RN Pharmacology Online Practice 2023 A
Questions With Correct Answers
NGN: cA cnurse cat ca cclinic cis cevaluating ca cclient. cDrag c1 ccondition cand c1 cclient
cfinding cto cfill cin ceach cblank cin cthe cfollowing csentence.
Relevant cinfo:
Heart crate c110/min
Nurses' cNotes: cToday: cAdult cfemale cclient cis chere cfor c3 cmonth cfollow cup cvisit cafter
creceiving ca cnew cprescription c3 cmonths cago. cClient creports cfeeling cnervous cand
cbeing cirritable. cClient cis calert cand coriented cto cperson cplace cand ctime. cSkin cmoist
cand cintact csome csweating cnoted con cforehead. cHeart crate cregular cand cfast.
cRespirations ceven cand cnon-labored. cBowel csounds chyperactive cin call c4 cquadrants.
cReports coccasional cloose cstools cthat chave cincreased clately.
Lab cResults: cTSH c0.1 cmU/L c(0.3 cto c5 cmU/L); cTriiodothyronine c220 cng/dL c(70 cto
c205 cng/dL); cThyroxine c4 cng/dL c(0.8 cto c2.8 cng/dL)
Provider cPrescriptions: c3 cmonths cago: cLevothyroxine c50 cmcg cPO cdaily c- ccorrect
canswers✔✔The cclient cis clikely cexperiencing chyperthyroidism cas cevidenced cby cthe
cclient's cblood cthyroxine clevel.
A cnurse cis cproviding cteaching cto ca cclient cwho cis cto cstart ctreatment cfor casthma
cwith cbeclomethasone cand calbuterol cinhalers. cWhich cof cthe cfollowing cinstructions
cshould cthe cnurse cinclude cin cthe cteaching? c- ccorrect canswers✔✔"Rinse cyour
cmouth cafter cinhaling cthe cbeclomethasone"
The cclient cshould crinse ctheir cmouth cafter cusing cbeclomethasone, ca cglucocorticoid
cinhaler, cto cprevent coropharyngeal ccandidiasis cand choarseness.
NGN: cA cnurse cis ccaring cfor ca cclient cin can cinpatient csetting. cThe cnurse cis
cpreparing cto cadminister cthe cclient's c1300 cantibiotic cdoses.
Click cto chighlight cthe cfindings cthat cwould cindicate cthe cnurse cshould chold cthe cnext
cdose cof cgentamycin cuntil cfurther cdirection cfrom cthe cprovider. c- ccorrect
canswers✔✔BUN c48 cmg/dL c(10 cto c20 cmg/dL); cCreatinine c2.7 cmg/dL c(0.5 cto c1.1
cmg/dL); cOutput c60 cmL; cUrine cis cdark camber
When crecognizing ccues, cthe cnurse cshould creview cthe cclient's cEMR, cthe cnurse
cshould crecognize cthe cclient's celevated cBUN, celevated ccreatinine clevel, curine coutput
cof cless cthan c30mL/hr, cand cdark camber ccolored curine care cmanifestations cof
cnephrotoxicity cwhich cis can cadverse ceffect cgentamycin cand cother caminoglycosides.
cTherefore, cthe cnurse cshould chold cthe cdose cuntil cfurther cdirections cfrom cthe
cprovider.
, A cnurse cis cpreparing cto cadminister cheparin csubcutaneously cto ca cclient. cWhich cof
cthe cfollowing cactions cshould cthe cnurse cplan cto ctake? c- ccorrect
canswers✔✔Administer cthe cmedication coutside cthe c5cm c(2in) cradius cof cthe
cumbilicus
The cnurse cshould cadmi. cthe cheparin cby csubQ cinjection cto cthe cabdomen cin can
carea cthat cis cabove cthe ciliac ccrest cand cat cleast c5 ccm c(2 cin) caway cfro cthe
cumbilicus.
NGN: cA cnurse con ca cmental chealth cunit cis ccaring cfor ca cclient. cSelect cthe c4 cactions
cthe cnurse cshould ctake.
Fluphenazine c2.5 cmg cPO cfour ctimes cdaily
LPN centered cclient's croom cto cadminister cmedication cand cnoted cthat cclient cdid cnot
crespond cto cverbal cor ctactile cstimulation, cwas cdiaphoretic, cand chot cto cpalpation.
cNotified cRN. cVital csigns cobtained. cClient cnoted cto cbe cincontinent cof curine. cClient
cmumbles cin cresponse cto cpainful cstimuli, cmuscle crigidity cnoted. cProvider cnotified.
