Exam (elaborations)
Academic- 3Ps Assessment- Pathophysiology,
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Academic- 3Ps Assessment- Pathophysiology,
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PATHOPHYSIOLOGY ANDPHARMACOLOGY FINAL PRACTICE
QUESTIONS (ATI/TEST/QUIZ)
A6nurse6in6a6clinic6is6caring6for6a6group6of6the6clients.6The6nurse6should6contact6the6provi
der6about6a6potential6contraindication6to6a6medication6for6which6of6the6following6clients?
6(Select6all6that6apply?)
a).6a6client6at686weeks6of6gestation6who6asks6for6an6influenza6immunization
b).6a6client6who6takes6prednisone6and6has6a6possible6fungal6infections
c).6a6client6who6has6chronic6liver6disease6and6is6taking6hydrocodone/acetaminophen
d).6a6client6who6has6peptic6ulcer6disease,6takes6sucralfate,6and6tells6the6nurse6she6has6st
arted6taking6OTC6aluminum6hydroxide
e).6a6client6who6has6a6prosthetic6heart6valve,6take6warfarin,6and6reports6a6suspected6pre
gnancy6-6ans6--b,c,e
a6nurse6is6preparing6to6administer6an6IM6does6of6penicillin6to6a6client6who6has6a6new6pre
scription.6The6client6states6she6took6penicillin636years6ago6and6developed6a6rash.6Which6
of6the6following6actions6should6the6nurse6take?
a.6administer6the6prescribed6does
b.6withhold6the6med
c.6ask6the6provider6to6change6the6prescription6to6an6oral6form
d.6administer6an6oral6antihistamine6at6the6same6time6-6ans6--b
a6nurse6is6providing6discharge6instructions6for6a6client6who6has6a6new6prescription6for6an
6antihypertenisve6med.6Which6of6the6following6statements6should6the6nurse6give?
a.6"be6sure6to6limit6your6K+6intake6while6taking6the6med"
b.6"you6should6check6your6blood6pressure6every686hours6while6taking6this6med"
c.6"your6med6dosage6will6be6increased6if6you6develop6tachycardia"
d.6"change6positions6slowly6when6you6move6from6sitting6to6standing"6-6ans6--d
a6nurse6is6reviewing6a6client's6health6record6and6notes6that6the6client6experience6perman
ent6extrapyramidal6effects6caused6by6a6previous6med.6The6nurse6should6recognize6that6t
he6med6affected6which6of6the6following6systems6in6the6client?
a.6cardiovascular
b.6immune
c.6central6nervous
,d.6gastrointestinal6-6ans6--c.
a6nurse6is6caring6for6a6client6who6is6taking6oral6oxycodone.6the6client6states6he6is6also6tak
ing6ibuprofen6in6three6recommended6doses6daily.6The6nurse6should6identify6that6an6inter
action6between6these6two6meds6will6cause6which6of6the6following6findings?
a.6a6decrease6in6serum6levels6of6ibuprofen,6possibly6leading6to6a6need6for6increased6dos
es6of6this6med
b.6a6decrease6in6serum6levels6of6oxycodone,6possibly6leading6to6a6need6for6increased6do
ses6of6this6med
c.6an6increase6in6the6expected6therapeutic6effect6of6both6meds
d.6an6increase6in6expected6adverse6effects6for6both6meds6-6ans6--c.
a6nurse6is6preparing6to6administer6meds6to6a646month6old6infant.6which6of6the6following6p
harmacokinetic6principles6should6the6nurse6consider6when6administering6meds6to6this6cli
ent?
a.6infants6have6a6rapid6gastric6emptying6time
b.6infants6have6immature6liver6function6
c.6infants6blood6brain6barrier6is6poorly6developed
d.6infants6have6an6increased6ability6to6absorb6topical6meds
e.6infants6have6an6increased6number6of6protein-binding6sites6-6ans6--b,c,e
a6nurse6in6a6provider's6office6is6reviewing6the6medical6record6of6a6client6who6is6pregnant6
and6is6at6her6first6prenatal6visit.6Which6of6the6following6immunizations6may6the6nurse6ad
minister6safely6to6the6client
a.6varicella6vaccine
b.6rubella6vaccine
c.6inactivated6influenza6vaccine
d.6measles6vaccine6-6ans6--c
a6nurse6on6a6med6surge6unit6administers6a6hypnotic6med6to6an6older6adult6client6at62100.
6The6next6morning,6the6client6is6drowsy6and6wants6to6sleep6instead6of6eating6breakfast.6
Which6of6the6following6factors6should6the6nurse6identify6as6a6possible6reason6for6the6clie
nt's6drowsiness?
a.6reduced6cardiac6function
b.6first6pass6effect
c.6reduced6hepatic6function
d.6increased6gastric6motility6-6ans6--c
a6provider6prescribes6phenobarbital6for6a6client6who6has6a6seizure6disorder.6The6med6ha
s6a6long6half6life6of646days.6How6many6times6per6day6should6the6nurse6expect6to6administ
er6this6med?
