NLN PRACTICE PHARM EXAM-70 QUESTIONS AND ANSWERS ALREADY GRADED A+.d

A client who has renal failure has all of these prescriptions. Which on should a nurse question? (single answer) • Ampicillin sodium (omnipien-N) • Calcitriol (Rocaltrol) • Diphenhydramine hydrochloride (Benadryl) • Tobramycin sulfate (Nebcin) 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) • 0.6 • 0.75 • 1.3 • 1.5 c. 1.3 Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose; a nurse should • Ensure culture and sensitivity specimens have been obtained • Obtain the client's body temperature • Measure the client's urine output • Determine the client's weight 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? • 120 • 148 • 200 • 255 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? • Cool, wet skin • Elevated blood pressure • Frequent urination • Blurred vision 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? • I will shave with an electric razor. • I will increase my intake of green vegetables. • I will use unwaxed dental floss twice daily. • I will decrease my daily dose if I feel fatigued. a. I will shave with an electric razor. A nurse should instruct a client who has been taking fentanyl (Duragesic) for several weeks to • Taper this medication slowly when discontinuing its use • Increase the dosage when pain persists for several hours • Limit physical activity while on this medication • Vigorously rub medication into skin 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 • Dehydration • Peripheral edema • Hyperglycemia • Persistent cough d. Persistent cough Which of these changes should a nurse expect to observe if a client has a therapeutic effect to amlodipine (Norvasc)? • Greater flexibility • Decreased blood pressure • Improved cognition • Decreased pain b. Decreased blood pressure A nurse should observe a client who is taking a calcium channel blocker for side effects, which include • Hypertension • Urinary retention • Weight loss • Diplopia d. Diplopia A nurse should recognize that enoxaparin (Lovenox) is CONTRAINDICATED in a client who has a history of • Congestive health failure • Kidney stones • Bleeding disorder • Asthma c. Bleeding disorder A nurse is teaching a client who has osteoarthritis about naproxen (Naprosyn). The nurse should include which of these instructions? • Maximum effectiveness may take two to four weeks of continued therapy • The medication may be taken with aspirin to improve pain relief. • You will need to carefully monitor your blood sugar levels • It is important that you avoid sun exposure a. Maximum effectiveness may take two to four weeks of continued therapy Which of these parameters should a nurse monitor in a client who is taking furosemide (Lasix)? • Respiratory rate • Blood pressure • Pulse oximetry • Babinski reflex b. Blood pressure When preparing to give a 5-year-old an intramuscular injection, a nurse should take which of these actions? • Tell the child to hold still so the injection would not hurt • Show the child the amount of medication in the syringe • Tell the child about the injection immediately before giving it to the child • Allow the child to observe another child receiving an injection c. Tell the child about the injection immediately before giving it to the child A nurse should question an anti-hyperlipidemic medication for which of these client? • a 30-year-old client who has a history of heart disease • a 44-year-old client who has recurrent urinary tract infections • a 57-yaer-old client who has cirrhosis related to alcohol abuse • a 79-year-old client who has bilateral cataracts c. a 57-yaer-old client who has cirrhosis related to alcohol abuse A client is to receive an intravenous infusion of 1L of Ringer's lactate. If the IV infusion pump is set to deliver 80 mL/hr, he infusion will be completed in 12 hours and • 5 minutes • 20 minutes • 30 minutes • 40 minutes c. 30 minutes A client is to receive 50 mL of intravenous solution in 45 minutes. A nurse should regulate the client's infusion pump to deliver approximately how many milliliters each hour? • 37 • 45 • 52 • 67 d. 67 A physician orders heparin sodium (Liquaemin Sodium) 1,250 units/hour IV for a client. The IV solution contains 25,000 unites of heparin in 500mL. A nurse should set the infusion pump to run at how many mL/hr? • 20 • 22 • 25 • 30 c. 25 A nurse should monitor a client who is receiving cefotaxime sodium (Claforan) for side effects, which include • Diarrhea • Vertigo • Tinnitus • Insomnia a. Diarrhea A nurse should monitor a client, who is taking an angiotensin converting enzyme (ACE) inhibitor, for evidence of therapeutic effects, which include • Increased cardiac workload • Increased exercise tolerance • Increased peripheral vascular resistance • Increased respiratory effort b. Increased exercise tolerance A client who is receiving chemotherapy is started on epoetin alfa (Epogen). A nurse should recognize that the medication is having the desired effect if the client develops • Decreased lymphocytes • Decreased neutrophils • Increased platelet count • Increased hematocrit level d. Increased hematocrit level A client is started on vancomycin hydrochloride (Vancocin) for a methylcillin-resistant staphylococcus aureus infection. A nurse should monitor the client carefully for signs of renal toxicity, which include • Increased serum creatinine level • Decreased blood urea nitrogen (BUN) level • Increased blood pressure • Intermittent flank pain a. Increased serum creatinine level A client who is receiving bethanechol chloride (Urecholine) develops a cholinergic crisis. Which of these medications should the nurse have available? • Atropine sulfate (Isopto Atropine) • Epinephrine hydrochloride (Adrenalin chloride) • Diphenhydramine hydrochloride (Benadryl) • Acetaminophen (Tylenol) a. Atropine sulfate (Isopto Atropine) A client is receiving an IV infusion of 20 units of a medication mixed in 1 L of 0.9%NaCl. How many units of the medication are present in one milliliter of solution? • 0.002 • 0.02 • 0.2 • 2 b. 0.02 An elderly client is to start on cephradine (Velosef) for a wound infection. Before beginning this medication, it would be important for a nurse to question the client about a history of • Hypertension • Penicillin allergy • Drug dependence • Depression b. Penicillin allergy A 35-year-old client is admitted to the hospital for acute hypertension. The client reports stopping all medication several months ago because they interfered with sexual function. A nurse should inform the client that • Serious hypertension is likely to result from stopping medications abruptly • The side effects would have eventually disappeared with continued administration • Alternative medication therapy that will not affect sexual function is available • Stopping the medications now will cause a stroke c. Alternative medication therapy that will not affect sexual function is available Which of these methods should a nurse use when performing a purified protein derivative (PPD) test for TB? • Point the bevel of the needle downward • Massage the area after the injection • Ensure the wheel forms • Use a 22 gauge, one-inch needle c. Ensure the wheel forms A client is to receive 200mg of a medication. The medication is available as a 0.5gm/5mL suspension. How many mL should a nurse administer to the client? a. 0.5 b. 2 c. 2.5 d. 4 b. 2 A client who was taking warfarin sodium (Coumadin) at home is admitted to the hospital. The international normalized ratio (INR) on admission is 1.2. Which of these actions should a nurse take first? • Administer phytonadione (AquaMEPHYTON) to the client? • Withhold the client's next dose of warfarin sodium (Coumadin) • Encourage the client to increase intake of iron-rick foods • Determine if the client is taking the medication as prescribed d. Determine if the client is taking the medication as prescribed