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PN Pharmacology Online Practice 2023 B EXAM ACTUAL
EXAM ALL 300 QUESTIONS and CORRECT ANSWERS
LATEST UPDATE THIS YEAR
QUESTION: A nurse is assisting in the care of an older adult client in a skilled nursing facility.
H&P
Day 1:
Client admitted from home 5 days ago to memory care unit. Client has been cared for by their
spouse who is no longer able to care for the client's daily needs.
Diagnoses:
• Alzheimer's disease (severe)
• COPD
• Benign prostatic hyperplasia (BPH)
Provider Prescriptions
Day 1:
Ipratropium inhaler 2 puffs 4 times daily
Albuterol inhaler 1 to 2 puffs every 4 hr PRN
Vitamin C (ascorbic acid) 250 mg PO daily
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Day 3:
New prescriptions:
Oxybutynin 5 mg PO 3 times daily - ANSWER-Which of the following complications is the client
at risk for developing? (Select all that apply.)
a. Diarrhea
b. Dry mouth
c. Photophobia
d. Excessive sweating
e. Tachycardia
f. Blurred vision
g. Sedation
Answer:
b. Dry mouth
c. Photophobia
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e. Tachycardia
f. Blurred vision
g. Sedation
When analyzing cues, the nurse should recognize that the client is at risk for developing dry
mouth, photophobia, tachycardia, and blurred vision due to the anticholinergic effects of
ipratropium and oxybutynin, which are intensified when combined. Caregivers of older adults
who take anticholinergic medications should carefully consider risks versus benefits as they
might have an added adverse effect of sedation.
QUESTION: A nurse on a medical-surgical unit is assisting in the care of a client who is
postoperative following left knee arthroplasty.
Vital Signs
Postoperative day 2, 0015:
Temperature 37.2°C (99° F)
Heart rate 84/min
Respiratory rate 20/min
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Blood pressure 133/54 mmHg
Oxygen saturation 98% on room air
0730:
Temperature 38.4°C (101.1° F)
Heart rate 94/min
Respiratory rate 24/min
Blood pressure 123/54 mmHg
Oxygen saturation 96% on room air
Provider Prescriptions
Postoperative day 2, 0840:
Culture and sensitivity of incisional wound
Irrigate wound with normal saline
Pack open areas of incision with moistened gauze
CBC
Basic metabolic profile
Ciprofloxacin 400 mg IV every 12 hr
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PN Pharmacology Online Practice 2023 B EXAM ACTUAL
EXAM ALL 300 QUESTIONS and CORRECT ANSWERS
LATEST UPDATE THIS YEAR
QUESTION: A nurse is assisting in the care of an older adult client in a skilled nursing facility.
H&P
Day 1:
Client admitted from home 5 days ago to memory care unit. Client has been cared for by their
spouse who is no longer able to care for the client's daily needs.
Diagnoses:
• Alzheimer's disease (severe)
• COPD
• Benign prostatic hyperplasia (BPH)
Provider Prescriptions
Day 1:
Ipratropium inhaler 2 puffs 4 times daily
Albuterol inhaler 1 to 2 puffs every 4 hr PRN
Vitamin C (ascorbic acid) 250 mg PO daily
1
, Page 2 of 134
Day 3:
New prescriptions:
Oxybutynin 5 mg PO 3 times daily - ANSWER-Which of the following complications is the client
at risk for developing? (Select all that apply.)
a. Diarrhea
b. Dry mouth
c. Photophobia
d. Excessive sweating
e. Tachycardia
f. Blurred vision
g. Sedation
Answer:
b. Dry mouth
c. Photophobia
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e. Tachycardia
f. Blurred vision
g. Sedation
When analyzing cues, the nurse should recognize that the client is at risk for developing dry
mouth, photophobia, tachycardia, and blurred vision due to the anticholinergic effects of
ipratropium and oxybutynin, which are intensified when combined. Caregivers of older adults
who take anticholinergic medications should carefully consider risks versus benefits as they
might have an added adverse effect of sedation.
QUESTION: A nurse on a medical-surgical unit is assisting in the care of a client who is
postoperative following left knee arthroplasty.
Vital Signs
Postoperative day 2, 0015:
Temperature 37.2°C (99° F)
Heart rate 84/min
Respiratory rate 20/min
3
, Page 4 of 134
Blood pressure 133/54 mmHg
Oxygen saturation 98% on room air
0730:
Temperature 38.4°C (101.1° F)
Heart rate 94/min
Respiratory rate 24/min
Blood pressure 123/54 mmHg
Oxygen saturation 96% on room air
Provider Prescriptions
Postoperative day 2, 0840:
Culture and sensitivity of incisional wound
Irrigate wound with normal saline
Pack open areas of incision with moistened gauze
CBC
Basic metabolic profile
Ciprofloxacin 400 mg IV every 12 hr
4
