NURS 566 ADVANCED PHARMACOLOGY FINAL EXAM QUESTIONS WITH ANSWERS 2023 A+ ASSUARED SUCCESS, Exams of Nursing

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6.The nurse is teaching a client who is scheduled for a total hip arthroplasty

via a posterior approach. Which of the following information should the nurse

include? Select all that apply.

1."The type of prosthesis used is based on the muscle strength and joint function

of your upper extremities."

2."Do not bend the affected hip more than 90 degrees after

surgery." 3."Skin preparation and cleansing is mandatory before

surgery." 4."Use an elevated toilet seat for at least 6 weeks after

surgery."

5."You can resume sexual intercourse after surgery if your partner is in a dependent

position."

7.The nurse is preparing to insert a peripheral venous access devi

1."Plan to remain in bed for several hours after the procedure."

ce (VAD) for a client who requires prescribed antibiotics intravenously.

Which of the following actions by the nurse will increase the likelihood of

success in initiating the VAD? Select all that apply.

1.Select a vein that is visible but not palpable.

2.Massage the arm distal to the selected venipuncture site.

3.Apply a tourniquet tightly enough to suppress the radial pulse.

4.Apply a warm compress to the client's arm for 10 to 15 minutes.

5 .Use the nondominant hand to hold the skin taut against the selected vein.

8.The nurse is assessing a client with suspected gout. Which of the following

findings would support a diagnosis of gout? Select all that apply.

1.elevated serum uric acid level

2.a swollen, red joint

3.reports of moderate fatigue

4.distal extremities cool to touch

5.pain associated with movement of the affected

extremity 6.intolerance of dairy products

9.The nurse is planning care for a client who has expressive aphasia after a

left-sided stroke. Which of the following statements by the client's spouse

would indicate a correct understanding of the client's communication

abilities and interaction needs? Select all that apply.

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1."My spouse's response of 'fine' when asked how the day has been may or may not

be what my spouse meant to communicate."

2."I can anticipate what my spouse wants to say, so I complete my

spouse's sentences to make communication quicker."

3."I will purchase a picture board to help my spouse express common

needs, thoughts and feelings that are difficult to communicate."

4."My spouse's angry response when we have a conversation makes me hesitant

to try further communication."

5."I have arranged for my spouse to meet with a speech therapist twice each

week to improve communication skills."

The nurse is planning care for a client with moderate Alzheimer’s

disease (AD). Which of the following interventions should the nurse include

in the client’s plan of care? Select all that apply.

1.Establish a daily routine for the client.

2.Assist the client to void every 2 hours.

3.Introduce self upon interacting with the client.

4.Display a clock and calendar in the client's room.

5.Keep the client's television on during the day to distract the client.

The nurse is teaching a client who is scheduled for a paracentesis in 6 hours. Which of the following information should the nurse include? Select all that apply. 1."You should maintain a supine position for the procedure." 2."Your weight will be obtained before and after the procedure." 3."You will be transported to the radiology department for the procedure." 4."Your bladder will need to be emptied prior to the procedure." 5."You will need to avoid eating or drinking for 2 hours prior to the procedure." The nurse is planning care for a client who had a stroke and has unilateral neglect. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply. 1.Teach the client to scan the environment. 2.Approach the client on the client's unaffected side. 3.Instruct the client to dress the unaffected side first.

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4. Initiate conversation by touching the client's affected shoulder.
5. Rearrange the environment to compensate for the client's visual deficits.

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The nurse has taken a nutritional history from parents of clients. It would be

a priority for the nurse to follow up with the

1.5-month-old client whose only source of nutrition is 5 formula feedings

daily 2.7-month-old client who eats several crackers as finger food

3.9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup

of apple juice and 3 servings of infant cereal

4.1-year-old client whose typical food intake includes 4 breast-feedings and 3

servings of cooked vegetables, pears or sliced cheese

The nurse is teaching a group of home-health caregivers about caring for clients with moderate Alzheimer's disease (AD). Which of the following information should the nurse include? Select all that apply. 1."Prohibit driving and supervise client smoking." 2."Encourage reminiscing about happy times in the past." 3."Lock up medications and potentially poisonous materials."

