CAPSTONE PHARM PRE-ASSESSMENT 2024
LATEST QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES|ALREADY
GRADED A+.
Disulfiram is taken by a client daily for abstinence maintenance. What is an adverse
effect of this therapy?
1) Hepatoxicity
2) Wernicke's aphasia
3) Suicidal ideations
4) Diarrhea - ANSWER- 1) Hepatoxicity
RATIONALE: Hepatoxicity is an adverse effect of disulfiram
A nurse is caring for a client who has diabetes and a new prescription for 14 units of
regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is
the total number of units of insulin that the nurse should prepare in the insulin syringe?
1) 14 units
2) 28 units
3) 32 units
4) 42 units - ANSWER- 4) 42 units
RATIONALE: Each order of for units of insulin is combined in the same syringe. The
nurse should withdrawal the regular insulin into the syringe first
,Before administering blood products, which action should be taken?
1) Assess the client's temperature
2) Document client response
3) Prime IV tubing with 0.45% sodium chloride
4) Administer epinephrine - ANSWER- 1) Assess the client's temperature
RATIONALE: Assess the client's vital signs, obtain consent for the procedure and
ensure compatibility. Prime the IV tubing with 0.9% sodium chloride. The nurse would
not document client response or administer epinephrine prior to starting the transfusion
A nurse is caring for a client prescribed HMG CoA reductase inhibitor, atorvastatin.
Which of the following should be monitored while this medication is prescribed?
1) Liver function tests
2) Renal function tests
3) Visual acuity screening
3) Hearing screenings - ANSWER- 1) Liver function tests
RATIONALE: Statins (HMG CoA reductase inhibitors) like atorvastatin can cause
hepatotoxicity. Prior to initiating therapy the client's baseline liver function should be
determined then liver function tests should be checked after 12 weeks of therapy and
then every 6 months. The nurse should advise the client to observe for symptoms of
,liver dysfunction (anorexia, vomiting, nausea, jaundice) and to notify the provider if
these occur
A nurse is caring for a client receiving a dopamine infusion via a peripheral IV. Which of
the following actions should the nurse take if the IV site appears infiltrated?
1) Slow the infusion and continue to monitor the site
2) Stop the infusion
3) Apply a warm compress to the site
4) Apply a cold compress to the site - ANSWER- 2) Stop the infusion
RATIONALE: If infiltration is suspected, the infusion should be stopped. Necrosis can
occur from extravasation of high doses of dopamine. Extravasation can be treated with
local injection of an alpha-adrenergic blocking agent, such as phentolamine
A nurse is reinforcing discharge teaching with a client who has undergone a
transurethral resection of the prostate (TURP). Which of the following statements should
the nurse include in the teaching? - ANSWER- "Increase fluid intake if urine becomes
blood tinged"
Rationale: The nurse should reinforce that strenous activity, straining to have a bowel
movement, and coughing may cause the urine to become blood tinged. If this should
occur, the client should be instructed to stop the activity, rest, and increase fluid intake.
, If urine becomes increasingly blood tinged or does not clear, or the client has difficulty
voiding, he should be instructed to notify the provider.
A nurse is caring for a client who is suspected to have active laryngeal tuberculosis
(TB). Which of the following actions should the nurse plan to take to safely care for this
client? - ANSWER- Place the client in a private room with a special ventilation system
Rationale: Clients suspected to have active laryngeal tuberculosis are placed in private
rooms with negative-pressure airflow via HEPA filtration systems. Negative pressure
pulls air away from the hallway and exhausts it out of the room to areas away from the
intake vents.
A nurse is reinforcing teaching with a client who has a family history of hypertension.
The nurse should inform the client that his blood pressure reading of 124/84 mm Hg
places him in which of the following categories? - ANSWER- Prehypertension
Rationale: a blood pressure reading of 124/84 mm Hg places this client in the
prehypertension category. This includes a systolic pressure of 120-130 mm Hg and
diastolic pressure of 80-89 mm Hg
A nurse is caring for a child who is experiencing an acute asthma attack. Which of the
following medications should the nurse administer first? - ANSWER- Albuterol
LATEST QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES|ALREADY
GRADED A+.
