(NGN)ATI PHARMACOLOGY PROCTORED EXAM, fy fy fy
fy PHARMACOLOGY ATI PROCTORED FINAL EXAM fy fy fy fy
ACTUAL EXAM WITH VERIFIED ANSWERS AND
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RATIONALES /ALREDY GRADED A+ fy fy fy fy
A provider prescribes phenobarbital for a client who has a seizure disorder. Themedication has a
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long half-life of 4 days. How many times per day should the nurse expect to administer this
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medication?
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A. One
B. Two
C. Three
D. Four
A. One fy
RATIONALE :( Medications with long half-lives remain at their therapeutic levels between fy fy fy fy fy fy fy fy fy fy fy
doses for long periods of time. The nurse should expect to administer this medication once a
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day.)
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A staff educator is reviewing medication dosages and factors that influence medication metabolism
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with a group of nurses at an in-service presentation.
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Which of the following factors should the educator include as a reason toadminister lower
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medication dosages? (Select all that apply.)
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A.Increased renal secretion fy fy
B.Increased medication-metabolizing enzymes fy fy
C. Liver failure fy
D. Peripheral vascular disease fy fy
E. Concurrent use of medication the same pathway metabolizes fy fy fy fy fy fy fy
C. Liver failure
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E. Concurrent use of medication the same pathway metabolizes
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RATIONALE :C. Liver failure decreases metabolism and thus increases the concentration of fy fy fy fy fy fy fy fy fy fy fy
amedication. This requires decreasing the dosage.
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E. When the same pathway metabolizes two medications, they compete for metabolism,
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thereby increasing the concentration of one or both medications. This requires decreasing
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the dosage of one or both
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A nurse is preparing to administer eye drops to a client. Which of the followingactions should the
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nurse take? (Select all that apply.)
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A. Have the client lie on her side. fy fy fy fy fy fy
B. Ask the client to look up at the ceiling. fy fy fy fy fy fy fy fy
C. Tell the client to blink when the drops enter her eye.
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D. Drop the medication into the center of the client's conjunctival sac.
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E. Instruct the client to close her eye gently after instillation fy fy fy fy fy fy fy fy fy
B. Ask the client to look up at the ceiling.
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,D. Drop the medication into the center of the client's conjunctival sac.
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E. Instruct the client to close her eye gently after instillation
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RATIONALE : (B. The client should look upward to keep the drops from falling onto her fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
cornea.
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D. The nurse should drop the medication into the center
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of the conjunctival sac to promote distribution.
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E. The client should close her eye gently to promote distribution of the medication)
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A nurse is completing discharge teaching for a client who has a new prescriptionfor transdermal
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patches. Which of the following statements should the nurse identify as an indication that the client
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understands the instructions?
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A. "I will clean the site with an alcohol swab before I apply the patch."
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B. "I will rotate the application sites weekly."
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C. "I will apply the patch to an area of skin with no hair."
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D. "I will place the new patch on the site of the old patch.
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C. "I will apply the patch to an area of skin with no hair."
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RATIONALE: (The client should apply the patch to a hairless area of skin to promote fy fy fy fy fy fy fy fy fy fy fy fy fy fy
absorption of themedication.)
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A nurse reviewing a client's medical record notes a new prescription for verifyingthe trough level of
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the client's medication. Which of the following actions should the nurse take?
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A. Obtain a blood specimen immediately prior to administering the next dose offy fy fy fy fy fy fy fy fy fy fy
medication.
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B. Verify that the client has been taking the medication for 24 hr before obtaininga blood
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specimen.
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C. Ask the client to provide a urine specimen after the next dose of medication.
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D. Administer the medication,and obtain a blood specimen 30 min late fy fy fy fy fy fy fy fy fy
A. Obtain a blood specimen immediately prior to administering the next dose ofmedication.
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RATIONALE: (To verify trough levels of a medication, the nurse should obtain a blood fy fy fy fy fy fy fy fy fy fy fy fy fy
specimenimmediately before administering the next dose of medication.)