4. "Place restraints on the client during the night if the client begins to wander."
5. "Place an identification bracelet on the client's wrist or ankle in case the client becomes separated from the caregiver."

The nurse is evaluating the response to the plan of care for a client who

abuses alcohol. Which of the following statements by the client would indicate

that the client's treatment regimen has been effective? Select all that apply.

1."I will be able to stop drinking alcohol if my spouse can prevent me

from experiencing the financial stress we have experienced in the past."

2."I would like to obtain a referral to a dietitian in order to learn about what food

I should eat to maintain a more balanced diet."

3."I can drink small amounts of alcohol at family celebrations and

important religious ceremonies."

4."I plan to telephone my Alcoholics Anonymous (AA) sponsor if I feel the need

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to drink alcohol."

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5."I understand that personal willpower can prevent me from drinking

alcohol again."

The nurse is teaching a client who is scheduled for a 24-hour urine collection.

Which of the following information should the nurse include? Select all that

apply.

1."You will be asked to urinate when starting the collection, and the initial

urine will be discarded."

2."A sign will be posted on the bathroom door as a reminder to save your urine."

3."You will be asked to void at the end of the designated time period to

complete the urine collection."

4."You should discard urine that is dark or pink in color."

5."The collected urine will be sent to the laboratory at the end of each shift."

The nurse is teaching the family member of a client with moderate

Alzheimer's disease (AD). Which of the following interventions should the

nurse include in the teaching? Select all that apply.

1.Use distraction when the client becomes agitated.

2.Place calendars within a clear view of the client.

3.Use short, simple sentences and provide step-by-step instructions for the client.

4.Avoid reminiscing with the client about past experiences in order to avoid

feelings of loss and loneliness.

5.Encourage the client to participate in a daytime exercise program to promote

restful sleep at night.

The nurse is caring for a 3-year-old client with impetigo. Which of the

following infection control precautions should the nurse implement? Select all

that apply.

1.Wear a surgical mask when bathing the client.

2.Wear a protective gown when changing the client's bed

linens. 3.Keep the door to the client's room closed.

4.Place a box of clean gloves outside the client's door.

5.Place a surgical mask on the client during transport to other departments.

The nurse is developing a plan of care for a client with a spinal cord injury at

C5 who has an indwelling urethral catheter. Which of the following would be

a priority for the nurse to include in the plan of care?

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1.encouraging the client to drink 6 to 8 glasses of fluid per day

2.maintaining the urinary collection bag in a dependent position

3.teaching the client about foods high in fiber

4.assessing the color of the urinary output

The nurse is teaching a client who is scheduled for a percutaneous renal

biopsy tomorrow morning. Which of the following information should the

nurse include?

1."Plan to remain in bed for several hours after the procedure."

2."You will lie on your back with one arm elevated during the procedure."

3."Most people experience a burning sensation the first 2 or 3 times that

they urinate after the procedure."

4."You will need to minimize fluid intake after the procedure until we have

confirmed that you have no blood in your urine."

The nurse has taught a client who is receiving prescribed alendronate. Which

of the following statements by the client would indicate a correct

understanding of the teaching? Select all that apply.

1."I will take alendronate 1/2 hour before I eat breakfast."

2."I should avoid weight-bearing exercises while taking alendronate."

3."I should discontinue alendronate if I experience nausea or vomiting."

4."I will need to remain in an upright position for 30 minutes after I take

alendronate."

5."I should notify my primary health care provider if I experience difficulty

swallowing while taking alendronate."

The nurse is planning care for a client with multiple sclerosis (MS) who

has ataxia. Which of the following interventions should the nurse include

in the client's plan of care?

