Page 1 of 138
PN Pharmacology Online Practice 2023 B
(2 VERSIONS) COMPLETE NEWEST 250
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
PN Pharmacology Online Practice 2023 B
QUESTION: A nurse is assisting with collecting data for a client who is in preterm labor and is
receiving magnesium sulfate via continuous IV infusion. Which of the following findings should
the nurse identify as an indication of magnesium toxicity?
a. Urinary output 60 mL/hr
b. Hyporeflexia
c. Respiratory rate 16/min
d. Tachycardia - ANSWER-b. Hyporeflexia
Magnesium sulfate depresses neuromuscular activity, causing muscle weakness and paralysis.
Therefore, the nurse should identify hyporeflexia as an indication of magnesium toxicity and
report it to the charge nurse.
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, Page 2 of 138
QUESTION: A nurse is collecting data from a female client who has been taking propylthiouracil
(PTU) for 2 months to treat Graves' disease. Which of the following findings should the nurse
recognize as an indication that the medication is effective?
a. Weight loss
b. Pulse 82/min
c. Respiratory rate 22/min
d. Decreased menstrual flow - ANSWER-b. Pulse 82/min
Tachycardia is a manifestation of hyperthyroidism. The nurse should identify that a pulse of
82/min is within the expected reference range of 60 to 100/min, indicating that the medication
is effective.
QUESTION: A nurse is reinforcing teaching with a client who has a new prescription for Vitamin
B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the
nurse include in the teaching?
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, Page 3 of 138
a. "Take this medication once per day."
b. "Drink a hot liquid after administering the medication."
c. "Massage your nose gently after medication administration."
d. "Store this medication in the refrigerator." - ANSWER-c. "Massage your nose gently after
medication administration."
The nurse should instruct the client to massage their nose gently to increase absorption of the
medication.
A nurse is caring for a male client in an outpatient psychiatric clinic.
Nurses' Notes
1200:
Client diagnosed w/schizophrenia 5 yrs ago. Client was hospitalized w/severe psychosis for 3
months last year, however, has been stable for past 6 months. Client lives w/parents & reports
working part-time as mail clerk.
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, Page 4 of 138
Reports negative & positive manifestations are extremely diminished & states, "My mood has
been good. I feel really steady these days, but I just hate having to take pills every day."
1500:
Reinforced teaching w/the client regarding prescription change. Administered injection as
prescribed.
Provider Prescriptions
1230:
Discontinue paliperidone 12 mg PO daily
Paliperidone palmitate 234 mg IM today
Paliperidone palmitate 156 mg IM in 1 wk then repeat every 28 days
Diagnostic Results
1515:
WBC 7500/mm3 (5000 to 10,000/mm3)
Eosinophils 0.1% (1 to 4%)
HbA1c 5.7% (4 to 5.9%)
4
PN Pharmacology Online Practice 2023 B
(2 VERSIONS) COMPLETE NEWEST 250
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
PN Pharmacology Online Practice 2023 B
QUESTION: A nurse is assisting with collecting data for a client who is in preterm labor and is
receiving magnesium sulfate via continuous IV infusion. Which of the following findings should
the nurse identify as an indication of magnesium toxicity?
a. Urinary output 60 mL/hr
b. Hyporeflexia
c. Respiratory rate 16/min
d. Tachycardia - ANSWER-b. Hyporeflexia
Magnesium sulfate depresses neuromuscular activity, causing muscle weakness and paralysis.
Therefore, the nurse should identify hyporeflexia as an indication of magnesium toxicity and
report it to the charge nurse.
1
, Page 2 of 138
QUESTION: A nurse is collecting data from a female client who has been taking propylthiouracil
(PTU) for 2 months to treat Graves' disease. Which of the following findings should the nurse
recognize as an indication that the medication is effective?
a. Weight loss
b. Pulse 82/min
c. Respiratory rate 22/min
d. Decreased menstrual flow - ANSWER-b. Pulse 82/min
Tachycardia is a manifestation of hyperthyroidism. The nurse should identify that a pulse of
82/min is within the expected reference range of 60 to 100/min, indicating that the medication
is effective.
QUESTION: A nurse is reinforcing teaching with a client who has a new prescription for Vitamin
B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the
nurse include in the teaching?
2
, Page 3 of 138
a. "Take this medication once per day."
b. "Drink a hot liquid after administering the medication."
c. "Massage your nose gently after medication administration."
d. "Store this medication in the refrigerator." - ANSWER-c. "Massage your nose gently after
medication administration."
The nurse should instruct the client to massage their nose gently to increase absorption of the
medication.
A nurse is caring for a male client in an outpatient psychiatric clinic.
Nurses' Notes
1200:
Client diagnosed w/schizophrenia 5 yrs ago. Client was hospitalized w/severe psychosis for 3
months last year, however, has been stable for past 6 months. Client lives w/parents & reports
working part-time as mail clerk.
3
, Page 4 of 138
Reports negative & positive manifestations are extremely diminished & states, "My mood has
been good. I feel really steady these days, but I just hate having to take pills every day."
1500:
Reinforced teaching w/the client regarding prescription change. Administered injection as
prescribed.
Provider Prescriptions
1230:
Discontinue paliperidone 12 mg PO daily
Paliperidone palmitate 234 mg IM today
Paliperidone palmitate 156 mg IM in 1 wk then repeat every 28 days
Diagnostic Results
1515:
WBC 7500/mm3 (5000 to 10,000/mm3)
Eosinophils 0.1% (1 to 4%)
HbA1c 5.7% (4 to 5.9%)
4