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A nurse is preparing a client's medications. Which of the following actions shouldthe nurse take in
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following legal practice guidelines? (Select all that apply.)
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A. Maintain skill competency. fy fy
B. Determine the dosage. fy fy
C. Monitor for adverse effects. fy fy fy
D. Safeguard medications. fy
E. Identify the client's diagnosis fy fy fy
A. Maintain skill competency.
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C. Monitor for adverse effects.
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D. Safeguard medications.
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RATIONALE : (A.maintaining skill competency and using appropriate administration fy fy fy fy fy fy fy fy
techniques are
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,legal responsibilities of the nurse
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C. A nurse is legally responsible for monitoring for side and adverse effects ofmedication
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D. Safeguarding of medications, such as controlled substances, is a legal responsibilityof the
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nurse)
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A nurse reviewing a client's health record notes a new prescription for Lisinopril10 mg PO once
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every day. The nurse should identify this as which of the following types of prescription?
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A. Single
B. Stat
C. Routine
D. Standing
C. Routinefy
RATIONALE: (A routine or standard prescription identifies medications to give on a regular fy fy fy fy fy fy fy fy fy fy fy fy
schedulewith or without a termination date or a specific number of doses. The nurse will
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administer this medication every day until the provider discontinues it.)
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A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting
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for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following
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parts of the prescription with the provider?
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A. Name
B. Dosage
C. Route
D. Frequency
D. Frequency
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RATIONALE : (This prescription does not include the time or frequency of medication fy fy fy fy fy fy fy fy fy fy fy fy
administration.The nurse must clarify this with the prescribing provide)
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A nurse is admitting a client and completing a preassessment before administering medications.
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Which of the following data should the nurse includein the preassessment? (Select all that apply.)
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A. Use of herbal teas fy fy fy
B. Daily fluid intake fy fy
C. Current health status fy fy
D. Previous surgical history fy fy
E. Food allergies fy
A. Use of herbal teas
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C. Current health status
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E. Food allergies
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, RATIONALE : (A. The nurse should inquire about the client's use of herbal products, which fy fy fy fy fy fy fy fy fy fy fy fy fy fy
oftencontain caffeine, prior to medication administration because caffeine can affect
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medication biotransformation
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C. The nurse should review the client's current health status because new prescriptionscan
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cause alterations in current health status
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E. The nurse should inquire about food allergies during the preassessment to identifyany
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potential reactions or interactions)
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A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone
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prescription. Which of the following statements should the nurse identify as an indication that the
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newly licensed nurse understands the process?
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A. "A second nurse enters the prescription into the client's medical record."
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B. "Another nurse should listen to the phone call." fy fy fy fy fy fy fy
C. "The provider can clarify the prescription when he signs the health record."
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D. "I should omit the 'read back' if this is a one-time prescription
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B. "Another nurse should listen to the phone call."
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RATIONALE : (A second nurse should listen to a telephone prescription to prevent errors in fy fy fy fy fy fy fy fy fy fy fy fy fy fy
communication.)
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A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is
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vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuseover 45 min. The drop factor of
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the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how
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many gtt/min? (Round theanswer to the nearest whole number. Do not use a trailing zero.
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22
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A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus.The amount
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available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to
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infuse over 30 min. The nurse should set the IV pump todeliver how many mL/hr? (Round
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the answer to the nearest whole number. Do not use a trailing zero.
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200
A nurse is preparing to administer furosemide 80 mg PO daily. The amountavailable is furosemide
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oral
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solution 10 mg/1 mL. how many mL should the nurse administer? (Round theanswer to the nearest
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whole number. Do not use a trailing zero.)
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8
A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amountavailable is
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haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the
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nearest whole number. Do not use a trailing zero.
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2
A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide equallyevery 12 hr to a
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preschooler who weighs 44 lb. The amount available is amoxicillin suspension 250 mg/5 mL.
