Report this Question The nurse is assessing a client's intravenous line that has dextrose 5% in 0.45% saline infusing at 75 ml/hour. The nurse suspects the intravenous site is infiltrated. What will the nurse find upon assessment? Select all that apply. • coldness • erythema • pallor • swelling • cyanosis Correct response: Incorrect response: Your selection: Explanation: Remediation: Add a Note Question 10 39s Report this Question A client receives a short-acting insulin and an intermediate-acting insulin before breakfast at 0800. Using the chart, when might the nurse expect the intermediate-acting insulin to take effect? You Selected: • 1000 Correct response: • 1000 Explanation: Add a Note • having a family member give the medication Correct response: Incorrect response: Your selection: Explanation: Remediation: Add a Note Question 8 42s Report this Question A health care provider prescribes intravenous heparin 25,000 units in 250 ml of normal saline solution to infuse at 600 units/hour for a client who suffered an acute myocardial infarction (MI). After 6 hours of heparin therapy, the client’s partial thromboplastin time is subtherapeutic. The health care provider orders the infusion to be increased to 800 units/hour. The nurse would set the infusion pump to deliver how many milliliters per hour? Record your answer using a whole number. Your response: • 8 Correct response: • 8 Explanation: Remediation: Add a Note Question 9 1m 56s Report this Question A client has been ordered vancomycin 1400 mg I.V. The medication is placed in 250 mL of normal saline. At which rate should the nurse set the pump to infuse the medication over 90 minutes? Record your answer using a whole number. Your response: • 167 Correct response: • 167 Explanation: Remediation: Add a Note Question 10 1m 32s Report this Question A physician orders an I.V. bolus injection of diltiazem hydrochloride for a client with uncontrolled atrial fibrillation. What should the nurse do before administering an I.V. bolus? You Selected: • Gently aspirate the I.V. catheter to check for a blood return. Correct response: • Gently aspirate the I.V. catheter to check for a blood return. Explanation: Remediation: Add a Note • ." • "It keeps the client mobile." • "It requires less pain medication." • "It makes nursing care more efficient." Correct response: Incorrect response: Your selection: Explanation: Add a Note Question 6 21s Report this Question When teaching a client when to take glipizide in order to maximize the effectiveness of the drug, the nurse should instruct the client to: You Selected: • take glipizide 30 minutes before breakfast. Correct response: • take glipizide 30 minutes before breakfast. Explanation: Remediation: Add a Note Question 7 30s Report this Question A client undergoing cancer chemotherapy has been prescribed epoetin alfa. The client is to receive 150 units/kg subcutaneously three times per week. The client weighs 90 kg. How many units will the nurse administer at each dose? Record your answer using a whole number. Your response: • 4500 Correct response: • 13500 Explanation: Remediation: Add a Note Question 8 3m 39s Report this Question A young adult client with severe depression and suicide ideation has been started on the selective serotonin reuptake inhibitor (SSRI) sertraline. Which client statement would indicate the client needs further teaching about sertraline? You Selected: • “Being on sertraline will significantly decrease the chances that I might hurt myself.” Correct response: • “Being on sertraline will significantly decrease the chances that I might hurt myself.” Explanation: Remediation: Add a Note Question 9 34s Report this Question A physician orders heparin, 7,500 units, to be administered subcutaneously every 12 hours. The vial reads 10,000 units per milliliter. The nurse should anticipate giving how much heparin for each dose? You Selected: • ¾ ml Correct response: • ¾ ml Explanation: Add a Note Question 10 35s Report this Question A client is to be discharged with a prescription for an analgesic that is a controlled substance. Which comment by the client indicates to the nurse that further teaching is needed? You Selected: • "I know I can titrate the dose according to the pain level." Correct response: • "I know I can titrate the dose according to the pain level." Explanation: Add a Note units, to be administered subcutaneously every 12 hours. The vial reads 10,000 units per milliliter. The nurse should anticipate giving how much heparin for each dose? You Selected: • ¾ ml Correct response: • ¾ ml