PN VATI PHARM EXAM WITH CORRECT
ANSWERS 2025
A nurse is assisting with the care of a client who has myasthenia
gravis and is a cholinergic crisis. Which of the following medications
experiencing
should the nurse
expect RN to administer? ( Correct answers )
Atropine
A cholinergic crisis is the result of too much cholinesterase inhibitor
medication
causes manifestations
which of excessive muscarinic stimulation such as muscle
bradycardia, vomiting, and paralysis. Atropine is a muscarinic
weakness,
antagonist that
administered IV is
to reverse anticholinergic effects. The nurse might need to
assist with
respiratory support to provide adequate oxygenation to the client until
resolve
manifestations
.
A nurse is reinforcing teaching with a client about a new prescription for
oral bisacodyl.
Which of the following instructions should the nurse provide the
client? ( Correct
answers ) "Long term use of this medication can cause
dependence.
The nurse shouid irstruct the client that bisacodyl ns a stimulant laxatve
which,
used when
chronicaly, can cause dependence The dient should use it for
temporary
acute constipation
relief of in the smallest possible dosage not routinely or in
large doses
ensure daly to
bowel movements. Chronic use of laxatives can cause
dependencethe
decreasing by clients defecation refiex, necessitating continued use of the
laxative
have to
a bowel movement. The ourse should instruct the dient about the
importance
regular eerce of consumption of foods containing fiber, and increasing
fluid intake
mantain to
healthy
bowelhabits
A nurse is reinforcing teaching with a client who has a prescription for
rosuvastatin
treat high cholesterol
to levels. For which of the following adverse effects
should the
instruct thenurse
client to monitor and report to the provider immediately?
( Correct answers )
Muscle
weakness
When using the urgent vs. nonurgent approach to client care, the
nurse should
determine that the priority finding to report is muscle weakness (myalgia) or
because it can be a manifestation of rhabdomyolysis, a rare but potentially
tenderness
fatal adverse
effect of HMG-COA reductase inhibitor (statin) therapy.
Rhabdomyolysis
disintegration of is a
muscle tissue that causes elevations in creatine kinase,
potentially
impairing renal
function.
, A nurse is collecting data from a client who is taking lithium to treat bipolar
disorder
has a lithium
and level of 2.4 mEg/L. The nurse should identify which of
the following
findings as indicating lithium toxicity? ( Correct answers )
Slured speech
Manifestations of lithium toxicity, which occurs at blood levels greater
than2 mEg
indude slurred
canspeech tinnitus, blurry vision, ataxla stupor, and
myodonic twitching
A nurse is collecting data from a client who has heart failure should the
nurse
the withhold
dose and notify the provider? and is scheduled to receive a dose of
digoxin.
which of For
the following findings ( Correct answers ) Heart
rate 50/min
Prior to giving digoxin, the nurse should monitor the client's apical pulse for
1 min.rate
heart If theis slower than 60/min or if the nurse notes any changes in the
heart rhythm
quality of the orpulsation the nurse should withhold the medication and
inform the
provide
r.
A nurse is reinforcing teaching with a client who has a new prescription for
client
insulin.isThe
taking propranolol. The nurse should teach the client to monitor for
which of the
following findings as a manifestation of hypoglycemia? ( Correct answers
) Hunger
Propranolol blocks the beta receptors, which suppresses the typical
early signs of such as tachycardia, sweating and tremors. The nurse
hypoglycemia,
should who
dients instruct
have diabetes melitus and take propranolol to recognize
indications of hypogycemia, such as hunger and
alternative
fatigue
A nurse is caring for a client who has bipolar disorder and a new prescription
for lithium.
Which of the following laboratory values should the nurse plan to monitor
for potential
adverse effects? ( Correct answers )
Sodium
The nurse should monitor the cient's sodium level while the cient is taking
lithium.
the clent'sWhen sodium level is low, the kidneys retain lithium which can
cause toxicity
because polyuria is an adverse effect of lithium in 50% to 70% of
clients treated.is a significant risk. The nurse should reinforce teaching
Hyponatremia
with the
about eating
clientconsistent amounts of sodium and drinking 2 to 3 L of fluid
daily to help
prevent lithuim
toxicity
A nurse is monitoring a client who received a titration of naloxone IV 30 min
ago.
of theWhich
following findings should the nurse expect? ( Correct answers )
Increased pain
The nurse should identify that naloxone, an opioid antagonist, is
administered IV, or
subcutaneously, IM,by the intranasal route for a client who is
experiencing
manifestations of opioid toxicity. Naloxone will reverse opioid analgesia, thus
the client's pain. Therefore, the nurse should monitor the client for increased
increasing
pain levels
after administration of naloxone. The client might require additional doses
of naloxone
to reverse respiratory depression and
sedation.
