Kaplan Pharmacology D NGN Questions with Correct Answers

Kaplan Pharmacology D NGN Questions
with Correct Answers


Question 1: The nurse prepares to administer digoxin 0.01 mg/kg PO to a 2-
month-old infant. The infant weighs 5 kg. The sleeping infant's apical pulse is 70
bpm. The nurse takes which most appropriate action?

• Correct Answer: Withholds the medication and notifies the health care
provider immediately.

Question 2: The nurse provides care for a client diagnosed with Hodgkin's disease.
The client received cyclophosphamide. Which laboratory value does the nurse
report to the healthcare provider?

• Correct Answer: Platelets 40,000 mm³ (40×10⁹/L)

Question 3: The nurse instructs a client who is to take rifampin. The nursing
informs the client that which adverse effect may occur?

• Correct Answer: Orange-colored urine

Question 4: A client is prescribed warfarin. Which laboratory test should the nurse
monitor to evaluate therapeutic effect?

• Correct Answer: International Normalized Ratio (INR)

Question 5: A client receives a dose of intravenous furosemide. Which assessment
finding indicates the medication is having the desired effect?

• Correct Answer: Increased urine output

,Question 6: The nurse administers naloxone to a client with suspected opioid
overdose. Which finding indicates the medication is effective?

• Correct Answer: Respiratory rate increases from 6 to 16 breaths per
minute

Question 7: A client is prescribed lisinopril. Which adverse effect should the nurse
instruct the client to report immediately?

• Correct Answer: Swelling of the lips or tongue

Question 8: The nurse is administering digoxin to a client with heart failure.
Which finding would cause the nurse to withhold the medication?

• Correct Answer: Apical pulse 52 bpm in an adult

Question 9: A client taking metformin reports gastrointestinal upset. Which
instruction should the nurse provide?

• Correct Answer: Take the medication with food

Question 10: The nurse monitors a client receiving IV heparin. Which laboratory
value indicates a therapeutic response?

• Correct Answer: aPTT 1.5 to 2.5 times the control value

Question 11: A client is prescribed albuterol via metered-dose inhaler. Which
adverse effect is common with this medication?

• Correct Answer: Tremors and tachycardia

Question 12: The nurse provides teaching to a client starting phenytoin. Which
statement by the client indicates understanding?

, • Correct Answer: "I will practice good oral hygiene to prevent gum
swelling."

Question 13: A client receiving chemotherapy with doxorubicin should be
monitored for which serious adverse effect?

• Correct Answer: Cardiotoxicity (cardiomyopathy)

Question 14: The nurse administers enoxaparin subcutaneously. Which technique
is correct?

• Correct Answer: Inject into the abdominal skinfold, do not expel air
bubble

Question 15: A client prescribed spironolactone should avoid which food due to
hyperkalemia risk?

• Correct Answer: Bananas and salt substitutes

Question 16: The nurse prepares to administer a blood transfusion. Which IV
solution is compatible?

• Correct Answer: 0.9% normal saline

Question 17: A client taking levothyroxine reports palpitations and weight loss.
Which action should the nurse take?

• Correct Answer: Assess for signs of hyperthyroidism and notify
provider

Question 18: The nurse teaches a client about insulin glargine. Which statement is
correct?

• Correct Answer: "Do not mix this insulin with any other insulin."

, Question 19: A client is prescribed clopidogrel. The nurse should monitor for
which adverse effect?

• Correct Answer: Bleeding and easy bruising

Question 20: The nurse administers propranolol to a client. Which finding requires
immediate action?

• Correct Answer: Wheezing or shortness of breath

Question 21: A client taking prednisone for 2 weeks suddenly stops the
medication. Which complication may occur?

• Correct Answer: Adrenal insufficiency (hypotension, hypoglycemia)

Question 22: The nurse monitors a client receiving IV vancomycin. Which finding
indicates an infusion-related reaction?

• Correct Answer: Flushing of the neck and upper body (red man
syndrome)

Question 23: A client prescribed isoniazid (INH) should be monitored for which
adverse effect?

• Correct Answer: Peripheral neuropathy (prevent with pyridoxine)

Question 24: The nurse administers subcutaneous insulin aspart. When should the
client eat a meal?

• Correct Answer: Within 5 to 15 minutes after injection

Question 25: A client taking atorvastatin reports muscle pain. Which laboratory
value should be checked?

• Correct Answer: Creatine kinase (CK)