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RN Pharmacology Online Practice 2023 A Questions with Correct Answers.
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RN Pharmacology Online Practice 2023 A Questions with Correct Answers.
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RN Pharmacology Online Practice 2023 A Questionswith Correct Answers
NGN: A nurse at a clinic is evaluating a client. Drag 1 condition and 1
client finding to fill in each blank in the following sentence.
Relevant info:
Heart rate 110/min
Nurses' Notes: Today: Adult female client is here for 3 month follow up
visit after receiving a new prescription 3 months ago. Client reports
feeling nervous and being irritable. Client is alert and oriented to person
place and time. Skin moist and intact some sweating noted on forehead.
Heart rate regular and fast. Respirations even and non-labored. Bowel
sounds hyperactive in all 4 quadrants. Reports occasional loose stools
that have increased lately.
Lab Results: TSH 0.1 mU/L (0.3 to 5 mU/L); Triiodothyronine 220
ng/dL (70 to 205 ng/dL); Thyroxine 4 ng/dL (0.8 to 2.8 ng/dL)
Provider Prescriptions: 3 months ago: Levothyroxine 50 mcg PO daily
Correct Answer-The client is likely experiencing hyperthyroidism as
evidenced by the client's blood thyroxine level.
A nurse is providing teaching to a client who is to start treatment for
asthma with beclomethasone and albuterol inhalers. Which of the
following instructions should the nurse include in the teaching? Correct
Answer-"Rinse your mouth after inhaling the beclomethasone"
,The client should rinse their mouth after using beclomethasone, a
glucocorticoid inhaler, to prevent oropharyngeal candidiasis and
hoarseness.
NGN: A nurse is caring for a client in an inpatient setting. The nurse is
preparing to administer the client's 1300 antibiotic doses.
Click to highlight the findings that would indicate the nurse should hold
the next dose of gentamycin until further direction from the provider.
Correct Answer-BUN 48 mg/dL (10 to 20 mg/dL); Creatinine 2.7 mg/dL
(0.5 to 1.1 mg/dL); Output 60 mL; Urine is dark amber
When recognizing cues, the nurse should review the client's EMR, the
nurse should recognize the client's elevated BUN, elevated creatinine
level, urine output of less than 30mL/hr, and dark amber colored urine
are manifestations of nephrotoxicity which is an adverse effect
gentamycin and other aminoglycosides. Therefore, the nurse should hold
the dose until further directions from the provider.
A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take? Correct
Answer-Administer the medication outside the 5cm (2in) radius of the
umbilicus
The nurse should admi. the heparin by subQ injection to the abdomen in
an area that is above the iliac crest and at least 5 cm (2 in) away fro the
umbilicus.
, NGN: A nurse on a mental health unit is caring for a client. Select the 4
actions the nurse should take.
Fluphenazine 2.5 mg PO four times daily
LPN entered client's room to administer medication and noted that client
did not respond to verbal or tactile stimulation, was diaphoretic, and hot
to palpation. Notified RN. Vital signs obtained. Client noted to be
incontinent of urine. Client mumbles in response to painful stimuli,
muscle rigidity noted. Provider notified.
Temperature 40° C (104° F)Heart rate 122/min; Blood pressure 168/112
mm Hg; Respiratory rate 22/min; SpO2 94% on room air Correct
Answer-When taking actions, the nurse should administer dantrolene
and bromocriptine, apply a cooling blanket, and discontinue the
fluphenazine. The client is exhibiting manifestations of neuroleptic
malignant syndrome (NMS), a potentially fatal adverse effect of
antipsychotic medications, such as fluphenazine. Other manifestations
can include electrolyte imbalance, delirium, and dysrhythmias.
Dantrolene and bromocriptine can relieve muscle rigidity and decrease
body temperature. Cooling blankets can also assist in decreasing body
temperature. The fluphenazine should be discontinued and the client
should be transferred to a critical care unit for ongoing treatment.
A nurse is caring for a 20 year old female client who has a prescription
for isotretinoin for severe nodulocystic acne vulgarism. Before the client
can obtain a refill, the nurse should advise the client that which of the
following tests is required? Correct Answer-Pregnancy Test
The nurse should instruct the client that isotretinoin has teratogenic
effects; therefore, pregnancy must be ruled out before the client can
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