1.Add thickener to thin liquids for the client.

2.Obtain a referral to a physical therapist for the client.

3.Face the client directly when speaking with the client.

4.Provide a board with pictures to help the client communicate needs.

The nurse is planning a staff education conference about infection control

guidelines. Which of the following information about alcohol-based hand rub

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should the nurse include?

1."Use before touching medical equipment that will come in direct contact with

the client."

2."Avoid using when moving your hands from a contaminated body site to a

clean body site during client care."

3."Avoid using before caring for clients who have severe neutropenia."

4."Use after contact with body excretions that do not cause your hands to

be visibly soiled."

The nurse has taught a client with a hiatal hernia. Which of the following

statements by the client would indicate a correct understanding of the

teaching?

1."I will consume 3 regular-sized meals daily."

2."Wearing an abdominal binder can help relieve symptoms."

3."I should elevate the head of the bed on 6-in (15-cm) blocks."

4."Eating foods with a high fat content will increase gastric emptying."

The nurse is assessing an older adult client who is scheduled for discharge

and is at risk for falls. Which of the following are extrinsic risk factors for

falling? Select all that apply.

1.uneven stairs

2.throw rugs

3.hemiparesis

4 .dim lighting

5.confusion

The nurse has taught a client with diabetes mellitus (type 2) about foot care.

Which of the following statements by the client would indicate a correct

understanding of the teaching? Select all that apply.

1."I will check my shoes for foreign objects prior to putting them on."

2."I should use a large, coarse file to remove dry skin from a

bunion."

3."I will apply a petroleum-based ointment between my toes after bathing."

4."I should avoid crossing my legs to prevent decreased circulation to my feet."

5."I should wear new shoes for a few hours for several days until they fit well."

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The nurse supervises care of the client in Buck's traction. The nurse

determines that care is appropriate if which of the following is observed?

Select all that apply.

1 .Monitor peripheral pulses in the affected extremity.

2.Examine the skin under the traction splint.

3.Assess the temperature of the affected extremity.

The nurse supervises care of the client in Buck's traction. The nurse

determines that care is appropriate if which of the following is observed?

Select all that apply.

1. the nurse removes the foam boot three times per day to inspect the skin

2. The staff turn the client to the unaffected side

3. The staff provides back care for the client once per shift

4. The nurse asks the client to dorsiflex the foot on the affected leg

5. The staff offers magazines to the client when she complains of pain

6. The staff elevates the foot of the client’s bed

The nurse is caring for assigned clients. Which of the following diagnoses would require the nurse to put on gloves and a protective gown before checking the client’s blood pressure? Select all that apply. 1.scabies 2.botulism 3.hepatitis B (HBV) 4.mumps 5 .Clostridium difficile The nurse has taught a client with active pulmonary tuberculosis (TB). Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.

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1. "I should expectorate secretions into a disposable tissue and dispose of the tissue in a plastic bag."
2. "I will keep my dishes and eating utensils separate from those of other family members."
3. "I should have a TB skin test again in 6 months."
4. "I will receive prescribed medication for at least 6 months."
5. "I should take the TB medication as long as the symptoms occur." 6.I will limit my daily activities until I am no longer feeling so tired." The nurse is teaching a client who has a newly placed suprapubic catheter. Which of the following information should the nurse include? Select all that apply. 1."Keep the drainage bag lower than the level of the bladder at all times." 2."Take an over-the-counter (OTC) antipyretic if you experience a fever." 3."You should maintain a liberal daily intake of fluids." 4."Sediment, clots or mechanical obstruction can block the drainage of urine." 5 ."Secure the catheter tubing to the upper thigh with tape." 6."Suprapubic catheters are associated with lower rates of infection than indwelling urethral catheters." The nurse is teaching a group of home-health caregivers about caring for clients with moderate Alzheimer's disease (AD). Which of the following information should the nurse include? Select all that apply. 1."Prohibit driving and supervise client smoking." 2."Encourage reminiscing about happy times in the past." 3 ."Lock up medications and potentially poisonous materials." 4."Place restraints on the client during the night if the client begins to wander." 5."Place an identification bracelet on the client's wrist or ankle in case the client becomes separated from the caregiver."

