RN Pharmacology Online Practice 2023 A Exam With NGN
A nurse is preparing to administer heparin subcutaneously to a client. Which of
the following actions should the nurse plan to take? - Administer the medication
outside the 5cm (2in) radius of the umbilicus
The nurse should admi. the heparin by subQ injection to the abdomen in an area
that is above the iliac crest and at least 5 cm (2 in) away fro the umbilicus.
NGN: A nurse on a mental health unit is caring for a client. Select the 4 actions the
nurse should take.
Fluphenazine 2.5 mg PO four times daily
LPN entered client's room to administer medication and noted that client did not
respond to verbal or tactile stimulation, was diaphoretic, and hot to palpation.
Notified RN. Vital signs obtained. Client noted to be incontinent of urine. Client
mumbles in response to painful stimuli, muscle rigidity noted. Provider notified.
Temperature 40° C (104° F)Heart rate 122/min; Blood pressure 168/112 mm Hg;
Respiratory rate 22/min; SpO2 94% on room air - When taking actions, the nurse
should administer dantrolene and bromocriptine, apply a cooling blanket, and
discontinue the fluphenazine. The client is exhibiting manifestations of neuroleptic
malignant syndrome (NMS), a potentially fatal adverse effect of antipsychotic
medications, such as fluphenazine. Other manifestations can include electrolyte
,imbalance, delirium, and dysrhythmias. Dantrolene and bromocriptine can relieve
muscle rigidity and decrease body temperature. Cooling blankets can also assist
in decreasing body temperature. The fluphenazine should be discontinued and the
client should be transferred to a critical care unit for ongoing treatment.
A nurse is caring for a 20 year old female client who has a prescription for
isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a
refill, the nurse should advise the client that which of the following tests is
required? - Pregnancy Test
The nurse should instruct the client that isotretinoin has teratogenic effects;
therefore, pregnancy must be ruled out before the client can obtain a refill. the
client must provide two negative pregnancy tests for the initial prescription and
one negative test before monthly refills.
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an understating
of the teaching? - "I will take the patch off right after my evening meal"
Clients should remove the patch each evening for a medication free time of 12 to
14 hours before applying a new patch to avoid developing a tolerance to the
medication's effects.
, a nurse is reviewing the medication list of a client who wants to begin taking oral
contraceptives. The nurse should identify that which of the following client
medications will interfere with the effectiveness of oral contraceptives? -
Carbamazepine
carbamazepine causes an accelerated inactivation of oral contraceptives because
of its action on hepatic medication-metabolizing enzymes.
: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 client finding to fill
in each blank in the following sentence.
Relevant info:
Heart rate 110/min
Nurses' Notes: Today: Adult female client is here for 3 month follow up visit after
receiving a new prescription 3 months ago. Client reports feeling nervous and
being irritable. Client is alert and oriented to person place and time. Skin moist
and intact some sweating noted on forehead. Heart rate regular and fast.
Respirations even and non-labored. Bowel sounds hyperactive in all 4 quadrants.
Reports occasional loose stools that have increased lately.
Lab Results: TSH 0.1 mU/L (0.3 to 5 mU/L); Triiodothyronine 220 ng/dL (70 to 205
ng/dL); Thyroxine 4 ng/dL (0.8 to 2.8 ng/dL)
A nurse is preparing to administer heparin subcutaneously to a client. Which of
the following actions should the nurse plan to take? - Administer the medication
outside the 5cm (2in) radius of the umbilicus
The nurse should admi. the heparin by subQ injection to the abdomen in an area
that is above the iliac crest and at least 5 cm (2 in) away fro the umbilicus.
NGN: A nurse on a mental health unit is caring for a client. Select the 4 actions the
nurse should take.
Fluphenazine 2.5 mg PO four times daily
LPN entered client's room to administer medication and noted that client did not
respond to verbal or tactile stimulation, was diaphoretic, and hot to palpation.
Notified RN. Vital signs obtained. Client noted to be incontinent of urine. Client
mumbles in response to painful stimuli, muscle rigidity noted. Provider notified.
Temperature 40° C (104° F)Heart rate 122/min; Blood pressure 168/112 mm Hg;
Respiratory rate 22/min; SpO2 94% on room air - When taking actions, the nurse
should administer dantrolene and bromocriptine, apply a cooling blanket, and
discontinue the fluphenazine. The client is exhibiting manifestations of neuroleptic
malignant syndrome (NMS), a potentially fatal adverse effect of antipsychotic
medications, such as fluphenazine. Other manifestations can include electrolyte
,imbalance, delirium, and dysrhythmias. Dantrolene and bromocriptine can relieve
muscle rigidity and decrease body temperature. Cooling blankets can also assist
in decreasing body temperature. The fluphenazine should be discontinued and the
client should be transferred to a critical care unit for ongoing treatment.
A nurse is caring for a 20 year old female client who has a prescription for
isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a
refill, the nurse should advise the client that which of the following tests is
required? - Pregnancy Test
The nurse should instruct the client that isotretinoin has teratogenic effects;
therefore, pregnancy must be ruled out before the client can obtain a refill. the
client must provide two negative pregnancy tests for the initial prescription and
one negative test before monthly refills.
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an understating
of the teaching? - "I will take the patch off right after my evening meal"
Clients should remove the patch each evening for a medication free time of 12 to
14 hours before applying a new patch to avoid developing a tolerance to the
medication's effects.
, a nurse is reviewing the medication list of a client who wants to begin taking oral
contraceptives. The nurse should identify that which of the following client
medications will interfere with the effectiveness of oral contraceptives? -
Carbamazepine
carbamazepine causes an accelerated inactivation of oral contraceptives because
of its action on hepatic medication-metabolizing enzymes.
: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 client finding to fill
in each blank in the following sentence.
Relevant info:
Heart rate 110/min
Nurses' Notes: Today: Adult female client is here for 3 month follow up visit after
receiving a new prescription 3 months ago. Client reports feeling nervous and
being irritable. Client is alert and oriented to person place and time. Skin moist
and intact some sweating noted on forehead. Heart rate regular and fast.
Respirations even and non-labored. Bowel sounds hyperactive in all 4 quadrants.
Reports occasional loose stools that have increased lately.
Lab Results: TSH 0.1 mU/L (0.3 to 5 mU/L); Triiodothyronine 220 ng/dL (70 to 205
ng/dL); Thyroxine 4 ng/dL (0.8 to 2.8 ng/dL)