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how many mL should the nurse administer
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fy PHARMACOLOGY ATI PROCTORED FINAL EXAM fy fy fy fy
ACTUAL EXAM WITH VERIFIED ANSWERS AND
fy fy fy fy fy fy
RATIONALES /ALREDY GRADED A+ fy fy fy fy
A provider prescribes phenobarbital for a client who has a seizure disorder. Themedication has a
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
long half-life of 4 days. How many times per day should the nurse expect to administer this
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
medication?
fy
A. One
B. Two
C. Three
D. Four
A. One fy
RATIONALE :( Medications with long half-lives remain at their therapeutic levels between fy fy fy fy fy fy fy fy fy fy fy
doses for long periods of time. The nurse should expect to administer this medication once a
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day.)
fy fy
A staff educator is reviewing medication dosages and factors that influence medication metabolism
fy fy fy fy fy fy fy fy fy fy fy fy
with a group of nurses at an in-service presentation.
fy fy fy fy fy fy fy fy fy
Which of the following factors should the educator include as a reason toadminister lower
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
medication dosages? (Select all that apply.)
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A.Increased renal secretion fy fy
B.Increased medication-metabolizing enzymes fy fy
C. Liver failure fy
D. Peripheral vascular disease fy fy
E. Concurrent use of medication the same pathway metabolizes fy fy fy fy fy fy fy
C. Liver failure
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E. Concurrent use of medication the same pathway metabolizes
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RATIONALE :C. Liver failure decreases metabolism and thus increases the concentration of fy fy fy fy fy fy fy fy fy fy fy
amedication. This requires decreasing the dosage.
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E. When the same pathway metabolizes two medications, they compete for metabolism,
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thereby increasing the concentration of one or both medications. This requires decreasing
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the dosage of one or both
fy fy fy fy fy fy
A nurse is preparing to administer eye drops to a client. Which of the followingactions should the
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
nurse take? (Select all that apply.)
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A. Have the client lie on her side. fy fy fy fy fy fy
B. Ask the client to look up at the ceiling. fy fy fy fy fy fy fy fy
C. Tell the client to blink when the drops enter her eye.
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D. Drop the medication into the center of the client's conjunctival sac.
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E. Instruct the client to close her eye gently after instillation fy fy fy fy fy fy fy fy fy
B. Ask the client to look up at the ceiling.
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,D. Drop the medication into the center of the client's conjunctival sac.
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E. Instruct the client to close her eye gently after instillation
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RATIONALE : (B. The client should look upward to keep the drops from falling onto her fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
cornea.
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D. The nurse should drop the medication into the center
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of the conjunctival sac to promote distribution.
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E. The client should close her eye gently to promote distribution of the medication)
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A nurse is completing discharge teaching for a client who has a new prescriptionfor transdermal
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patches. Which of the following statements should the nurse identify as an indication that the client
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understands the instructions?
fy fy fy
A. "I will clean the site with an alcohol swab before I apply the patch."
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B. "I will rotate the application sites weekly."
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C. "I will apply the patch to an area of skin with no hair."
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D. "I will place the new patch on the site of the old patch.
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C. "I will apply the patch to an area of skin with no hair."
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RATIONALE: (The client should apply the patch to a hairless area of skin to promote fy fy fy fy fy fy fy fy fy fy fy fy fy fy
absorption of themedication.)
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A nurse reviewing a client's medical record notes a new prescription for verifyingthe trough level of
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the client's medication. Which of the following actions should the nurse take?
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A. Obtain a blood specimen immediately prior to administering the next dose offy fy fy fy fy fy fy fy fy fy fy
medication.
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B. Verify that the client has been taking the medication for 24 hr before obtaininga blood
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specimen.
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C. Ask the client to provide a urine specimen after the next dose of medication.
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D. Administer the medication,and obtain a blood specimen 30 min late fy fy fy fy fy fy fy fy fy
A. Obtain a blood specimen immediately prior to administering the next dose ofmedication.
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RATIONALE: (To verify trough levels of a medication, the nurse should obtain a blood fy fy fy fy fy fy fy fy fy fy fy fy fy
specimenimmediately before administering the next dose of medication.)