Explanation: Add a Note Question 3 1m 12s Report this Question A postoperative client is receiving heparin after developing thrombophlebitis. The nurse monitors the client carefully for bleeding and other adverse effects of heparin. If the client starts to exhibit signs of excessive bleeding, the nurse should expect to administer an antidote that is specific to heparin. Which agent fits this description? You Selected: • protamine sulfate Correct response: • protamine sulfate Explanation: Remediation: Add a Note Question 4 48s Report this Question A primigravid with severe gestational hypertension has been receiving magnesium sulfate IV for 3 hours. The latest assessment reveals deep tendon reflexes (DTR) of +1, blood pressure of 150/100 mm Hg, a pulse of 92 beats/minute, a respiratory rate of 10 breaths/minute, and a urine output of 20 ml/hour. Which action should the nurse perform next? You Selected: • Stop the magnesium sulfate infusion. Correct response: • Stop the magnesium sulfate infusion. Explanation: Remediation: Add a Note Question 5 1m 39s Report this Question A client with a ventricular dysrhythmia is receiving intravenous lidocaine. For which assessment finding should the nurse suspect the client is experiencing toxicity from the medication? You Selected: • hypertension Correct response: • confusion and restlessness Explanation: Add a Note Question 6 50s Report this Question A nurse overhears this conversation between coworkers: “Older people have lost many friends and family and also have health problems. Their anxiety and worries can be so severe that they need higher doses of benzodiazepines than most people.” What is the most appropriate response for the nurse to make to the coworkers? You Selected: • “That’s not right. Older people need lower doses than most people because of reduced liver and kidney function.” Correct response: • “That’s not right. Older people need lower doses than most people because of reduced liver and kidney function.” Explanation: Add a Note Question 7 34s Report this Question The nurse teaches the client how to instill nose drops. Which technique is correct? You Selected: • The client blows the nose gently before instilling drops. Correct response: • The client blows the nose gently before instilling drops. Explanation: Remediation: Add a Note Question 8 27s Report this Question The client is in preterm labor and is ordered magnesium sulfate to help stop labor. The nurse asks the student, "What adverse effects should we be watching for?" What is the most appropriate response made by the student nurse? Select all that apply. • respiratory depression • reports of a headache • reports of palpitations • loss of deep tendon reflexes (DTR) • slurred speech. Correct response: Incorrect response: Your selection: Explanation: Remediation: Add a Note Question 9 30s Report this Question A client has a heart rate of 170 beats/minute. The physician diagnoses ventricular tachycardia and orders lidocaine hydrochloride, an initial I.V. bolus of 50 mg followed in 5 minutes by a second 50-mg bolus, then continuous I.V. infusion at 2 mg/minute. The nurse can expect the client to begin experiencing an antiarrhythmic effect within You Selected: • 1 to 2 minutes after continuous I.V. infusion. Correct response: • 1 to 2 minutes after I.V. bolus administration. Explanation: Add a Note Question 10 25s Report this Question Sodium polystyrene sulfonate is prescribed for a client following a crush injury. Which finding indicates the drug has been effective? You Selected: • The pulse is weak and irregular. Correct response: • The serum potassium is 4.0 mEq/L (4.0 mmol/L). Explanation: Remediation: Add a Note • ." • "Add an extra nitroglycerin patch if you are experiencing chest pain." Correct response: Incorrect response: Your selection: Explanation: Remediation: Add a Note Question 3 1m 17s Report this Question Which client statements indicate understanding of safe medication practices? Select all that apply. • "I will check the expiration dates on my medication bottles regularly and properly dispose of the ones expired." • "I can start taking the herbal supplement I bought to help me sleep any time I want. I will be sure to let my health care provider know I am taking it at my next appointment." • "I just purchased a medic alert bracelet that has my allergy to penicillin on it. I will wear my bracelet at all times." • "I am still able to have the two glasses of red wine I drink with dinner every night." • "I should store my medications in a cool, dry place away from direct sunlight." Correct