---Kaplan Pharmacology D NGN questions with correct
answers.
**Question 1 (Multiple Choice)**
The nurse is administering IV Push Morphine to a client post-
operatively. Which finding requires the nurse to withhold the
medication and contact the provider?
- **A.** Respiratory rate of 18 breaths per minute.
- **B.** The client rates pain as a 6 on a 0-10 scale.
- **C.** Blood pressure of 98/56 mmHg.
- **D.** The client is sleeping soundly.
**Correct Answer & Rationale:**
- **Correct Answer:** C. Blood pressure of 98/56 mmHg.
- **Rationale:** Morphine is an opioid analgesic that causes
vasodilation, which can lead to significant hypotension. A systolic BP
<100 mmHg or a drop from baseline indicates the client is
hemodynamically unstable. Administering morphine in this context
could precipitate severe hypotension or cardiovascular collapse .
---
, **Question 2 (Select All That Apply)**
A client with Heart Failure (HF) is prescribed Digoxin (Lanoxin). The
nurse identifies which findings as signs of Digoxin toxicity? (Select all
that apply)
- **A.** Greenish-yellow halos around lights.
- **B.** Heart rate of 52 bpm.
- **C.** Dry, non-productive cough.
- **D.** Anorexia and nausea.
- **E.** Hyperkalemia (Serum K+ 5.6 mEq/L).
**Correct Answer & Rationale:**
- **Correct Answers:** A, B, D.
- **Rationale:** Digoxin toxicity presents with GI symptoms (anorexia,
N/V), CNS/Visual disturbances (halos, blurry vision), and cardiac
dysrhythmias (bradycardia, heart block). **C** is incorrect because a
dry cough is indicative of ACE inhibitors, not digoxin. **E** is incorrect;
hypokalemia potentiates toxicity, while hyperkalemia actually makes
digoxin less effective.
---
**Question 3 (NGN Case Study - Bowtie Question)**
**Situation:** A nurse is caring for a client who received 10 units of
NPH insulin (Humulin N) at 0700. The client has been NPO since
midnight for a scheduled surgery at 0900.
answers.
**Question 1 (Multiple Choice)**
The nurse is administering IV Push Morphine to a client post-
operatively. Which finding requires the nurse to withhold the
medication and contact the provider?
- **A.** Respiratory rate of 18 breaths per minute.
- **B.** The client rates pain as a 6 on a 0-10 scale.
- **C.** Blood pressure of 98/56 mmHg.
- **D.** The client is sleeping soundly.
**Correct Answer & Rationale:**
- **Correct Answer:** C. Blood pressure of 98/56 mmHg.
- **Rationale:** Morphine is an opioid analgesic that causes
vasodilation, which can lead to significant hypotension. A systolic BP
<100 mmHg or a drop from baseline indicates the client is
hemodynamically unstable. Administering morphine in this context
could precipitate severe hypotension or cardiovascular collapse .
---
, **Question 2 (Select All That Apply)**
A client with Heart Failure (HF) is prescribed Digoxin (Lanoxin). The
nurse identifies which findings as signs of Digoxin toxicity? (Select all
that apply)
- **A.** Greenish-yellow halos around lights.
- **B.** Heart rate of 52 bpm.
- **C.** Dry, non-productive cough.
- **D.** Anorexia and nausea.
- **E.** Hyperkalemia (Serum K+ 5.6 mEq/L).
**Correct Answer & Rationale:**
- **Correct Answers:** A, B, D.
- **Rationale:** Digoxin toxicity presents with GI symptoms (anorexia,
N/V), CNS/Visual disturbances (halos, blurry vision), and cardiac
dysrhythmias (bradycardia, heart block). **C** is incorrect because a
dry cough is indicative of ACE inhibitors, not digoxin. **E** is incorrect;
hypokalemia potentiates toxicity, while hyperkalemia actually makes
digoxin less effective.
---
**Question 3 (NGN Case Study - Bowtie Question)**
**Situation:** A nurse is caring for a client who received 10 units of
NPH insulin (Humulin N) at 0700. The client has been NPO since
midnight for a scheduled surgery at 0900.
