WGUyPHARMyD441ySCOREDyA+
1. Ayclientyreceivesyayprescriptionyforyciprofloxaciny400ymgyintravenouslyy(IV)yeveryy12yhoursyt
oybeyinfusedyoveryanyhour.yTheyIVybagycontainsyciprofloxaciny400ymgyinydextrosey5%yinywater
y(DW)y200ymL.yTheynurseyshouldyprogramytheyinfusionypumpytoydeliveryhowymanyymL/hr?y(Ent
erynumericalyvalueyonly.)
Answery200
2. Ayclientywithyanemiaysecondaryytoychronicykidneyydiseasey(CKD)ystartedyayprescriptionyf
oryepoetinyalfaytwoymonthsyago.yWhichyclientyfindingybestyindicatesythatytheymedicationyisy
effective?
ReferenceyRange:
Hemoglobiny(Hgb)y[14ytoy18yg/dLy(8.7ytoy11.2ymmol/L)
A.yReportsyofyincreasedyenergyylevelsyandydecreasedyfatigue.
B.yTakesyconcurrentyironytherapyywithoutyadverseyeffects.
C.yFoodydiaryyshowsyincreasedyconsumptionyofyiron-richyfoods.
1y/y29
,D.yHemoglobinylevel:y.
AnswerD.yHemoglobinylevel
3. Theynurseyadministersynaloxoneytoyayclientywithyopioid-
inducedyrespiratoryydepression.yOneyhourylater,ynursingyassessmentyrevealsythatytheyclientyhas
yayrespiratoryyrateyofy4ybreaths/minute,yoxygenysaturationyofy75%,yandyisyunableytoybeyarouse
d.yWhichyactionyshouldytheynurseyimplement?
A. Administeryaysecondydoseyofynaloxone.
B. DetermineyGlasgowyComayScaleyscore.
C. Initiateycardiopulmonaryyresuscitationy(CPR)
D. Prepareytoyassistywithychestytubeyinsertion.
AnsweryA.yAdministeryaysecondydoseyofynaloxone.
4. Theyhealthcareyprovideryprescribesypropylthiouracily(PTU)yandyLugol'syso-
ylution,yaystrongyiodineysolution,yforyayclientywithyhyperthyroidism.yHowyshouldytheynurseysched
uleytheyadministrationyofytheseymedications?
A. Offerybothydrugsytogetherywithyaymeal.
B. Scheduleybothymedicationsyatybedtime.
C. Giveyparentalydoseyonceyeveryy24yhours.
D. AdministeryiodineyoneyhourybeforeyPTU.
AnsweryD.yAdministeryiodineyoneyhourybeforeyPTU.
5. TheynurseyisyassessingyayclientywhoywasyrecentlyydiagnosedywithyParkin-
2y/y29
, yson'sydiseaseyandyisytakingycarbidopa-
levodopa.yTheyclientyisyconcernedythatytheymedicationyisynotyworking.yWhichyinterventionyshould
ytheynurseyimplementyfirst?
3y/y29
1. Ayclientyreceivesyayprescriptionyforyciprofloxaciny400ymgyintravenouslyy(IV)yeveryy12yhoursyt
oybeyinfusedyoveryanyhour.yTheyIVybagycontainsyciprofloxaciny400ymgyinydextrosey5%yinywater
y(DW)y200ymL.yTheynurseyshouldyprogramytheyinfusionypumpytoydeliveryhowymanyymL/hr?y(Ent
erynumericalyvalueyonly.)
Answery200
2. Ayclientywithyanemiaysecondaryytoychronicykidneyydiseasey(CKD)ystartedyayprescriptionyf
oryepoetinyalfaytwoymonthsyago.yWhichyclientyfindingybestyindicatesythatytheymedicationyisy
effective?
ReferenceyRange:
Hemoglobiny(Hgb)y[14ytoy18yg/dLy(8.7ytoy11.2ymmol/L)
A.yReportsyofyincreasedyenergyylevelsyandydecreasedyfatigue.
B.yTakesyconcurrentyironytherapyywithoutyadverseyeffects.
C.yFoodydiaryyshowsyincreasedyconsumptionyofyiron-richyfoods.
1y/y29
,D.yHemoglobinylevel:y.
AnswerD.yHemoglobinylevel
3. Theynurseyadministersynaloxoneytoyayclientywithyopioid-
inducedyrespiratoryydepression.yOneyhourylater,ynursingyassessmentyrevealsythatytheyclientyhas
yayrespiratoryyrateyofy4ybreaths/minute,yoxygenysaturationyofy75%,yandyisyunableytoybeyarouse
d.yWhichyactionyshouldytheynurseyimplement?
A. Administeryaysecondydoseyofynaloxone.
B. DetermineyGlasgowyComayScaleyscore.
C. Initiateycardiopulmonaryyresuscitationy(CPR)
D. Prepareytoyassistywithychestytubeyinsertion.
AnsweryA.yAdministeryaysecondydoseyofynaloxone.
4. Theyhealthcareyprovideryprescribesypropylthiouracily(PTU)yandyLugol'syso-
ylution,yaystrongyiodineysolution,yforyayclientywithyhyperthyroidism.yHowyshouldytheynurseysched
uleytheyadministrationyofytheseymedications?
A. Offerybothydrugsytogetherywithyaymeal.
B. Scheduleybothymedicationsyatybedtime.
C. Giveyparentalydoseyonceyeveryy24yhours.
D. AdministeryiodineyoneyhourybeforeyPTU.
AnsweryD.yAdministeryiodineyoneyhourybeforeyPTU.
5. TheynurseyisyassessingyayclientywhoywasyrecentlyydiagnosedywithyParkin-
2y/y29
, yson'sydiseaseyandyisytakingycarbidopa-
levodopa.yTheyclientyisyconcernedythatytheymedicationyisynotyworking.yWhichyinterventionyshould
ytheynurseyimplementyfirst?
3y/y29