The nurse is witnessing the client's signature on a consent form. Which of the

following conditions should the nurse recognize must be met to ensure the

consent is valid? Select all that apply.

1.The client gave consent voluntarily.

2.The client received adequate disclosure.

3.The consent form is witnessed by 2 health care professionals.

4.The client understands the scheduled procedure or treatment.

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5.The consent form is signed within 24 hours of the scheduled procedure or

treatment.

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The nurse is talking with a client who has been sexually assaulted. The client

states, "I never should have walked home late at night. I am to blame for what

has happened to me." Which of the following would be an appropriate

response for the nurse to make? Select all that apply.

1."The police officers who brought you into the hospital will be with you

during this interview."

2."You should take a warm, calming shower in order to feel more

relaxed." 3."You did the best you could in very difficult circumstances."

4."Sometimes the victim's behavior causes the violence."

5."You are safe here."

The nurse on a hospice unit is caring for a client with terminal pancreatic

cancer. Which of the following actions should the nurse take? Click the

exhibit button for additional client information. Select all that apply.

1.Administer morphine sulfate prescribed p.r.n. for pain.

2.Notify the client's family of the change in the client's vital

signs. 3.Administer prescribed supplemental oxygen.

4.Request a prescription for continuous cardiac monitoring.

5.Reposition the client.

The nurse is preparing a staff education conference about total parenteral

nutrition (TPN). Which of the following information should the nurse

include? Select all that apply.

1."The TPN intravenous tubing should be changed once a week."

2."TPN can be administered through a peripherally inserted central

catheter (PICC)."

3."Clients receiving TPN should be weighed

daily." 4."An infusion pump is used to deliver

TPN."

5."Blood glucose levels should be monitored in clients receiving TPN."

The nurse is planning a staff education conference about the prevention of

urinary tract infections (UTI) in children. Which of the following information

should the nurse include? Select all that apply.

1."Teach the child to perform Kegel exercises."

2."Encourage the child to empty their bladder completely."

3."Encourage the child to maintain an adequate fluid

intake."

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4."Teach the child how to properly cleanse their perineal area."

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5."Offer the child noncarbonated, decaffeinated beverage choices."

The nurse is reviewing new prescriptions for assigned clients. Which of the following prescriptions should the nurse clarify?

1. furosemide 20 mg, p.o., once daily, for the client with heart failure
   2. epoetin 50 units/kg, subcutaneously, 3 times weekly, for the client with end-stage renal disease (ESRD)
2. interferon beta-1a 30 mcg, IM, once weekly, for the client with multiple sclerosis (MS) 4.procainamide 50 mg/kg, IM, daily, in 4 divided doses, for the client with myasthenia gravis The nurse is teaching a client who is scheduled for a paracentesis in 6 hours. Which of the following information should the nurse include? Select all that apply. 1."You should maintain a supine position for the procedure." 2."Your weight will be obtained before and after the procedure." 3."You will be transported to the radiology department for the procedure." 4."Your bladder will need to be emptied prior to the procedure." 5."You will need to avoid eating or drinking for 2 hours prior to the procedure." The nurse has taught the parents of a 5-month-old client about nutrition. Which of the following statements by a parent would indicate a correct understanding of the teaching? Select all that apply. 1."I can begin feeding my infant whole milk after my infant's first birthday." 2."I will stop formula feedings now that my infant is eating solid foods." 3."I should introduce fruits and vegetables at the same time."
3. "I can now begin feeding my infant rice cereal."
   5. "I will now begin providing fruit juice in my infant's bottle." The nurse is caring for a client who has Clostridium difficile. Which of the following infection control precautions should the nurse implement? Select all that apply. 1.Place a stethoscope in the client's room to be used with that client only. 2.Use alcohol-based hand rub prior to and after any client contact.

