RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

RN Pharmacology LATEST 2024
ACTUAL EXAM 242 QUESTIONS AND
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+

Azproviderzprescribeszphenobarbitalzforzazclientzwhozhaszazseizurezdisorder.zThezmedicati
onzhaszazlongzhalf-
lifezofz4zdays.zHowzmanyztimeszperzdayzshouldztheznursezexpectztozadministerzthiszmedica
tion?

A.zOne

B.zTwo

C.zThree

D.zFourz-zA.zMedicationszwithzlongzhalf-
liveszremainzatztheirztherapeuticzlevelszbetweenzdoseszforzlongzperiodszofztime.zTheznurse
zshouldzexpectztozadministerzthiszmedicationzoncezazday.



Azstaffzeducatorziszreviewingzmedicationzdosageszandzfactorszthatzinfluencezmedicationz
metabolismzwithzazgroupzofznurseszatzanzin-
servicezpresentation.zWhichzofzthezfollowingzfactorszshouldzthezeducatorzincludezaszazrea
sonztozadministerzlowerzmedicationzdosages?z(Selectzallzthatzapply.)

A.zIncreasedzrenalzsecretion

B.zIncreasedzmedication-metabolizingzenzymes

C.zLiverzfailure

D.zPeripheralzvascularzdisease

E.zConcurrentzusezofzmedicationzthezsamezpathwayzmetabolizesz-zAnswer:z

,C.zLiverzfailurezdecreaseszmetabolismzandzthuszincreaseszthezconcentrationzofzazmedicati
on.zThiszrequireszdecreasingzthezdosage.

E.zWhenzthezsamezpathwayzmetabolizesztwozmedications,ztheyzcompetezforzmetabolism,z
therebyzincreasingzthezconcentrationzofzonezorzbothzmedications.zThiszrequireszdecreasin
gzthezdosagezofzonezorzbothzmedications.

Aznurseziszpreparingztozadministerz
eyezdropsztozazclient.zWhichzofz
thezfollowingzactionszshouldzthez
nurseztake?z(Selectzallzthatzapply.)

A.havezthezclientzliezonzherzside.

B.Askzthezclientztozlookz
upzatzthezceiling.

C.Tellzthezclientztozblinkzwhenzthezdropszenterzherzeye.

D.Dropzthezmedicationz
intozthezcenterzofzthez
client'szconjunctivalzsac.

E.Instructzthezclientztozclosezherzeyezgentlyzafterzinstillationz-
zB.zThezclientzshouldzlookzupwardztoz

keepzthezdropszfromzfallingzontozherzcornea.
D.zTheznursezshouldzdropzthezmedicationzintozthez
centerzofzthezconjunctivalzsacztozpromotezdistribution.

E.zThezclientzshouldzclosezherzeyezgentlyz
tozpromotezdistributionzofzthezmedication

Aznurseziszcompletingzdischargezteachingzforzazclientzwhozhaszaznewzprescriptionzforztran
sdermalzpatches.zWhichzofzthezfollowingz
statementszshouldztheznursezidentifyzaszanzindicationzthatzthezclientz
understandszthezinstructions?

A."Izwillzcleanzthezsitezwithz
anzalcoholzswabzbeforez
Izapplyzthezpatch."

B."Izwillzrotatezthezapplicationzsiteszweekly."

C."Izwillzapplyzthezpatchztozanzareazofzskinzwithznozhair."z

,D."Izwillzplaceztheznewzpatchzonzthezsitezofzthezoldzpatch.z-
zC.zThezclientzshouldzapplyzthezpatchztozazhairlessz

areazofzskinztozpromotezabsorptionzofzthezmedication.

Aznursezreviewingzazclient'sz
medicalzrecordznoteszaznewzprescriptionzforzverifyingztheztroughz
levelzofzthezclient'szmedication.zWhichzofzthezfollowingzactionszshouldztheznurseztake?

A.Obtainzazbloodzspecimenz
immediatelyzpriorztoz
administeringztheznextz
dosezofzmedication.

B.Verifyzthatzthezclientzhasz
beenztakingzthezmedicationz
forz24zhrzbeforezobtainingz
azbloodzspecimen.

C.Askzthezclientztozpr
ovidezazurinezspecimenzafterztheznextzdosezofzmedication.

D.Administerzthezmedication,andzobtainzazbloodzspecimenz30zminzlatez-
zA.zTozverifyztroughzlevelszofzazmedication,zthez

nursezshouldzobtainzazbloodzspecimenzimmediatelyz
beforezadministeringztheznextzdosezofzmedication.

Aznurseziszpreparingzazclient'szmedications.zWhichzofzthezfollowingzactionszshouldztheznur
seztakezinzfollowingzlegalzpracticez
guidelines?z(Selectzallzthatzapply.)

A.maintainzskillzcompetency.

B.Determinezthezdosage.

C.zmonitorzforzadversezeffects.

D.Safeguardzmedications.

E.Identifyzthezclient'szdiagnosisz-zA.maintainingzskillzcompetencyzandzusingzappropriatez
administrationztechniqueszarezlegalzresponsibilitieszofztheznurse

C.zAznurseziszlegallyzresponsiblezforzmonitoringz
forzsidezandzadversezeffectszofzmedication

D.zSafeguardingzofzmedications,zsuchzaszcontrolledz
substances,ziszazlegalzresponsibilityzofztheznurse

, Aznursezreviewingzazclient'szhealthzrecordznoteszaznewzprescriptionzforzlisinoprilz10zmgzP
Ozoncezeveryzday.zTheznursezshouldzidentifyzthiszaszwhichzofzthezfollowingztypeszofzprescr
iption?

A.Single

B.Stat

C.Routine

D.Standingz-zC.zAzroutinezorzstandardzprescriptionzidentifieszmedicationsz
tozgivezonzazregularzschedulezwithzorzwithoutzazterminationz
datezorzazspecificznumberzofzdoses.zTheznursezwillzadministerz
thiszmedicationzeveryzdayzuntilzthezproviderzdiscontinueszit.

Aznurseziszreviewingzaznewz
prescriptionzforzondansetronz4zmgz
POzPRNzforznauseazandzvomitingzforzazclientzwhozhaszhyperemesisz
gravidarum.zTheznursezshouldzclarifyzwhichzofzthezfollowingzpartszofzthez
prescriptionzwithzthezprovider?

A.Name

B.Dosage

C.Route

D.Frequencyz-
zD.zThiszprescriptionzdoesznotzincludeztheztimezorzfrequencyzofzmedicationzadministration.

zTheznursezmustzclarifyzthiszwithzthezprescribingzprovide



Aznurseziszadmittingzazclientzandzcompletingzazpreassessmentzbeforezadministeringzmedi
cations.z
Whichzofzthezfollowingzdataz
shouldztheznursezincludezinzthezpreassessment?z(Selectzallzthatzapply.)

A.Usezofzherbalzteas

B.Dailyzfluidzintake

C.Currentzhealthzstatus

D.Previouszsurgicalzhistory