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NR 293 EXAM 1 / NR 293 PHARMACOLOGY EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100 Q & A, Exams of Pharmacology

NR 293 EXAM 1 / NR 293 PHARMACOLOGY EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS). GRADED A

Typology: Exams

2024/2025

Available from 01/05/2025

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Download NR 293 EXAM 1 / NR 293 PHARMACOLOGY EXAM 1 NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100 Q & A and more Exams Pharmacology in PDF only on Docsity!

NR 293 EXAM 1 / NR 293 PHARMACOLOGY EXAM 1

NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS). GRADED A

-common for allergic reactions interactions: NSAIDS, oral contraceptives, warfarin Deactivates aminoglycosides Augmentin = amoxicillin and clavulanate Includes: penicillin, cephalosporins, macrolides, carbapenems, and monobactams

  • ANSPenicillin -Fever and/or chills with temp >100.5F -New sores or white patches in the mouth or throat -Swollen tongue/bleeding gums -Dry, burning, "scratchy", or swollen throat -Changes in bladder function or patterns -New and persistent cough -Blood in the urine -Nausea, vomiting, constipation, diarrhea >2-3 days

-Blood in the stool - ANSOncologic Emergency -fever of 100.5+ -chills or sweating -sore throat -abdominal pain -pain near anus -pain/burning w/ urination -diarrhea/anal sores -cough -SOB -redness and swelling or pain around wound -unusual vaginal discharge or itching - ANSNeutropenia w/ Oncology patient A nurse administered an antibiotic 10 min ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first? A. give oral corticosteroids B. administer dopamine c. give diphenhydramine IV

d. administer epinephrine subcutaneously - ANSd. administer epinephrine subcutaneously A nurse administered an antibiotic 10 minutes ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse take first? a. give oral corticosteroids b. administer dopamine c. give diphenhydramine IV d. administer epinephrine subcutaneously - ANSd. administer epinephrine subcutaneously 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 - ANSA. collect data from the client to determine the client's condition

A nurse in a community health clinic is collecting data from a new client who has prescriptions for isoniazid and rifampin. Which of the following disorders should the nurse expect the client to have? A. tuberculosis B. hypertension C. diabetes D. cirrhosis - ANSA. tuberculosis A nurse in a long-term 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. - ANSA. the excretion of the medication is reduced 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 - ANSD. alterations in the gastrointestinal flora A nurse in a provider's office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. Which of the following supplements should the nurse expect the client to report taking? A. flaxseed B. ginkgo biloba C. black cohosh D. St. John's wort - ANSC. black cohosh a nurse in a provider's office is collecting data from 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 gastrointestinal flora - ANSd. alterations in gastrointestinal flora

A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the client's cell membranes? a. protein-binding ability b. lipid solubility c. hepatic metabolism d. slow dissolution - ANSb. lipid solubility A nurse is administering an enteric-coated tablet to a client and explaining the pharmaceutical preparation. Which is correct? a. the coated tablet dissolves better in your stomach and intestines. b. you are less likely to have an upset stomach with this pill because of the coating on the tablet. c. the coating on the tablet improves the absorption of the medication d. the coating on the tablet allows a gradual release of the medication - ANSb. you are less likely to have an upset stomach with this pill because of the coating on the tablet. 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. C. an extended-release capsule was crushed before being given. D. a client who is anemia refused a blood transfusion. - ANSC. an extended-release capsule was crushed before being given. 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 - ANSB. proteinuria this is a manifestation of nephrotoxicity. The nurse should monitor for oliguria and hematuria. A nurse is assisting with preparing discharge teaching for 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. - ANSa. seizures can occur with this medication 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 - ANSA. to reduce toxicity risk A nurse is assisting with the care of a client who is postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the following routes of administration will deliver the medication with the shortest time of onset? A. oral B. Intravenous C. intramuscular d. subcutaneous - ANSB. Intravenous

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 - ANSC. check the client's apical pulse A nurse is caring for a client taking streptomycin. Which of the following medications should the nurse identify as increasing the risk of developing ototoxicity when taken with streptomycin? a. cefoxitin b. furosemide c. naproxen d. amphotericin b - ANSb. furosemide A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? A. allergic response B. superinfection

C. renal toxicity D. hepatotoxicity - ANSB. superinfection 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 - ANSb. aspartate aminotransferase (AST) A nurse is caring for a client who has a pseudomonas infection and a new prescription for ticarcillin-clavulanate. Which of the following should the nurse collect before administering this medication? a. indications of superinfeciton b. peak and trough medication levels c. baseline BUN and creatinine d. history of allergy to aminoglycoside antibiotics - ANSc. baseline BUN and creatinine

A nurse is caring for a client who has developed mild C-diff infection following antibiotic therapy. After discontinuing the current antibiotic, the nurse should expect the provider to prescribe which of the following medications? a. vancomycin b. metronidazole c. clindamycin d. ciprofloxacin - ANSb. metronidazole 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 - ANSC. Data Collection 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 - ANSC. hypercalcemia A nurse is caring for a client who has TB and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication? a. I have noticed my urine is orange in color. b. I sleep more than I used to. c. My tongue and mouth are sore. d. My voice seems hoarse. - ANSa. I have noticed my urine is orange in color. 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 - ANSA. red-ringed urine