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3.Wear a protective gown and gloves when providing direct client care. 4.Place a surgical mask on the client during transport out of the client's room. 5.Place the client in a private room or with another client infected with the same organism.

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The nurse is screening female clients for those at risk for hypertension. Which of the following questions would be important for the nurse to ask? Select all that apply. 1."At what age did you have your first child?" 2."How often do you drink alcohol?" 3."Have you experienced menopause?" 4."Do you smoke cigarettes?" 5."Do you have a stressful job?" The nurse in an emergency department (ED) is talking with a family member of a client with Addison's disease. The family member reports that the client has had a sore throat and has not taken the prescribed hormone replacement therapy for the past 2 days. Which of the following actions should the nurse take? Select all that apply. 1.Insert a nasogastric (NG) tube. 2Insert a venous access device (VAD).

3. Check the client's capillary blood glucose level.
4. Obtain a urine specimen for culture and sensitivity (C & S).
5. Request a prescription for a thyroid hormone to be administered once. The home-health nurse is visiting a client with peripheral arterial occlusive disease of the lower extremities and observes the client's spouse performing client care. Which of the following observations would require the nurse to intervene? Select all that apply. 1.The spouse places loose, white socks on the client's feet. 2.The spouse elevates the client's lower extremities on 2 pillows. 3 .The spouse trims the client's toenails in a curved shape. 4.The spouse applies a moisturizing lotion between the client's toes. 5.The spouse places the client's legs and feet in a dependent position. The nurse is talking with a client who is scheduled for an endoscopic retrograde cholangiopancreatography (ERCP) in 2 hours in the outpatient department. Which of the following questions would be important for the nurse to ask? Select all that apply.

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1. "How will you be getting home after the procedure?"
   2. "Do you have access to a thermometer after you leave here?" 3."What allergies do you have?"
2. "Are you wearing dentures?"

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5. "Do you have external hemorrhoids?" The nurse is preparing to teach a client who is scheduled for coronary artery bypass graft (CABG) surgery in 48 hours. Which of the following topics should the nurse include? Select all that apply. 1.pain management 2.neutropenic precautions 3.communication while intubated 4.closed-chest drainage systems 5.cardiac and hemodynamic monitoring systems The nurse has taught a client who is scheduled for a colon resection in 1 week. Which of the following statements by the client would indicate a correct understanding of the teaching?
6. "I may drink clear liquids up to 2 hours before surgery."
   2. "I will use the incentive spirometer if I develop a fever after surgery."
7. "I can expect to have a normal bowel movement within 2 days of surgery." 4."I should not experience any pain if I receive an appropriate amount of pain medication after surgery." The nurse is caring for a client in the first stage of labor and observes that a segment of the umbilical cord is visible in the vaginal opening after rupture of the client's amniotic membranes. Which of the following actions should the nurse take?
8. Instruct the client to lie on her left side.
   2. Attempt to place the umbilical cord back into the uterus. 3.Assist the client into a knee-chest position. 4.Administer an intravenous tocolytic agent. The nurse is planning a staff education conference about informed consent. Which of the following information should the nurse include? Select all that apply. 1."The main value of informed consent is for protection against lawsuits." 2."Clients may withdraw consent after signing the informed consent form." 3."Clients must sign the informed consent form before receiving preprocedural medication."
9. "Nurses witness the signing of the informed consent form to confirm that consent is

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voluntary."

5. "The signed consent form serves as evidence that the informed consent process has taken place."