response: Incorrect response: Your selection: Explanation: Remediation: Add a Note Question 4 33s Report this Question A client with glaucoma is to receive 3 gtt of acetazolamide in the left eye. What should the nurse do? You Selected: • Ask the client to close his right eye while administering the drug in the left eye. Correct response: • Have the client look up while the nurse administers the eye drops. Explanation: Remediation: Add a Note Question 5 40s Report this Question A client who is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mm Hg, and pulse is 92 bpm. Which medication should the nurse expect to administer? You Selected: • lorazepam Correct response: • lorazepam Explanation: Add a Note Question 6 49s Report this Question The nurse reviews insulin administration with a client. Which statement best indicates that the client will continue to perform the procedure correctly? You Selected: • "I wrote down the steps in case I forget what to do." Correct response: • "I wrote down the steps in case I forget what to do." Explanation: Add a Note Question 7 2m 17s Report this Question A client with type I diabetes is learning how to inject themselves with insulin. Place the steps for self-injection of insulin in order. All options must be used. You Selected: • Stabilize the skin with one hand. • Pick up the syringe with the other hand. • Insert the needle straight into the skin. • Push the plunger all the way into the skin. • Pull the needle out of the skin. • Press cotton ball over injection site for several seconds. Correct response: • Stabilize the skin with one hand. • Pick up the syringe with the other hand. • Insert the needle straight into the skin. • Push the plunger all the way into the skin. • Pull the needle out of the skin. • Press cotton ball over injection site for several seconds. Explanation: Add a Note Question 8 37s Report this Question A client is to receive 1 unit of packed red blood cells over 2 hours. There are 250 mL in the infusion bag. The IV administration infusion set delivers 10 gtt/mL. At what flow rate (in drops per minute) should the nurse run the infusion? Record your answer using a whole number. Your response: • 21 Correct response: • 21 Explanation: Remediation: Add a Note Question 9 18s Report this Question The nurse works in the emergency department (ED) and is caring for a client diagnosed with a pulmonary embolus (PE). Which medication would the nurse anticipate the healthcare provider to order for a PE? You Selected: • heparin sodium Correct response: • streptokinase Explanation: Remediation: Add a Note Question 10 53s Report this Question A multigravida with a history of cesarean birth due to fetal distress is admitted for a trial labor and possible vaginal birth. After several hours of active labor, the primary care provider prescribes nalbuphine. The nurse evaluates the drug as effective when the client makes which statement? You Selected: • “The contractions don’t seem as painful as before.” Correct response: • “The contractions don’t seem as painful as before.” Explanation: Add a Note • • loss of bowel control Correct response: Incorrect response: Your selection: Explanation: Remediation: Add a Note Question 7 33s Report this Question The nurse is instructing a sexually active female who is taking isoniazid (INH). What should the nurse tell the client? Isoniazid: You Selected: • decreases the effectiveness of hormonal contraceptives. Correct response: • decreases the effectiveness of hormonal contraceptives. Explanation: Remediation: Add a Note Question 8 21s Report this Question A client with heart failure is given a prescription for torsemide. Two days after the drug therapy is started, which sign indicates the drug is having the intended outcome? The client: You Selected: • weighs 7 lb (3 kg) less than the client did 2 days ago. Correct response: • weighs 7 lb (3 kg) less than the client did 2 days ago. Explanation: Remediation: Add a Note Question 9 1m 41s Report this Question The nurse is evaluating a client with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day in three divided doses for maintenance therapy. Which statement from the client indicates the drug is effective? You Selected: • “I’m able to sleep and rest at night.” Correct response: • “I’m able to sleep and rest at night.” Explanation: Remediation: Add a Note Question 10 1m 7s Report this Question A young woman comes to the mental health clinic for routine medication follow-up. She has been married for 2 years and reports that she and her husband are ready to start a family. The