Temperature c40° cC c(104° cF)Heart crate c122/min; cBlood cpressure c168/112 cmm cHg;
cRespiratory crate c22/min; cSpO2 c94% con croom cair c- ccorrect canswers✔✔When
ctaking cactions, cthe cnurse cshould cadminister cdantrolene cand cbromocriptine, capply ca
ccooling cblanket, cand cdiscontinue cthe cfluphenazine. cThe cclient cis cexhibiting
cmanifestations cof cneuroleptic cmalignant csyndrome c(NMS), ca cpotentially cfatal
cadverse ceffect cof cantipsychotic cmedications, csuch cas cfluphenazine. cOther
cmanifestations ccan cinclude celectrolyte cimbalance, cdelirium, cand cdysrhythmias.
cDantrolene cand cbromocriptine ccan crelieve cmuscle crigidity cand cdecrease cbody
ctemperature. cCooling cblankets ccan calso cassist cin cdecreasing cbody ctemperature.
cThe cfluphenazine cshould cbe cdiscontinued cand cthe cclient cshould cbe ctransferred cto
ca ccritical ccare cunit cfor congoing ctreatment.
A cnurse cis ccaring cfor ca c20 cyear cold cfemale cclient cwho chas ca cprescription cfor
cisotretinoin cfor csevere cnodulocystic cacne cvulgarism. cBefore cthe cclient ccan cobtain ca
crefill, cthe cnurse cshould cadvise cthe cclient cthat cwhich cof cthe cfollowing ctests cis
crequired? c- ccorrect canswers✔✔Pregnancy cTest
The cnurse cshould cinstruct cthe cclient cthat cisotretinoin chas cteratogenic ceffects;
ctherefore, cpregnancy cmust cbe cruled cout cbefore cthe cclient ccan cobtain ca crefill. cthe
cclient cmust cprovide ctwo cnegative cpregnancy ctests cfor cthe cinitial cprescription cand
cone cnegative ctest cbefore cmonthly crefills.
A cnurse cis cinstructing ca cclient con cthe capplication cof cnitroglycerin ctransdermal
cpatches. cWhich cof cthe cfollowing cstatements cby cthe cclient cindicates can cunderstating
cof cthe cteaching? c- ccorrect canswers✔✔"I cwill ctake cthe cpatch coff cright cafter cmy
cevening cmeal"
Clients cshould cremove cthe cpatch ceach cevening cfor ca cmedication cfree ctime cof c12
cto c14 chours cbefore capplying ca cnew cpatch cto cavoid cdeveloping ca ctolerance cto cthe
cmedication's ceffects.
Questions With Correct Answers
NGN: cA cnurse cat ca cclinic cis cevaluating ca cclient. cDrag c1 ccondition cand c1 cclient
cfinding cto cfill cin ceach cblank cin cthe cfollowing csentence.
Relevant cinfo:
Heart crate c110/min
Nurses' cNotes: cToday: cAdult cfemale cclient cis chere cfor c3 cmonth cfollow cup cvisit cafter
creceiving ca cnew cprescription c3 cmonths cago. cClient creports cfeeling cnervous cand
cbeing cirritable. cClient cis calert cand coriented cto cperson cplace cand ctime. cSkin cmoist
cand cintact csome csweating cnoted con cforehead. cHeart crate cregular cand cfast.
cRespirations ceven cand cnon-labored. cBowel csounds chyperactive cin call c4 cquadrants.
cReports coccasional cloose cstools cthat chave cincreased clately.
Lab cResults: cTSH c0.1 cmU/L c(0.3 cto c5 cmU/L); cTriiodothyronine c220 cng/dL c(70 cto
c205 cng/dL); cThyroxine c4 cng/dL c(0.8 cto c2.8 cng/dL)
Provider cPrescriptions: c3 cmonths cago: cLevothyroxine c50 cmcg cPO cdaily c- ccorrect
canswers✔✔The cclient cis clikely cexperiencing chyperthyroidism cas cevidenced cby cthe
cclient's cblood cthyroxine clevel.
A cnurse cis cproviding cteaching cto ca cclient cwho cis cto cstart ctreatment cfor casthma
cwith cbeclomethasone cand calbuterol cinhalers. cWhich cof cthe cfollowing cinstructions
cshould cthe cnurse cinclude cin cthe cteaching? c- ccorrect canswers✔✔"Rinse cyour
cmouth cafter cinhaling cthe cbeclomethasone"
The cclient cshould crinse ctheir cmouth cafter cusing cbeclomethasone, ca cglucocorticoid
cinhaler, cto cprevent coropharyngeal ccandidiasis cand choarseness.
NGN: cA cnurse cis ccaring cfor ca cclient cin can cinpatient csetting. cThe cnurse cis
cpreparing cto cadminister cthe cclient's c1300 cantibiotic cdoses.