,a.6one
b.6two
c.6three
d.6four6-6ans6--a
a6staff6educator6is6reviewing6med6dosages6and6factors6that6influence6med6metabolism6wi
th6a6group6of6nurses6at6an6in-
service6presentation.6Which6of6the6following6factors6should6the6educator6include6as6a6rea
son6to6administer6lower6med6dosages?6(select6all6that6apply)
a.6increased6renal6excretion
b.6increased6med6metabolizing6enzymes
c.6liver6failure
d.6peripheral6vascular6disease
e.6concurrent6use6of6med6the6same6pathway6metabolizes6-6ans6--c,6e
a6nurse6is6preparing6to6administer6eye6drops6to6a6client.6Which6of6the6following6actions6s
hould6the6nurse6take?6(select6all6that6apply)
a.6have6the6client6lie6on6her6side
b.6ask6the6client6to6look6up6at6the6ceiling
c.6tell6the6client6to6blink6when6the6drops6enter6her6eye
d.6drop6the6med6into6the6center6of6the6clients6conjunctival6sac
e.6instruct6the6client6to6close6her6eye6gently6after6instillation6-6ans6--b,c,d,e
a6nurse6is6completing6discharge6teaching6for6a6client6who6has6a6new6prescription6for6tran
sdermal6patches.6which6of6the6following6statements6should6the6nurse6identify6as6an6indic
ation6that6the6client6understands6the6instructions?
a.6"6I6will6clean6the6site6with6an6alcohol6swab6before6i6apply6the6patch"
b.6"6I6will6rotate6the6application6sites6weekly"
c.6"6I6will6apply6the6patch6to6an6area6of6skin6with6no6hair"
d.6"6I6will6place6the6new6patch6on6the6site6of6the6old6patch"6-6ans6--c
a6nurse6reviewing6a6client's6medical6record6notes6a6new6prescription6for6verifying6the6tro
ugh6level6of6the6client's6med.6Which6of6the6following6actions6should6the6nurse6take?
a.6obtain6a6blood6specimen6immediately6prior6to6administering6the6next6dose6of6med
b.6verify6that6the6client6has6been6taking6the6med6for6246hr6before6obtaining6a6blood6speci
men
c.6ask6the6client6to6provide6urine6specimen6after6the6next6dose6of6med
d.6administer6the6medication6and6obtain6a6blood6specimen6306min6later6-6ans6--a.
a6nurse6is6preparing6a6client's6meds.6Which6of6the6following6actions6should6the6nurse6tak
e6in6following6legal6practice6guidelines?6(select6all6that6apply)
, a.6maintain6skill6competency
b.6determine6the6dosage
c.6monitor6for6adverse6effects
d.6safeguard6med
e.6identify6the6client's6diagnosis6-6ans6--a,c,d
a6nurse6reviewing6a6client's6health6record6notes6a6new6prescription6for6lisinopril6106mg6P
O6once6every6day.6The6nurse6should6identify6this6as6which6of6the6following6types6of6pres
cription?
a.6single
b.6stat
c.6routine
d.6standing6-6ans6--c
A6nurse6is6reviewing6a6new6prescription6for6ondansetron646mg6PO6PRN6for6nausea6and6
vomiting6for6a6client6who6has6hyperemesis6gravidarum.6The6nurse6should6clarify6which6of
6the6following6parts6of6the6prescription6with6the6provider?
a.6name
b.6dosage
c.6route
d.6frequency6-6ans6--d.
a6nurse6is6admitting6a6client6and6completing6a6preassessment6before6administering6med
s.6Which6of6the6following6data6should6the6nurse6include6in6the6preassessment?
6(select6all6that6apply)
a.6use6of6herbal6teas
b.6daily6fluid6intake
c.6current6health6status6previous6surgical6history6
d.6previous6surgical6history
e.6food6allergies6-6ans6--a,c,e
a6nurse6orienting6a6newly6licensed6nurse6is6reviewing6the6procedure6for6taking6a6telepho
ne6prescription.6Which6of6the6following6statements6should6the6nurse6identify6as6an6indica
tion6that6the6newly6licensed6nurse6understands6the6process?6
a.6"6a6second6nurse6enters6the6prescription6into6the6client's6medical6record6"
d.6"another6nurse6should6listen6to6the6phone6call"
c.6"6the6provider6can6clarify6the6prescription6when6he6signs6the6health6record"
d.6i6should6omit6the6'read6back'6if6this6is6a6one6time6prescription"6-6ans6--b.
a6nurse6in6the6post-
anesthesia6recovery6unit6is6caring6for6a6client6who6received6a6non6depolarizing6neuromu
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