Download NR293 PHARMACOLOGY MIDTERM 2025 ACTUAL EXAM COMPLETE UPDATED QUESTIONS AND CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity!
NR293 PHARMACOLOGY MIDTERM 2025
ACTUAL EXAM COMPLETE UPDATED
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
BRAND NEW!!
C. Data Collection - CORRECT ANSWER >>> A nurse is caring for a client who has multiple
medication allergies. During which of the following steps of the nursing process should the nurse identify the client's allergies? A. Planning B. Evaluation C. Data Collection D. Implementation
C. check the client's apical pulse - CORRECT ANSWER >>> A nurse is caring for a client and
realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first? A. notify the provider B. contact the nursing supervisor C. check the client's apical pulse D. complete an incident report
C. QID - CORRECT ANSWER >>> A nurse is preparing to administer medication to a client.
Which of the following abbreviations indicates the greatest frequency of medication administration? A. BID B. TID C. QID D. Q8h B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - CORRECT ANSWER >>> A
nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions? A. Aspirin EC 80 mg PO daily B. Levothyroxine 75 mcg PO q AM before breakfast C. Metformin XR 500 mg PO daily D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses. B. Epistaxis Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis.
It is a second generation cephalosporin. - CORRECT ANSWER >>> A nurse is caring for a
client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the medication?
c. hepatic toxicity - CORRECT ANSWER >>> A nurse is reviewing the laboratory results of a
client who is taking a medication and notes that the client's blood tests show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings are potential indications of which of the following conditions? a. renal dysfunction b. myelotoxicity c. hepatic toxicity d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - CORRECT ANSWER >>> A nurse is reviewing the
laboratory data for a client who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the risk for reduced clearance of the medication? A. Alanine aminotransferase (ALT) 60 international units. B. Creatinine clearance 35 mL/min C. HbA1c 5% D. BMI 31
5 mL - CORRECT ANSWER >>> A nurse is preparing to administer albuterol syrup 0.
mg/kg/day to a school-aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many mL should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)
A. to reduce toxicity risk - CORRECT ANSWER >>> A nurse is assisting with the
administration of an IV injection to a client. For which of the following reasons should the nurse inject the medication slowly? A. to reduce toxicity risk B. to improve the absorption pattern C. to prevent medication dilution D. to protect against embolism
B. grapefruit juice - CORRECT ANSWER >>> A nurse is reinforcing teaching with a client
who has atrial fibrillation and a new prescription for amiodarone. Which of the following items should the nurse instruct the client to avoid while taking this medication? A. green leafy vegetables B. grapefruit juice C. garlic D. salt substitutes
B. vancomycin - CORRECT ANSWER >>> A nurse is caring fora client who has developed
MRSA in a surgical incision. Which of the following medications should the nurse expect the provider to prescribe? A. ceftriaxone B. vancomycin C. ketoconazole D. ciprofloxacin
B. 3 hours prior to administering a dose. C. Within 15 minutes following the next medication dose D. 2 hours after administering a dose. B. stop taking the herbal supplement while taking the medication. Taking the antidepressant sertraline and St. John's wort together puts the client at risk for
serotonin syndrome. - CORRECT ANSWER >>> A nurse is reinforcing teaching with a client
who has a new prescription for sertraline. The client asks the nurse if he should containue to take St. John's wort for depression. Which of the following instructions should the nurse give the client? A. take the medication and herbal supplement together. B. stop taking the herbal supplement while taking the medication. C. take the herbal supplement and the medication at least 2 hours apart. D. take an antacid with both the herbal supplement and the medication.
B. 1 1/2 inch - CORRECT ANSWER >>> A nurse is preparing to administer meperidine 100
mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication? A. 1/2 inch B. 1 1/2 inch C. 2 1/2 inch D. 3 inch
A. the excretion of the medication is reduced - CORRECT ANSWER >>> A nurse in a
longterm care facility is administering medications to a group of older clients. Which of the following factors of pharmacokinetics should the nurse consider when caring for this age group? A. the excretion of the medication is reduced B. the percentage of medication absorbed is increased C. the liver metabolizes the medication more quickly. D. the rate at which the liver metabolizes medication declines with age.
D. alterations in the gastrointestinal flora - CORRECT ANSWER >>> A nurse in a provider's
office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following adverse effects? A. development of gastric ulcers B. development of milk intolerance C. allergic reactions to the medication D. alterations in the gastrointestinal flora
21 - CORRECT ANSWER >>> A nurse is preparing to administer desmopressin 0.1 mcg/kg
in 0.9% sodium chloride 50 mL IV over 30 min to a client who weights 154 lb. How many mcg of medication should the client receive?
B. administer dopamine c. give diphenhydramine IV d. administer epinephrine subcutaneously
D. decreased visual acuity - CORRECT ANSWER >>> A nurse is providing teaching to a
client with tuberculosis who has prescriptions for rifampin and ethambutol. Which of the following findings is an adverse effect of these medications that the client should report to the provider? A. red-orange discoloration of urine B. unexpected weight gain C. ringing in the ears D. decreased visual acuity B. proteinuria
this is a manifestation of nephrotoxicity. The nurse should monitor for oliguria and hematuria. -
CORRECT ANSWER >>> A nurse is assessing a client who is receiving IV gentamicin 3 times
daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? A. hypoglycemia B. proteinuria C. nasal congestion D. visual disturbances
21 - CORRECT ANSWER >>> A nurse is preparing to administer lactated Ringer's 1,000 mL
IV infused over 8 hr. The drop factor of the manual tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
B. the first immunization for DTaP in the series is given at 2 mos. - CORRECT ANSWER
>>> A nurse is teaching the guardian of an infant about the diptheria, tetanus, and pertusis
(DTaP) vaccine. Which of the following pieces of information should the nurse include in the teaching? A. Routine immunization for DTap consists of 3 injections B. the first immunization for DTaP in the series is given at 2 mos. C. DTaP immunization has been replaced with DTP D. this immunization is administered subcutaneously.