Click cto chighlight cthe cfindings cthat cwould cindicate cthe cnurse cshould chold cthe cnext
cdose cof cgentamycin cuntil cfurther cdirection cfrom cthe cprovider. c- ccorrect
canswers✔✔BUN c48 cmg/dL c(10 cto c20 cmg/dL); cCreatinine c2.7 cmg/dL c(0.5 cto c1.1
cmg/dL); cOutput c60 cmL; cUrine cis cdark camber
When crecognizing ccues, cthe cnurse cshould creview cthe cclient's cEMR, cthe cnurse
cshould crecognize cthe cclient's celevated cBUN, celevated ccreatinine clevel, curine coutput
cof cless cthan c30mL/hr, cand cdark camber ccolored curine care cmanifestations cof
cnephrotoxicity cwhich cis can cadverse ceffect cgentamycin cand cother caminoglycosides.
cTherefore, cthe cnurse cshould chold cthe cdose cuntil cfurther cdirections cfrom cthe
cprovider.
, A cnurse cis cpreparing cto cadminister cheparin csubcutaneously cto ca cclient. cWhich cof
cthe cfollowing cactions cshould cthe cnurse cplan cto ctake? c- ccorrect
canswers✔✔Administer cthe cmedication coutside cthe c5cm c(2in) cradius cof cthe
cumbilicus
The cnurse cshould cadmi. cthe cheparin cby csubQ cinjection cto cthe cabdomen cin can
carea cthat cis cabove cthe ciliac ccrest cand cat cleast c5 ccm c(2 cin) caway cfro cthe
cumbilicus.
NGN: cA cnurse con ca cmental chealth cunit cis ccaring cfor ca cclient. cSelect cthe c4 cactions
cthe cnurse cshould ctake.
Fluphenazine c2.5 cmg cPO cfour ctimes cdaily
LPN centered cclient's croom cto cadminister cmedication cand cnoted cthat cclient cdid cnot
crespond cto cverbal cor ctactile cstimulation, cwas cdiaphoretic, cand chot cto cpalpation.
cNotified cRN. cVital csigns cobtained. cClient cnoted cto cbe cincontinent cof curine. cClient
cmumbles cin cresponse cto cpainful cstimuli, cmuscle crigidity cnoted. cProvider cnotified.
Temperature c40° cC c(104° cF)Heart crate c122/min; cBlood cpressure c168/112 cmm cHg;
cRespiratory crate c22/min; cSpO2 c94% con croom cair c- ccorrect canswers✔✔When
ctaking cactions, cthe cnurse cshould cadminister cdantrolene cand cbromocriptine, capply ca
ccooling cblanket, cand cdiscontinue cthe cfluphenazine. cThe cclient cis cexhibiting
cmanifestations cof cneuroleptic cmalignant csyndrome c(NMS), ca cpotentially cfatal
cadverse ceffect cof cantipsychotic cmedications, csuch cas cfluphenazine. cOther
cmanifestations ccan cinclude celectrolyte cimbalance, cdelirium, cand cdysrhythmias.
cDantrolene cand cbromocriptine ccan crelieve cmuscle crigidity cand cdecrease cbody
ctemperature. cCooling cblankets ccan calso cassist cin cdecreasing cbody ctemperature.
cThe cfluphenazine cshould cbe cdiscontinued cand cthe cclient cshould cbe ctransferred cto
ca ccritical ccare cunit cfor congoing ctreatment.
A cnurse cis ccaring cfor ca c20 cyear cold cfemale cclient cwho chas ca cprescription cfor
cisotretinoin cfor csevere cnodulocystic cacne cvulgarism. cBefore cthe cclient ccan cobtain ca
crefill, cthe cnurse cshould cadvise cthe cclient cthat cwhich cof cthe cfollowing ctests cis
crequired? c- ccorrect canswers✔✔Pregnancy cTest
The cnurse cshould cinstruct cthe cclient cthat cisotretinoin chas cteratogenic ceffects;
ctherefore, cpregnancy cmust cbe cruled cout cbefore cthe cclient ccan cobtain ca crefill. cthe
cclient cmust cprovide ctwo cnegative cpregnancy ctests cfor cthe cinitial cprescription cand
cone cnegative ctest cbefore cmonthly crefills.
A cnurse cis cinstructing ca cclient con cthe capplication cof cnitroglycerin ctransdermal
cpatches. cWhich cof cthe cfollowing cstatements cby cthe cclient cindicates can cunderstating
cof cthe cteaching? c- ccorrect canswers✔✔"I cwill ctake cthe cpatch coff cright cafter cmy
cevening cmeal"
Clients cshould cremove cthe cpatch ceach cevening cfor ca cmedication cfree ctime cof c12
cto c14 chours cbefore capplying ca cnew cpatch cto cavoid cdeveloping ca ctolerance cto cthe
cmedication's ceffects.
