EXAM WITH QUESTIONS
While conducting a wellness workshop
AND WELL VERIFIED
for a group of clients, a nurse discuss-
ANSWERS [ALREADY Smoking cessation, Low-fat diet, Weight
es lifestyle changes to help increase the
loss, Regular aerobic exercise
level ofGRADED A+] lipoproteins.
high-density REAL What
activities would the nurse recommend?
EXAM!!! REAL EXAM!!!l
A client has had cholestyramine added
to the treatment plan for dyslipidemia.
What effect will cholestyramine have on
Decreased absorption
the pharmacokinetics of the thiazide di-
uretic that the client is currently pre-
scribed?
What classification of medications pre-
Oral estrogens, Beta-blockers, Thiazide
sents the client with an increased risk of
diuretics, Glucocorticoids
developing dyslipidemias?
Elevated blood lipids are a major risk
factor for atherosclerosis and vascular
Diet
disorders. From where are blood lipids
derived?
The nurse is providing education to an
older adult client who has been pre- The most common side effects of ator-
scribed atorvastatin. How should the vastatin include mild gastrointestinal up-
nurse describe the common adverse ef- set
fects of the drug?
The nurse instructs a client about ''good''
cholesterol (HDL) and ''bad'' cholesterol
(LDL, VLDL). The nurse informs the Protein
client that higher levels of what compo-
nents are associated with HDL?
Treatments for clients with dyslipidemia
are determined according to blood lev-
els of total and LDL cholesterol and risk
factors for cardiovascular disease. What Decreases target serum LDL level
does the impact of existing cardiovas-
cular disease have on treatment recom-
mendations?
, Pharm Jersey College Fina
EXAM WITH QUESTIONS
Which category of blood lipids is in-
volved AND
in theWELL VERIFIED
formation of atherosclerotic Cholesterol
ANSWERS [ALREADY
plaques?
GRADED
A 39-year-old A+] REAL
nulliparous client has been
taking EXAM!!!
atorvastatin
REALforEXAM!!!l
2 years and has It's important that you stop taking ator-
now decided that she would like to be- vastatin before you stop using contracep-
come pregnant. What health education tion.
should the nurse provide to this client?
A client diagnosed with metabolic syn-
drome is encouraged to implement non- Eating a high-fiber diet, Adhering to a
pharmacologic measures to improve ex- low-fat diet, Walking for 30 minutes sev-
isting risk factors. What actions demon- eral times a week, Maintaining a healthy
strate an understanding of appropriate weight, Avoiding tobacco products
measures?
What health problems contraindicate the
use of fibrates for the treatment of dys- Liver disease, Chronic renal failure
lipidemia?
A client with moderately elevated lipid
levels requests immediate pharma-
cotherapy for dyslipidemia. The nurse ex- Therapeutic lifestyle changes are the
plains that a period of intensive diet ther- preferred method for lowering blood
apy and lifestyle modification will be uti- lipids.
lized before drug therapy is considered
based on what rational?
To effectively prevent or manage meta-
High HDL cholesterol, Low triglycerides,
bolic syndrome, what should the desired
Low LDL cholesterol
blood lipid profile include?
The nurse is providing education to a
client who has been prescribed atorvas-
Reduces the amount of cholesterol syn-
tatin. In what way will the nurse describe
thesized by the liver
how the drug achieves its desired thera-
peutic effect?
How will a client's diagnosis of liver cir-
rhosis affect the potential use of appro- The client can safely be treated with
priate ampicillin therapy to treat an infect- ampicillin.
ed pressure ulcer?
, Pharm Jersey College Fina
EXAM WITH QUESTIONS
A client being prepared for surgery has
AND WELLantibiotics
been prescribed VERIFIEDas prophy-
Cephalosporin
ANSWERS
laxis. Which [ALREADY
medication would the nurse
anticipate being A+]
GRADED ordered?
REAL
A client receiving
EXAM!!! theEXAM!!!l
REAL first dose of IV
ampicillin asks the nurse to evaluate a Attempt to differentiate a hypersensitivi-
rash on the torso. What should be the ty reaction from a nonallergic ampicillin
nurse's initial response to the client's rash.
rash?
Penicillins are more effective when used
Gram-positive bacteria
on infections caused by what organism?
What event triggers the development of Proliferation of antibiotic-resistant mi-
a superinfection? croorganisms
The nurse is justified in suspecting that a
client who recently completed a course Methicillin-resistant Staphylococcus au-
of ceftaroline may have been treated for reus (MRSA) infection
what health problem?
A client being treated for cellulitis with
a cephalosporin asks the nurse what
Each successive generation is more ef-
the essential difference is between gen-
fective against gram-negative microor-
erations of this medication. The nurse
ganisms.
should respond to the client's question
based on what fact?
The nurse is providing education to a
client who has been prescribed oral
amoxicillin. The nurse will repeat teach-
Orange juice
ing related to fluid intake if the client in-
dicates that the drug can be taken with
what beverage?
A client being treated with oral penicillin
should be encouraged to administer the
Around the clock, At regular intervals
medication on which schedule to best
achieve a therapeutic effect?
A client has been diagnosed with an
infected postoperative wound, and cul-
tures reveal methicillin-resistant S. au-
, Pharm Jersey College Fina
EXAM WITH QUESTIONS
reus (MRSA). The client is currently re-
ceivingAND WELL VERIFIED
cephalosporins IV based on pre- Contact the health care provider to dis-
vious inANSWERS [ALREADY
vitro testing that indicated sus- continue cephalosporin.
ceptibility. What is
GRADED A+]theREAL
next action?
A client has been
EXAM!!! REALdiagnosed
EXAM!!!lwith
an infected postoperative wound, and
cultures reveal methicillin-susceptible
Oxacillin, Nafcillin, Dicloxacillin
Staphylococcus aureus. What medica-
tion should the nurse anticipate being
prescribed for this client?
A client has been diagnosed with strep-
tococcal pharyngitis. What drug would
Penicillin G
the nurse expect to be prescribed by the
health care provider?
To maximize the prevention of an inci-
sional infection, when will the nurse ad- 1 hour prior to the first planned skin inci-
minister the prophylactic antibiotic thera- sion
py prescribed for a surgical client?
A client with a complex medical histo-
ry is scheduled to begin treatment with
an IV cephalosporin. After the initiation Nausea and vomiting, Diarrhea, Abdom-
of therapy, the nurse should monitor the inal pain
client for which potential adverse effects
of intravenous cephalosporin therapy?
A client diagnosed with E. coli re-
sistant to other drugs has been pre-
scribed imipenem-cilastatin to be given
Allergy to local lidocaine
IM. When preparing the medication for
administration, what information should
the nurse obtain from the client?
The nurse initiated the administration
of IV cefazolin with the dose ending at
Shortly after 13:00
13:00. When would the nurse expect the
drug to reach peak effect?
While reviewing a client's medication
administration record, the nurse sees