Disulfiram is taken by a client daily for abstinence maintenance. What is an adverse
effect of this therapy?
1) Hepatoxicity
2) Wernicke's aphasia
3) Suicidal ideations
4) Diarrhea - ANSWER- 1) Hepatoxicity
RATIONALE: Hepatoxicity is an adverse effect of disulfiram
A nurse is caring for a client who has diabetes and a new prescription for 14 units of
regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is
the total number of units of insulin that the nurse should prepare in the insulin syringe?
1) 14 units
2) 28 units
3) 32 units
4) 42 units - ANSWER- 4) 42 units
RATIONALE: Each order of for units of insulin is combined in the same syringe. The
nurse should withdrawal the regular insulin into the syringe first
,Before administering blood products, which action should be taken?
1) Assess the client's temperature
2) Document client response
3) Prime IV tubing with 0.45% sodium chloride
4) Administer epinephrine - ANSWER- 1) Assess the client's temperature
RATIONALE: Assess the client's vital signs, obtain consent for the procedure and
ensure compatibility. Prime the IV tubing with 0.9% sodium chloride. The nurse would
not document client response or administer epinephrine prior to starting the transfusion
A nurse is caring for a client prescribed HMG CoA reductase inhibitor, atorvastatin.
Which of the following should be monitored while this medication is prescribed?
1) Liver function tests
2) Renal function tests
3) Visual acuity screening
3) Hearing screenings - ANSWER- 1) Liver function tests
RATIONALE: Statins (HMG CoA reductase inhibitors) like atorvastatin can cause
hepatotoxicity. Prior to initiating therapy the client's baseline liver function should be
determined then liver function tests should be checked after 12 weeks of therapy and
then every 6 months. The nurse should advise the client to observe for symptoms of
,liver dysfunction (anorexia, vomiting, nausea, jaundice) and to notify the provider if
these occur
A nurse is caring for a client receiving a dopamine infusion via a peripheral IV. Which of
the following actions should the nurse take if the IV site appears infiltrated?
1) Slow the infusion and continue to monitor the site
2) Stop the infusion
3) Apply a warm compress to the site
4) Apply a cold compress to the site - ANSWER- 2) Stop the infusion
RATIONALE: If infiltration is suspected, the infusion should be stopped. Necrosis can
occur from extravasation of high doses of dopamine. Extravasation can be treated with
local injection of an alpha-adrenergic blocking agent, such as phentolamine
A nurse is reinforcing discharge teaching with a client who has undergone a
transurethral resection of the prostate (TURP). Which of the following statements should
the nurse include in the teaching? - ANSWER- "Increase fluid intake if urine becomes
blood tinged"
Rationale: The nurse should reinforce that strenous activity, straining to have a bowel
movement, and coughing may cause the urine to become blood tinged. If this should
occur, the client should be instructed to stop the activity, rest, and increase fluid intake.
, If urine becomes increasingly blood tinged or does not clear, or the client has difficulty
voiding, he should be instructed to notify the provider.
A nurse is caring for a client who is suspected to have active laryngeal tuberculosis
(TB). Which of the following actions should the nurse plan to take to safely care for this
client? - ANSWER- Place the client in a private room with a special ventilation system
Rationale: Clients suspected to have active laryngeal tuberculosis are placed in private
rooms with negative-pressure airflow via HEPA filtration systems. Negative pressure
pulls air away from the hallway and exhausts it out of the room to areas away from the
intake vents.
A nurse is reinforcing teaching with a client who has a family history of hypertension.
The nurse should inform the client that his blood pressure reading of 124/84 mm Hg
places him in which of the following categories? - ANSWER- Prehypertension
Rationale: a blood pressure reading of 124/84 mm Hg places this client in the
prehypertension category. This includes a systolic pressure of 120-130 mm Hg and
diastolic pressure of 80-89 mm Hg
A nurse is caring for a child who is experiencing an acute asthma attack. Which of the
following medications should the nurse administer first? - ANSWER- Albuterol
