CAPSTONE PHARM PRE ASSESSMENT NEWEST 2024
ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 52-year-old client with a history of angina has been prescribed transdermal
nitroglycerin. Which of the following adverse effects is not seen with this therapy?
1) Tolerance
2) Orthostatic hypotension
3) Headache
4) Productive cough - answer-4) Productive cough
Nitroglycerin therapy does not directly have an effect lung function.
Physiologically, vasodilation should effect capillary perfusion and decrease lung
secretions
A nurse is caring for a client prescribed hydromorphone for severe pain. The
client's respiratory rate has decreased from 16 breaths per minute to 6. Which of
the following medication should the nurse prepare to administer?
1) Flumazenil
2) Naloxone
3) Activated charcoal
4) Aluminum hydroxide - answer-2) Naloxone
The client is experiencing respiratory depression likely related to over
administration of hydromorphone (Dilaudid). Naloxone (Narcan) and nalmefene
(Revex) are opioid antagonsists used to reverse an overdose of opioids.
,A nurse is preparing to administer an intramuscular injection to an adult client. At
what angle should the nurse administer the medication using the ventrogluteal
site?
1) a 45 degree angle
2) a 60 degree angle
3) a 75 degree angle
4) a 90 degree angle - answer-4) a 90 degree angle
IM injections should be administered at a 90 degree angle
A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of
the following interventions should the nurse take while caring for this client?
1) Advise the client to use the pump sparingly to prevent addiction
2) Encourage the client to use the PCA before dressing changes
3) Encourage the client's family to administer PCA while client is sleeping
4) Increase client's 4-hr limit as needed - answer-2) Encourage the client to use
the PCA before dressing changes
The nurse should encourage the client to use the PCA prophylactically prior to
activities that are likely to augment pain levels
A nurse is caring for a client who is prescribed warfarin therapy for an artificial
heart valve. Which of the following laboratory values should the nurse monitor for
a therapeutic effect of warfarin?
1) Hemoglobin (Hgb)
2) Prothrombin tie (PT)
, 3) Bleeding time
4) Activated partial thromboplastin time (aPTT) - answer-2) Prothrombin time (PT)
This test is used to monitor warfarin therapy. For a client receiving full
anticoagulant therapy, the PT should typically be approximately two to three
times the normal value, depending on the indication for therapeutic
anticoagulation A nurse is collecting data from a client who has been taking
esomeprazole for several months. Which of the following client statements
should the nurse identify as indicating effectiveness of the medication? -
answer-I don't have pain in my stomach anymore
A nurse is collecting data from a client who is to start taking digoxin for heart
failure. The nurse should instruct the client to avoid taking which of the following
herbal supplements? - answer-St. John's Wort
A nurse is reinforcing teaching with a client who is to start taking enteric-coated
naproxen for rheumatoid arthritis. Which of the following client statements by the
client indicates a need for further teaching? - answer-"I am taking this type of
medication so it dissolves in my "It's okay to crush a tablet as long as I make sure it
dissolves completely in water before swallowing it." •
A nurse is planning to instill ear drops to a toddler and must straighten the ear
canal by pulling the auricle of the ear. The nurse should plan to pull the auricle in
which of the following directions? - answer-down and backward this is the
correct technique for infants and children under 3
A nurse is reviewing the medical record of a client who has been taking
simvastatin for 9 months. The client has an alanine aminotransferase (ALT) 120
units/L and aspartate aminotransferase (AST) 100 units/L. Which of the following
data from the client's dietary history should the nurse report to the provider? -
answer-the client drinks grapefruit juice every evening
ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 52-year-old client with a history of angina has been prescribed transdermal
nitroglycerin. Which of the following adverse effects is not seen with this therapy?
1) Tolerance
2) Orthostatic hypotension
3) Headache
4) Productive cough - answer-4) Productive cough
Nitroglycerin therapy does not directly have an effect lung function.
Physiologically, vasodilation should effect capillary perfusion and decrease lung
secretions
A nurse is caring for a client prescribed hydromorphone for severe pain. The
client's respiratory rate has decreased from 16 breaths per minute to 6. Which of
the following medication should the nurse prepare to administer?
1) Flumazenil
2) Naloxone
3) Activated charcoal
4) Aluminum hydroxide - answer-2) Naloxone
The client is experiencing respiratory depression likely related to over
administration of hydromorphone (Dilaudid). Naloxone (Narcan) and nalmefene
(Revex) are opioid antagonsists used to reverse an overdose of opioids.
,A nurse is preparing to administer an intramuscular injection to an adult client. At
what angle should the nurse administer the medication using the ventrogluteal
site?
1) a 45 degree angle
2) a 60 degree angle
3) a 75 degree angle
4) a 90 degree angle - answer-4) a 90 degree angle
IM injections should be administered at a 90 degree angle
A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of
the following interventions should the nurse take while caring for this client?
1) Advise the client to use the pump sparingly to prevent addiction
2) Encourage the client to use the PCA before dressing changes
3) Encourage the client's family to administer PCA while client is sleeping
4) Increase client's 4-hr limit as needed - answer-2) Encourage the client to use
the PCA before dressing changes
The nurse should encourage the client to use the PCA prophylactically prior to
activities that are likely to augment pain levels
A nurse is caring for a client who is prescribed warfarin therapy for an artificial
heart valve. Which of the following laboratory values should the nurse monitor for
a therapeutic effect of warfarin?
1) Hemoglobin (Hgb)
2) Prothrombin tie (PT)
, 3) Bleeding time
4) Activated partial thromboplastin time (aPTT) - answer-2) Prothrombin time (PT)
This test is used to monitor warfarin therapy. For a client receiving full
anticoagulant therapy, the PT should typically be approximately two to three
times the normal value, depending on the indication for therapeutic
anticoagulation A nurse is collecting data from a client who has been taking
esomeprazole for several months. Which of the following client statements
should the nurse identify as indicating effectiveness of the medication? -
answer-I don't have pain in my stomach anymore
A nurse is collecting data from a client who is to start taking digoxin for heart
failure. The nurse should instruct the client to avoid taking which of the following
herbal supplements? - answer-St. John's Wort
A nurse is reinforcing teaching with a client who is to start taking enteric-coated
naproxen for rheumatoid arthritis. Which of the following client statements by the
client indicates a need for further teaching? - answer-"I am taking this type of
medication so it dissolves in my "It's okay to crush a tablet as long as I make sure it
dissolves completely in water before swallowing it." •
A nurse is planning to instill ear drops to a toddler and must straighten the ear
canal by pulling the auricle of the ear. The nurse should plan to pull the auricle in
which of the following directions? - answer-down and backward this is the
correct technique for infants and children under 3
A nurse is reviewing the medical record of a client who has been taking
simvastatin for 9 months. The client has an alanine aminotransferase (ALT) 120
units/L and aspartate aminotransferase (AST) 100 units/L. Which of the following
data from the client's dietary history should the nurse report to the provider? -
answer-the client drinks grapefruit juice every evening