A nurse is caring for a client who is experiencing severe cancer pain. Which of the following medications should the nurse expect the provider to prescribe? A. buprenorphine B. tramadol C. hydromorphone D. oxycodone - ANSC. hydromorphone Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to severe pain management in clients who have cancer. A nurse is caring for a client who is receiving a continuous IV infusion of erythromycin lactobionate to treat a Bordetella pertussis infection. Which of the following actions should the nurse perform to minimize the risk of thrombophlebitis? a. make sure the medication infuses slowly b. stop the infusion after the client has received half the dosage. c. make sure the solution is not dilute d. request a prescription for intermittent dosing - ANSa. make sure the medication infuses slowly 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? A. disorientation B. epistaxis C. constipation D. jaundice - ANSB. Epistaxis Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis. It is a second generation cephalosporin. A nurse is caring for a client who takes gentamicin IM and has a prescription to obtain a blood sample to measure a trough level. At which of the following times should the nurse draw the blood sample? A. within 15 minutes prior to the next medication dose B. 3 hours prior to administering a dose. C. Within 15 minutes following the next medication dose D. 2 hours after administering a dose. - ANSA. within 15 minutes prior to the next medication dose A nurse is caring for a client who takes Ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement? A. decreased platelet aggregation

b. prevention of migraine headaches c. increase risk of DVT d. lowered cholesterol and triglyceride levels - ANSA. decreased platelet aggregation 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 - ANSB. vancomycin A nurse is checking a client who is receiving an IV infusion of telavancin for streptococcus pyogenes. Which of the following actions should the nurse perform? A. check to see if the client's urine is blue. B. check the client for pruritis C. check for hypertension D. check for numbness in the limbs - ANSB. check the client for pruritis

A nurse is collecting data from a client who has a C-diff infection and is receiving vancomycin via intermittent IV bolus over 60 minutes. The nurse should document the absence of which of the following conditions as a positive response to this slowed administration rate? a. red man syndrome b. thrombophlebitis c. renal failure d. ototoxicity - ANSa. red man syndrome 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 - ANSB. decreased hemoglobin A nurse is collecting data from a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? A. Suppression of dysrhythmias

B. Increase in AV conduction C. Visual disturbances D. weight gain - ANSC. Visual disturbances Common signs of digoxin toxicity include nausea, vomiting, abdominal discomfort, fatigue, and visual disturbances A nurse is collecting data from a client who has tuberculosis and a prescription for ethambutol. The nurse should inform the client he is likely to develop which of the following alterations as an adverse effect of this medication? a. mottling of the extremities. b. orange-red urine and bodily secretions. c. yellowing of the sclera d. loss of red/green color discrimination - ANSd. loss of red/green color discrimination A nurse is collecting data from a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? A. nitroglycerin B. Aspirin C. Morphine

D. Metoprolol - ANSB. Aspirin A nurse is collecting data preoperatively from a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements? A. Soy B. Garlic C. Black cohosh D. Green tea - ANSB. Garlic 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. - ANSA. report persistent diarrhea to the provider can cause superinfection of the bowel because it destroys some sensitive flora in the GI system

A nurse is performing a reconciliation of a client's medications. Which of the following actions should the nurse take first? A. review the medications the client is taking at home and compare the list with the medications the client is taking in the facility. B. compare any new medication prescriptions with the client's current list of medications C. obtain a list of the client's current medications, including those that are over- the-counter. D. provide the current and accurate medication list to all of the client's health care providers. - ANSC. obtain a list of the client's current medications, including those that are over-the-counter. A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak? a. 1 hour after administering the IM injection b. Just before administering the IM injection c. 12 hours after the last IM injection d. 30 minutes after administering the IM injection - ANSa. 1 hour after administering the IM injection

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 - ANSD. liver enzymes A nurse is preparing an in-service session for medical-surgical staff on infections and antibiotic use. Which of the following antibiotics should the nurse identify as having the highest rate of severe allergic reactions? A. trimethoprim B. erythromycin C. sulfonamides D. penicillins - ANSD. penicillins A nurse is preparing to administer 150 units/hr of regular insulin to a client. Regular insulin is available at 1,500 units in 0.9% sodium chloride 500 mL. The nurse should set the IV pump to deliver how many mL/hr? - ANS

A nurse is preparing to administer albuterol syrup 0.1 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.) - ANS5 mL A nurse is preparing to administer amoxicillin liquid suspension 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? - ANS5 A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take? a. place the client leaning forward in a chair. b. hold the medication dropper 1 in from the client's ear canal. c. pull the pinna of the client's ear upward and outward. d. have the client remain still for 30 seconds after the medication is administered.

  • ANSc. pull the pinna of the client's ear upward and outward. A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The amount avialble is codein oral solution 15 mg/5 mL. How many mL should the nurse plan to administer per dose? - ANS10

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? - ANS21 A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 400 mL IV to an older client over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? - ANS50 A nurse is preparing to administer dextrose 5% in water 1,000 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? - ANS14 A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hours. Heparin 10,000 units/1 mL is available. How many mL should the nurse administer per dose? - ANS0.8 mL 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? - ANS21 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? - ANS29 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 - ANSC. QID A nurse is preparing to administer medication to a preschooler. The nurse should use which of the following measurements to calculate the medication dosage for this client? A. body mass index B. height c. weight d. rule of 9s - ANSc. weight A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider?

A. Aspirin EC 325 mg per NG tube daily B. Atorvastatin 40 mg per NG tube daily C. Propranolol 20 mg per NG tube daily D. Sulcralfate 2 g oral suspension per NG tube BID - ANSA. Aspirin EC 325 mg per NG tube daily A nurse is preparing to administer medications to a group of clients. Which of the following actions should the nurse take to verify the right medication is administered? A. compare the provider's initial prescription with the medication administration record. B. ask each client to list the medications he or she is currently taking while in the facility. 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. - ANSA. compare the provider's initial prescription with the medication administration record. 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 - ANSB. 1 1/2 inch 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. - ANSA. seizures can occur with this medication. 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