NLN NYP PHARM EXAM-70 QUESTIONS AND ANSWERS

A nurse is preparing to administer buspirone (BuSpar) to a client. The nurse should recognize that the medication is classified as a • Antidepressant • Anti-anxiety agent • Antiseizure medication • Antipsychotic b. Anti-anxiety agent A nurse should monitor a client who is receiving cefotaxime sodium (Claforan) for side effects, which include • Diarrhea • Vertigo • Tinnitus • Insomnia a. Diarrhea Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen A nurse on the postpartum unit is preparing to administer Rh-immune globulin (RhoGAM). The nurse should recognize that this medication is indicated for which of these clients? • Rh-neg mother who has an Rh-neg infant • Rh-neg mother who has an Rh-pos infant • Rh-pos mother who has an Rh-pos infant • Rh-pos mother who has an Rh-neg infant b. Rh-neg mother who has an Rh-pos infant A client is to start on nitroglycerin for acute angina attacks. A nurse should teach the client to • Wait five minutes before taking the medication, if experiencing pain • Discontinue the medication if the client experiences a headache • Take a second dose ten minutes after the first does, if no relief is felt after the initial dose • Allow the medication to dissolve under the tongue d. Allow the medication to dissolve under the tongue Prior to the administration of potassium chloride (K-lor) intravenously, a nurse should measure a client's • Blood pressure • Respiratory rate • Pulse deficit • Urine output d. Urine output A nurse should recognize that enoxaparin (Lovenox) is CONTRAINDICATED in a client who has a history of • Congestive health failure • Kidney stones • Bleeding disorder • Asthma c. Bleeding disorder A nurse should question an anti-hyperlipidemic medication for which of these client? • a 30-year-old client who has a history of heart disease • a 44-year-old client who has recurrent urinary tract infections • a 57-yaer-old client who has cirrhosis related to alcohol abuse • a 79-year-old client who has bilateral cataracts c. a 57-yaer-old client who has cirrhosis related to alcohol abuse Which of these methods should a nurse use when performing a purified protein derivative (PPD) test for TB? • Point the bevel of the needle downward • Massage the area after the injection • Ensure the wheel forms • Use a 22 gauge, one-inch needle c. Ensure the wheel forms A nurse should teach a client who is receiving methylprednisolone sodium succinate (Solu-Medrol) to report adverse effects which include • Sort throat • Fatigue • Diarrhea • Weight loss a. Sort throat A nurse should administer a client's prescribed theophylline (Slo-Bid) • On a pm basis • On an empty stomach • With antiacids • Every 4 hours b. On an empty stomach Which of these statements, if made by a client who is receiving warfarin sodium (Coumadin), should indicate to a nurse that the client has a correct understanding of the medication instructions? • I will shave with an electric razor. • I will increase my intake of green vegetables. • I will use unwaxed dental floss twice daily. • I will decrease my daily dose if I feel fatigued. a. I will shave with an electric razor. A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied in a vial that contains 300 mg/2 mL. How many milliters should a nurse administer to the client? (single answer) • 0.6 • 0.75 • 1.3 • 1.5 c. 1.3 A client who is receiving bethanechol chloride (Urecholine) develops a cholinergic crisis. Which of these medications should the nurse have available? • Atropine sulfate (Isopto Atropine) • Epinephrine hydrochloride (Adrenalin chloride) • Diphenhydramine hydrochloride (Benadryl) • Acetaminophen (Tylenol) a. Atropine sulfate (Isopto Atropine) A client is to receive 1 mg of a medication. If the medication is available in a solution of 5mg/9mL, how many mL of the medication should the client receive? • 0.2 • 0.6 • 1.4 • 1.8 d. 1.8 A nurse should instruct a client who has been taking fentanyl (Duragesic) for several weeks to • Taper this medication slowly when discontinuing its use • Increase the dosage when pain persists for several hours • Limit physical activity while on this medication • Vigorously rub