A. seizures can occur with this medication. - CORRECT ANSWER >>> A nurse is providing
discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include? A. seizures can occur with this medication. B. you should observe for manifestations of bleeding. C. check your hands and feet for sensory dysfunction D. this medication can increase the risk of ototoxicity.
A. swallow this medication whole - CORRECT ANSWER >>> A nurse is teaching a client
about a new prescription for extended-release oxycodone for pain management. Which of the following statements should the nurse include in the teaching? A. swallow this medication whole B. take this medication before meals and at bedtime
C. constipation decreases with continued use. D. avoid taking other supplemental analgesics with this medication.
C. hypercalcemia - CORRECT ANSWER >>> A nurse is caring for a client who has
osteoporosis and has been taking a vitamin D supplement. The nurse notes that the client reports also taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity? A. hyperkalemia B. hypermagnesemia C. hypercalcemia D. hypernatremia A. report persistent diarrhea to the provider can cause superinfection of the bowel because it
destroys some sensitive flora in the GI system - CORRECT ANSWER >>> A nurse is
educating a client with urethritis who has a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching? A. report persistent diarrhea to the provider B. take this medication with a full glass of milk C. some people who take erythromycin experience vision loss D. Antacids will reduce the extent of absorption of this medication. D. Continue to administer the medication as prescribed.
This peak level is within the expected reference range of 5 to 10 mcg/mL. - CORRECT
ANSWER >>> A nurse is reviewing the laboratory results of a client who is taking tobramycin
250 mg PO every 8 hours to an older client. The amount available is amoxicillin 50 mg/mL. How many mL should the nurse administer per dose?
b. aspartate aminotransferase (AST) - CORRECT ANSWER >>> A nurse is caring for a client
who has a positive tuberculin skin test and a new prescription for isoniazid. Which for of the following lab values should the nurse monitor? A. thyroid stimulating hormone b. aspartate aminotransferase (AST) c. potassium d. sodium
14 - CORRECT ANSWER >>> A nurse is preparing to administer dextrose 5% in water 1,
mL infused over 12 hours. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to delivery how many gtt/min?
29 - CORRECT ANSWER >>> A nurse is preparing to administer lactated Ringer's 700 mL IV
infused over 24 hours to a pediatric client. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
B. increased susceptibility to infection - CORRECT ANSWER >>> A nurse is reinforcing
teaching about immunosuppressive medications to a client who had kidney transplant surgery. Which of the following adverse effects of these medications should the nurse include in the teaching? A. increased urinary output
B. increased susceptibility to infection c. increased hair loss d. increased risk for autoimmune disorders
A. red-ringed urine - CORRECT ANSWER >>> A nurse is caring for a client who has
tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following findings as an adverse effect of rifampin? A. red-ringed urine b. tinnitus c. blurred vision d. dry mouth
A. collect data from the client to determine the client's condition - CORRECT ANSWER
>>> A nurse discovers that a client received an incorrect dosage of a morning medication. Which
of the following actions should the nurse take first? A. collect data from the client to determine the client's condition B. report the incident to the nursing supervisor C. complete and file a facility incident report D. notify the client's provider of the incident
A. compare the provider's initial prescription with the medication administration record. -
CORRECT ANSWER >>> A nurse is preparing to administer medications to a group of
C.
for unmarked medication containers, check the client's MAR 3 times while preparing the medication. D. have a second nurse verify the MAR at the client's bedside.
B. limit your consumption of dairy products while taking this medicine. - CORRECT
ANSWER >>> A nurse is reinforcing teaching with a client about taking tetracycline PO. Which
of the following statements should the nurse include in the teaching? A. take this medication on a full stomach. B. limit your consumption of dairy products while taking this medicine. C. take the medication with your regular iron supplement. D. take antacids if you have an upset stomach from using tetracycline.
D. liver enzymes - CORRECT ANSWER >>> A nurse is planning care for a client who took an
overdose of acetaminophen. Which of the following laboratory values should the nurse plan to monitor for adverse effects of the overdose? A. hematocrit B. high-density lipoproteins (HDL) C. pancreatic enzymes D. liver enzymes
C. an extended-release capsule was crushed before being given. - CORRECT ANSWER
C.
>>> A nurse is administering medications to 4 clients. Which of the following situations requires
the completion of an incident report? A. a beta blocker was held for an apical heart rate of 50/min. B. a client vomited immediately after receiving his oral medications. an extended-release capsule was crushed before being given. D. a client who is anemia refused a blood transfusion.
B. decreased hemoglobin - CORRECT ANSWER >>> A nurse is collecting data from a client
who has AIDS And is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider? A. nausea and vomiting B. decreased hemoglobin C. decreased appetite D. anxiety
B. Your provider will monitor your liver function while you are taking this medication. -
CORRECT ANSWER >>> A nurse is reinforcing teaching with a client who has tuberculosis
and a prescription for isoniazid. Which of the following instructions should the nurse include? A. You'll need to take this medication for the rest of your life to prevent recurrence. B. Your provider will monitor your liver function while you are taking this medication. C. Limit your alcohol intake to 2 drinks per day. D. You should take this medication with a meal to increase absorption.