ANSWERS 2025
A nurse is assisting with the care of a client who has myasthenia
gravis and is a cholinergic crisis. Which of the following medications
experiencing
should the nurse
expect RN to administer? ( Correct answers )
Atropine
A cholinergic crisis is the result of too much cholinesterase inhibitor
medication
causes manifestations
which of excessive muscarinic stimulation such as muscle
bradycardia, vomiting, and paralysis. Atropine is a muscarinic
weakness,
antagonist that
administered IV is
to reverse anticholinergic effects. The nurse might need to
assist with
respiratory support to provide adequate oxygenation to the client until
resolve
manifestations
.
A nurse is reinforcing teaching with a client about a new prescription for
oral bisacodyl.
Which of the following instructions should the nurse provide the
client? ( Correct
answers ) "Long term use of this medication can cause
dependence.
The nurse shouid irstruct the client that bisacodyl ns a stimulant laxatve
which,
used when
chronicaly, can cause dependence The dient should use it for
temporary
acute constipation
relief of in the smallest possible dosage not routinely or in
large doses
ensure daly to
bowel movements. Chronic use of laxatives can cause
dependencethe
decreasing by clients defecation refiex, necessitating continued use of the
laxative
have to
a bowel movement. The ourse should instruct the dient about the
importance
regular eerce of consumption of foods containing fiber, and increasing
fluid intake
mantain to
healthy
bowelhabits
A nurse is reinforcing teaching with a client who has a prescription for
rosuvastatin
treat high cholesterol
to levels. For which of the following adverse effects
should the
instruct thenurse
client to monitor and report to the provider immediately?
( Correct answers )
Muscle
weakness
When using the urgent vs. nonurgent approach to client care, the
nurse should
determine that the priority finding to report is muscle weakness (myalgia) or
because it can be a manifestation of rhabdomyolysis, a rare but potentially
tenderness
fatal adverse
effect of HMG-COA reductase inhibitor (statin) therapy.
Rhabdomyolysis
disintegration of is a
muscle tissue that causes elevations in creatine kinase,
potentially
impairing renal
function.
, A nurse is collecting data from a client who is taking lithium to treat bipolar
disorder
has a lithium
and level of 2.4 mEg/L. The nurse should identify which of
the following
findings as indicating lithium toxicity? ( Correct answers )
Slured speech
Manifestations of lithium toxicity, which occurs at blood levels greater
than2 mEg
indude slurred
canspeech tinnitus, blurry vision, ataxla stupor, and
myodonic twitching
A nurse is collecting data from a client who has heart failure should the
nurse
the withhold
dose and notify the provider? and is scheduled to receive a dose of
digoxin.
which of For
the following findings ( Correct answers ) Heart
rate 50/min
Prior to giving digoxin, the nurse should monitor the client's apical pulse for
1 min.rate
heart If theis slower than 60/min or if the nurse notes any changes in the
heart rhythm
quality of the orpulsation the nurse should withhold the medication and
inform the
provide
r.
A nurse is reinforcing teaching with a client who has a new prescription for
client
insulin.isThe
taking propranolol. The nurse should teach the client to monitor for
which of the
following findings as a manifestation of hypoglycemia? ( Correct answers
) Hunger
Propranolol blocks the beta receptors, which suppresses the typical
early signs of such as tachycardia, sweating and tremors. The nurse
hypoglycemia,
should who
dients instruct
have diabetes melitus and take propranolol to recognize
indications of hypogycemia, such as hunger and
alternative
fatigue
A nurse is caring for a client who has bipolar disorder and a new prescription
for lithium.
Which of the following laboratory values should the nurse plan to monitor
for potential
adverse effects? ( Correct answers )
Sodium
The nurse should monitor the cient's sodium level while the cient is taking
lithium.
the clent'sWhen sodium level is low, the kidneys retain lithium which can
cause toxicity
because polyuria is an adverse effect of lithium in 50% to 70% of
clients treated.is a significant risk. The nurse should reinforce teaching
Hyponatremia
with the
about eating
clientconsistent amounts of sodium and drinking 2 to 3 L of fluid
daily to help
prevent lithuim
toxicity
A nurse is monitoring a client who received a titration of naloxone IV 30 min
ago.
of theWhich
following findings should the nurse expect? ( Correct answers )
Increased pain
The nurse should identify that naloxone, an opioid antagonist, is
administered IV, or
subcutaneously, IM,by the intranasal route for a client who is
experiencing
manifestations of opioid toxicity. Naloxone will reverse opioid analgesia, thus
the client's pain. Therefore, the nurse should monitor the client for increased
increasing
pain levels
after administration of naloxone. The client might require additional doses
of naloxone
to reverse respiratory depression and
sedation.
