NLN Pharm Exam Questions and Answers 2023/2024 | Graded A

NLN Pharm Exam Questions and Answers 2023/2024 | Graded A A client who has renal failure has all of these prescriptions. Which on should a nurse question? (single answer) A. Ampicillin sodium (omnipien-N) B. Calcitriol (Rocaltrol) C. Diphenhydramine hydrochloride (Benadryl) D. Tobramycin sulfate (Nebcin) [Correct Ans:- d. Tobramycin sulfate (Nebcin) A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied in a vial that contains 300 mg/2 mL. How many milliters should a nurse administer to the client? (single answer) A. 0.6 B. 0.75 C. 1.3 D. 1.5 [Correct Ans:- c. 1.3 A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose; a nurse should A. Ensure culture and sensitivity specimens have been obtained B. Obtain the client's body temperature C. Measure the client's urine output D. Determine the client's weight [Correct Ans:- a. Ensure culture and sensitivity specimens have been obtained An 18-month-old child who weights 37 lb (17kg) has a temperature of 103 F (39.4 C). A physician orders acetaminophen (Tylenol) 15 mg/kg. How many milligrams should a nurse administer? A. 120 B. 148 C. 200 D. 255 [Correct Ans:- d. 255 A nurse is assessing a client who is taking glyburide (DiaBeta). Which of these client manifestations who indicate the need for FURTHER assessment prior to administering the scheduled dose of the medication? A. Cool, wet skin B. Elevated blood pressure C. Frequent urination D. Blurred vision [Correct Ans:- a. Cool, wet skin Which of these statements, if made by a client who is receiving warfarin sodium (Coumadin), should indicate to a nurse that the client has a correct understanding of the medication instructions? A. I will shave with an electric razor. B. I will increase my intake of green vegetables. C. I will use unwaxed dental floss twice daily. D. I will decrease my daily dose if I feel fatigued. [Correct Ans:- a. I will shave with an electric razor. A nurse should instruct a client who has been taking fentanyl (Duragesic) for several weeks to A. Taper this medication slowly when discontinuing its use B. Increase the dosage when pain persists for several hours C. Limit physical activity while on this medication D. Vigorously rub medication into skin [Correct Ans:- a. Taper this medication slowly when discontinuing its use A nurse should observe a client who is taking captopril (Capoten) for adverse effects, which include A. Dehydration B. Peripheral edema C. Hyperglycemia D. Persistent cough [Correct Ans:- d. Persistent cough Which of these changes should a nurse expect to observe if a client has a therapeutic effect to amlodipine (Norvasc)? A. Greater flexibility B. Decreased blood pressure C. Improved cognition D. Decreased pain [Correct Ans:- b. Decreased blood pressure A nurse should observe a client who is taking a calcium channel blocker for side effects, which include A. Hypertension B. Urinary retention C. Weight loss D. Diplopia [Correct Ans:- d. Diplopia