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PN PHARMACOLOGY ONLINE PRACTICE 2023
A COMPLETE NEWEST 100 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS
YEAR
A nurse is planning to reinforce teaching about newborn immunizations with a client who is
24 hr postpartum. Which of the following information should the nurse plan to include?
"Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next dose at age 1 to
2 months.
A client comes to an urgent care clinic and announces with great enthusiasm, "I am an expert
at all things medical as they apply to me, and I require zolpidem." The client's pupils are
dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect
intoxication with which of the following substances?
Cocaine
The client who has cocaine toxicity typically has tachycardia, elevated blood pressure, dilated
pupils, and displays delusions. This client's behavior and physiological data indicate cocaine
intoxication.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8
hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the
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manual IV infusion is set to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
31 gtt/min
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of
the following client responses indicates to the nurse an understanding of the teaching?
"I will take the medication with 8 ounces of water."
The client should take alendronate on an empty stomach with 240 mL (8 oz) of water to ensure
it does not lodge in the esophagus, which can result in esophageal ulcerations.
A nurse is monitoring a client who has been receiving long-term hydrochlorothiazide therapy
for recurring episodes of heart failure. Which of the following findings should the nurse
identify as an adverse effect of this medication?
Hypokalemia
Hydrochlorothiazide is a thiazide diuretic that can cause hypokalemia due to excessive
potassium excretion in the urine.
A nurse is performing the third check before administering hydromorphone to a client. After
opening the unit-dose packet, the client tells the nurse they do not want to take the
medication now. Which of the following actions should the nurse take?
Dispose of the medication with a second nurse as a witness.
The nurse is legally required to have a witness when disposing of a controlled substance.
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A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat
hypertension. Which of the following conditions should the nurse include as a
contraindication for this medication?
Bradycardia
Metoprolol is a beta blocker that slows the conduction through the AV node. Therefore, it is
contraindicated for clients who have bradycardia, or a heart rate that is consistently less than
60/min.
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which
of the following adverse reactions is the priority finding to report to the provider?
Respiratory depression
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is respiratory depression, which can indicate the client is experiencing
acetaldehyde syndrome, a life-threatening event.
A nurse is reinforcing teaching about immunizations with a client who is pregnant. Which of
the following vaccines should the nurse include in the teaching as safe to administer during
pregnancy?
Tetanus and diphtheria (Td)
The nurse should include that either the Td vaccine or the tetanus, diphtheria, and pertussis
(Tdap) vaccine is safe for administration during pregnancy. Tdap is the preferred vaccine.
3
PN PHARMACOLOGY ONLINE PRACTICE 2023
A COMPLETE NEWEST 100 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS
YEAR
A nurse is planning to reinforce teaching about newborn immunizations with a client who is
24 hr postpartum. Which of the following information should the nurse plan to include?
"Your baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with the next dose at age 1 to
2 months.
A client comes to an urgent care clinic and announces with great enthusiasm, "I am an expert
at all things medical as they apply to me, and I require zolpidem." The client's pupils are
dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect
intoxication with which of the following substances?
Cocaine
The client who has cocaine toxicity typically has tachycardia, elevated blood pressure, dilated
pupils, and displays delusions. This client's behavior and physiological data indicate cocaine
intoxication.
A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8
hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the
1
, Page 2 of 29
manual IV infusion is set to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
31 gtt/min
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of
the following client responses indicates to the nurse an understanding of the teaching?
"I will take the medication with 8 ounces of water."
The client should take alendronate on an empty stomach with 240 mL (8 oz) of water to ensure
it does not lodge in the esophagus, which can result in esophageal ulcerations.
A nurse is monitoring a client who has been receiving long-term hydrochlorothiazide therapy
for recurring episodes of heart failure. Which of the following findings should the nurse
identify as an adverse effect of this medication?
Hypokalemia
Hydrochlorothiazide is a thiazide diuretic that can cause hypokalemia due to excessive
potassium excretion in the urine.
A nurse is performing the third check before administering hydromorphone to a client. After
opening the unit-dose packet, the client tells the nurse they do not want to take the
medication now. Which of the following actions should the nurse take?
Dispose of the medication with a second nurse as a witness.
The nurse is legally required to have a witness when disposing of a controlled substance.
2
, Page 3 of 29
A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat
hypertension. Which of the following conditions should the nurse include as a
contraindication for this medication?
Bradycardia
Metoprolol is a beta blocker that slows the conduction through the AV node. Therefore, it is
contraindicated for clients who have bradycardia, or a heart rate that is consistently less than
60/min.
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which
of the following adverse reactions is the priority finding to report to the provider?
Respiratory depression
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is respiratory depression, which can indicate the client is experiencing
acetaldehyde syndrome, a life-threatening event.
A nurse is reinforcing teaching about immunizations with a client who is pregnant. Which of
the following vaccines should the nurse include in the teaching as safe to administer during
pregnancy?
Tetanus and diphtheria (Td)
The nurse should include that either the Td vaccine or the tetanus, diphtheria, and pertussis
(Tdap) vaccine is safe for administration during pregnancy. Tdap is the preferred vaccine.
3