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A nurse is preparing a client's medications. Which of the following actions shouldthe nurse take in
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following legal practice guidelines? (Select all that apply.)
fy fy fy fy fy fy fy fy
A. Maintain skill competency. fy fy
B. Determine the dosage. fy fy
C. Monitor for adverse effects. fy fy fy
D. Safeguard medications. fy
E. Identify the client's diagnosis fy fy fy
A. Maintain skill competency.
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C. Monitor for adverse effects.
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D. Safeguard medications.
fy fy
RATIONALE : (A.maintaining skill competency and using appropriate administration fy fy fy fy fy fy fy fy
techniques are
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,legal responsibilities of the nurse
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C. A nurse is legally responsible for monitoring for side and adverse effects ofmedication
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D. Safeguarding of medications, such as controlled substances, is a legal responsibilityof the
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nurse)
fy
A nurse reviewing a client's health record notes a new prescription for Lisinopril10 mg PO once
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every day. The nurse should identify this as which of the following types of prescription?
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
A. Single
B. Stat
C. Routine
D. Standing
C. Routinefy
RATIONALE: (A routine or standard prescription identifies medications to give on a regular fy fy fy fy fy fy fy fy fy fy fy fy
schedulewith or without a termination date or a specific number of doses. The nurse will
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administer this medication every day until the provider discontinues it.)
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A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
parts of the prescription with the provider?
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A. Name
B. Dosage
C. Route
D. Frequency
D. Frequency
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RATIONALE : (This prescription does not include the time or frequency of medication fy fy fy fy fy fy fy fy fy fy fy fy
administration.The nurse must clarify this with the prescribing provide)
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A nurse is admitting a client and completing a preassessment before administering medications.
fy fy fy fy fy fy fy fy fy fy fy fy
Which of the following data should the nurse includein the preassessment? (Select all that apply.)
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A. Use of herbal teas fy fy fy
B. Daily fluid intake fy fy
C. Current health status fy fy
D. Previous surgical history fy fy
E. Food allergies fy
A. Use of herbal teas
fy fy fy fy
C. Current health status
fy fy fy
E. Food allergies
fy fy
, RATIONALE : (A. The nurse should inquire about the client's use of herbal products, which fy fy fy fy fy fy fy fy fy fy fy fy fy fy
oftencontain caffeine, prior to medication administration because caffeine can affect
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medication biotransformation
fy fy
C. The nurse should review the client's current health status because new prescriptionscan
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cause alterations in current health status
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E. The nurse should inquire about food allergies during the preassessment to identifyany
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potential reactions or interactions)
fy fy fy fy
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
prescription. Which of the following statements should the nurse identify as an indication that the
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
newly licensed nurse understands the process?
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A. "A second nurse enters the prescription into the client's medical record."
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B. "Another nurse should listen to the phone call." fy fy fy fy fy fy fy
C. "The provider can clarify the prescription when he signs the health record."
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D. "I should omit the 'read back' if this is a one-time prescription
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B. "Another nurse should listen to the phone call."
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RATIONALE : (A second nurse should listen to a telephone prescription to prevent errors in fy fy fy fy fy fy fy fy fy fy fy fy fy fy
communication.)
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A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is
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vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuseover 45 min. The drop factor of
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the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how
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many gtt/min? (Round theanswer to the nearest whole number. Do not use a trailing zero.
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22
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A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus.The amount
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available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to
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infuse over 30 min. The nurse should set the IV pump todeliver how many mL/hr? (Round
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the answer to the nearest whole number. Do not use a trailing zero.
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200
A nurse is preparing to administer furosemide 80 mg PO daily. The amountavailable is furosemide
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oral
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solution 10 mg/1 mL. how many mL should the nurse administer? (Round theanswer to the nearest
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whole number. Do not use a trailing zero.)
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8
A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amountavailable is
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haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the
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nearest whole number. Do not use a trailing zero.
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2
A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide equallyevery 12 hr to a
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preschooler who weighs 44 lb. The amount available is amoxicillin suspension 250 mg/5 mL.
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how many mL should the nurse administer
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