medication into skin a. Taper this medication slowly when discontinuing its use A nurse teaches a client who is taking nadolol (Corgard) for angina about the medication's action and side effects. The nurse should evaluate that the teaching is effective if the client states that which of these manifestations is a side effect of therapy? • Hypotension • Migraine headache • Tremors • Urinary retention a. Hypotension A child who weighs 40 lb (18kg) is to receive a 900 mg of an antibiotic IV q6h. The antibiotic is available in 1.5g/vial and it is to be reconstituted to a concentration of 375 mg/mL. How many mL per does should the child receive? • 0.6 • 1.6 • 2.4 • 6.9 c. 2.4 Which of these statements, if made by a client who is receiving vancomycin (Vancocin) should prompt a nurse to assess the client prior to administering the next dose? • I have a headache • I can't hear the television • I have not had a bowel movement in 2 days • I feel drowsy b. I can't hear the television A client who has renal failure has all of these prescriptions. Which on should a nurse question? (single answer) • Ampicillin sodium (omnipien-N) • Calcitriol (Rocaltrol) • Diphenhydramine hydrochloride (Benadryl) • Tobramycin sulfate (Nebcin) d. Tobramycin sulfate (Nebcin) A nurse should instruct the client, who is taking isophane insulin suspension (NPH, Humulin N), to eat a snack at which of these time? • One-half hour prior to he dose • Immediately after the dose • In the mid-afternoon • Every two hours during the daytime c. In the mid-afternoon A vial contains 5 grams of an antibiotic in 20 mL of solution. If a client is to receive 250 mg, how many mL should a nurse give to the client? • 0.5 • 1 • 1.5 • 2 b. 1 A nurse should recognize that which of these client reports is a side effect related to a prescribed nitrate medication? • Joint pains • Double vision • Headache • Sweating c. Headache A nurse should expect to observe which of these changes in a client's laboratory results, if the client experience a therapeutic response to a prescribed antihyperlipidemic medication? • Decreased high density lipoprotein (HDL) cholesterol • Increased triglyceride level • Decreased low density lipoprotein (LDL) cholesterol • Increased bilirubin level c. Decreased low density lipoprotein (LDL) cholesterol Which of these instructions should a nurse include for a client who will take clarithromycin (Biaxin) at home? • Avoid citrus juice • Stop this medication if you develop nausea • Finishing taking all of these pills • You may experience dizziness when changing positions c. Finishing taking all of these pills A nurse should assess a client who is receiving nifedipine (Adalat) for the development of side effects, which include • Peripheral edema • Hypertension • Tinnitus • Sexual dysfunction a. Peripheral edema A client is to receive 5 mcg/kg/min of a medication. If the client weighs 66 lb (30kg), how many mcg should the client receive in 1 hr? • 150 • 360 • 3,300 • 9,000 d. 9,000 A nurse is teaching a client who has osteoarthritis about naproxen (Naprosyn). The nurse should include which of these instructions? • Maximum effectiveness may take two to four weeks of continued therapy • The medication may be taken with aspirin to improve pain relief. • You will need to carefully monitor your blood sugar levels • It is important that you avoid sun exposure a. Maximum effectiveness may take two to four weeks of continued therapy A nurse should observe a client who is taking captopril (Capoten) for adverse effects, which include • Dehydration • Peripheral edema • Hyperglycemia • Persistent cough d. Persistent cough A nurse should monitor a client, who is taking an angiotensin converting enzyme (ACE) inhibitor, for evidence of therapeutic effects, which include • Increased cardiac workload • Increased exercise tolerance • Increased peripheral vascular resistance • Increased respiratory effort b. Increased exercise tolerance A client is to receive an intravenous infusion of 1L of Ringer's lactate. If the IV infusion pump is set to deliver 80 mL/hr, he infusion will be completed in 12 hours and • 5 minutes • 20 minutes • 30 minutes • 40 minutes c. 30 minutes