client has a diagnosis of bipolar disorder and has been well managed with divalproex for at least 3 years. What is the most essential counsel for the nurse to give? You Selected: • “Check with your health care provider as divalproex carries an increased risk for birth defects.” Correct response: • “Check with your health care provider as divalproex carries an increased risk for birth defects.” Explanation: Remediation: Add a Note Question 11 50s Report this Question The wife of a 67-year-old client who has been taking imipramine for 3 days asks the nurse why her husband is not better. The nurse should tell the wife: You Selected: • “It takes 2 to 4 weeks before the full therapeutic effects are experienced.” Correct response: • “It takes 2 to 4 weeks before the full therapeutic effects are experienced.” Explanation: Remediation: Add a Note Question 12 43s Report this Question The nurse has prepared hydromorphone 1 mg I.V. for a client reporting pain 7/10. Just prior to administration, the client requests an oral pain medication instead. What is the priority action by the nurse? You Selected: • Ask another nurse to witness the waste of the prepared medication. Correct response: • Ask another nurse to witness the waste of the prepared medication. Explanation: Remediation: Add a Note Question 13 56s Report this Question When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse should include which information? You Selected: • Pregnancy should be avoided for 4 weeks after the immunization. Correct response: • Pregnancy should be avoided for 4 weeks after the immunization. Explanation: Remediation: Add a Note Question 14 25s Report this Question The physician’s order reads "digoxin 0.075 mg." The pharmacy packaging contains three digoxin tablets labeled as 0.25 mg each. The packaging states to administer all 3 tablets to the client. What should the nurse do next? You Selected: • Contact the pharmacist because the delivered dose is too high. Correct response: • Contact the pharmacist because the delivered dose is too high. Explanation: Remediation: Add a Note Question 15 46s Report this Question Which principle should a nurse consider when administering pain medication to a client? You Selected: • Sustained-release oral formulations should be given around the clock, if possible, for control of chronic pain. Correct response: • Sustained-release oral formulations should be given around the clock, if possible, for control of chronic pain. Explanation: Remediation: Add a Note Question 16 26s Report this Question Twenty-four hours after giving birth to a term neonate, a primipara receives acetaminophen with codeine for perineal pain. One hour after administering the medication, which finding should alert the nurse to the development of a possible side effect? You Selected: • dizziness Correct response: • dizziness Explanation: Add a Note Question 17 25s Report this Question The client with depression has been hospitalized for 3 days on the psychiatric unit. This is the second hospitalization during the past year. The healthcare provider prescribes tranylcypromine sulfate because the client did not respond positively to a tricyclic antidepressant. If the client’s diet includes foods containing tyramine, the nurse should teach the client about which possible reaction? You Selected: • hypertensive crisis Correct response: • hypertensive crisis Explanation: Remediation: Add a Note Question 18 1m 20s Report this Question A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine. The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client’s statement as being consistent with which factor? You Selected: • expected adverse effect of clozapine Correct response: • expected adverse effect of clozapine Explanation: Remediation: Add a Note Question 19 39s Report this Question A client with type 1 diabetes mellitus asks the nurse about taking ginseng at home. What should the nurse tell the client? You Selected: • "Taking ginseng will increase the risk of hypoglycemia." Correct response: • "Taking ginseng will increase the risk of hypoglycemia." Explanation: Remediation: Add a Note Question 20 38s Report this Question The clinic nurse is working with a client with dysuria who is prescribed phenazopyridine. What information should the nurse include in the client's teaching concerning this medication? You Selected: • "You sNhould expect to see red-orange urine when taking phenazopyridine." Correct response: • "You should expect to see red-orange urine when taking phenazopyridine." Explanation: Remediation: Add a Note Show Less