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The nurse is wearing clean gloves, as well as a protective gown, and has placed a stethoscope in the client's room to be used with that client only. Which of the following clients is the nurse prepared to care for? Select all that apply. 1.ractive pulmonary tuberculosis (TB) 2.disseminated herpes zoste 3.streptococcal pharyngitis

4. human immunodeficiency virus (HIV)
5. herpes simplex virus (HSV) The nurse is assessing a newborn at 1 minute after birth and observes the skin condition shown below. The nurse should understand that the
6. skin condition is caused by hypoglycemia in the newborn 2.newborn should be placed in an incubator
7. newborn requires oxygen therapy
8. skin condition is expected in the newborn The nurse is caring for a client who has a prescription for morphine sulfate 10 mg, IV, every 4 hours, p.r.n. to be administered over 5 minutes. After diluting the medication in 5 mL of 0.9% sodium chloride (normal saline), how many mg/min should the nurse administer to the client? Record your answer using a whole number. Answer: 2 mg/min 10 mg------------5 min

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? 1 min 10 /5 = 2 mg/min

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The nurse is caring for a client who is scheduled for a spinal fusion in 1 hour. Which of the following situations would require follow-up? Select all that apply.

1. The nurse notes that the client signed the consent form 1 week ago.
   2. The nurse determines that the last analgesia the client received was yesterday afternoon.
2. The client states, "I need to find out why the surgery is needed before I sign the consent form."
   4. The nurse administers the prescribed preoperative sedation after the client signs the consent form.
3. The client states, "I am afraid to sign the consent form because I know I am going to die during the surgery."
   6. The client states, "The surgery may result in some paralysis but the resolution of the pain is worth the risk to me." The nurse is preparing a staff development conference about incident reporting. Which of the following information should the nurse include? Select all that apply.
4. "Include the date and time of the incident as well as the nurse's observation of the incident."
5. "Incident reports are not required to be filed if an incident occurs involving a visitor in the health care setting."
6. "Copy and place the incident report in the client's medical record." 4."Incident reports are used to identify possible risks in health care settings." 5."Do not include the client's account of the incident." The nurse is planning a staff development conference about informed consent. Which of the following information should the nurse include? Select all that apply.
7. "An individual designated by a power of attorney for health care can provide informed consent despite the competency of the client."
8. "The nurse has a duty to insist that the client repeat what has been said about a procedure for which consent is necessary."
9. "The primary health care provider must disclose the risks if the client declines a recommended procedure."
   4. "The client should sign the consent form prior to receiving prescribed opioids." 5."Informed consent is not needed for emergency procedures that are in the client's best interest." The nurse is caring for a client who is at 39 weeks gestation and has a prescription for an intravenous infusion of oxytocin 1 mU/min for induction

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of labor. The nurse has 10 units of oxytocin in 1,000 mL of lactated Ringer's solution available. How many mL/hr should the nurse set the infusion pump to administer? Record your answer using a

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whole number.

Prescription given is 1mU/min

ie,

doctor's order(Dose) = 1mU/min

Dose in hand (DOH) = 10U/1000ml

Using the dimensional analysis;

Dose × Conversion × DOH × Conversion = wanted quantity

1mU/1min × 1U/1000mU ×1000ml/10U × 60min/1hr = 6ml/hr

so the infusion rate at which the should set the pump is 6ml/hr

Answer: 6 mL/hr The nurse is caring for a client who is reporting left knee pain and stiffness. Which of the following actions should the nurse take? Click the exhibit button for additional client information. 1.Apply a warm pack to the knee. 2.Elevate the affected leg. 3.Encourage gentle range-of-motion (ROM) exercises of the affected leg. 4.Request a prescription for oxycodone/aspirin p.r.n., for knee pain. EXHIBIT Temperature 98.8° F (37.1° C) Pulse 105 Respirations 20 Blood pressure 118/80 mm Hg Musculoskeletal : radius fracture 2 years ago Hematological : hemophilia New onset of left knee pain rated 5 on a scale of 0 (no pain) to 10 (severe pain). Left knee is swollen and warm to the touch. The nurse has taught a client who had a permanent ileostomy created 3

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days ago. Which of the following statements by the client would require follow-up?