VATI RN PHARMACOLOGY PREDICTOR EXAM
A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the
nurse to take?
Evaluate the client for orthostatic hypotension.
Monitor the client's urine output.
Obtain the client's laboratory results.
Check the client for nasal congestion.
QUESTION2
A nurse is caring for a client who has a prescription for lactated Ringer's IV 4,080 mL/24 hr. The nurse should set the IV infusion pump to deliver how many mL/hr to administer
half the total volume in the first 8 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.Do not use a trailing zero.)
.
QUESTION 3
A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following medication prescriptions should the nurse identify
as being complete?
Tetracycline 200 mg PO
Epoetin alfa 150 units/kg three times weekly
Digoxin 0.25 mg PO daily
Cimetidine PO twice daily
,QUESTION 4
r neIm5.00.00.00
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching
that can be taken concurrently with enoxaparin?
Ibuprofen
Naproxen sodium
Acetaminophen
Aspirin
QUESTION 5
A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of the following findings should the nurse document as a manifestation
of pseudoparkinsonism?
Serpentine limb movement
Shuffling gait
Nonreactive pupils
Smacking lips
QUESTION 6
The nurse reviews the entries in the medical record.
The nurse is ready to begin the blood transfusion.For each potential nursing
< Exhibit 2 Exhibit 3 Exhibit 4 Exhibit 5 Exhibit 6
action, click to specify if the action is indicated or not indicated for the client.
Provider Prescriptions
1230:
Not
0.9% sodium chloride 500 mL bolus then 100 mL/hr. Nursing Action Indicated Indicated
Type and cross match for 2 units of packed RBCs. Document the blood product transfusion in the
Repeat WBC,hemoglobin,hematocrit STAT. client's medical record.
Delay endoscopy.
2 L/min O2 via nasal cannula. Stay with the client for the first 15 min of the
transfusion.
1330: Titrate the rate of infusion to maintain the client's
blood pressure at least 90/60 mm Hg.
2 units packed RBCs IV over 4 hr.
Repeat WBC,hemoglobin, hematocrit at transfusion completion STAT. Obtain the first unit of packed RBCs from the blood
bank.
Start an IV bolus of lactated Ringer's solution.
, QUESTION 7
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the
following medications should the nurse administer?
Bisacodyl 10 mg rectal suppository
Magnesium hydroxide 30 mL PO
Famotidine 20 mg PO
Loperamide 4 mg PO
QUESTION 8
8.) A client is caring for a client who develops an anaphylactic reaction to IV
administration. A=er assessing the client'srespiratory status and stopping the
medication infusion. Which of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
9.) A nurse is caring for a client who is taking sertraline and reports a desire to begin
taking supplements. Which of the following supplements should the nurse advise the
client to avoid?
A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the
nurse to take?
Evaluate the client for orthostatic hypotension.
Monitor the client's urine output.
Obtain the client's laboratory results.
Check the client for nasal congestion.
QUESTION2
A nurse is caring for a client who has a prescription for lactated Ringer's IV 4,080 mL/24 hr. The nurse should set the IV infusion pump to deliver how many mL/hr to administer
half the total volume in the first 8 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.Do not use a trailing zero.)
.
QUESTION 3
A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following medication prescriptions should the nurse identify
as being complete?
Tetracycline 200 mg PO
Epoetin alfa 150 units/kg three times weekly
Digoxin 0.25 mg PO daily
Cimetidine PO twice daily
,QUESTION 4
r neIm5.00.00.00
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching
that can be taken concurrently with enoxaparin?
Ibuprofen
Naproxen sodium
Acetaminophen
Aspirin
QUESTION 5
A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of the following findings should the nurse document as a manifestation
of pseudoparkinsonism?
Serpentine limb movement
Shuffling gait
Nonreactive pupils
Smacking lips
QUESTION 6
The nurse reviews the entries in the medical record.
The nurse is ready to begin the blood transfusion.For each potential nursing
< Exhibit 2 Exhibit 3 Exhibit 4 Exhibit 5 Exhibit 6
action, click to specify if the action is indicated or not indicated for the client.
Provider Prescriptions
1230:
Not
0.9% sodium chloride 500 mL bolus then 100 mL/hr. Nursing Action Indicated Indicated
Type and cross match for 2 units of packed RBCs. Document the blood product transfusion in the
Repeat WBC,hemoglobin,hematocrit STAT. client's medical record.
Delay endoscopy.
2 L/min O2 via nasal cannula. Stay with the client for the first 15 min of the
transfusion.
1330: Titrate the rate of infusion to maintain the client's
blood pressure at least 90/60 mm Hg.
2 units packed RBCs IV over 4 hr.
Repeat WBC,hemoglobin, hematocrit at transfusion completion STAT. Obtain the first unit of packed RBCs from the blood
bank.
Start an IV bolus of lactated Ringer's solution.
, QUESTION 7
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the
following medications should the nurse administer?
Bisacodyl 10 mg rectal suppository
Magnesium hydroxide 30 mL PO
Famotidine 20 mg PO
Loperamide 4 mg PO
QUESTION 8
8.) A client is caring for a client who develops an anaphylactic reaction to IV
administration. A=er assessing the client'srespiratory status and stopping the
medication infusion. Which of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
9.) A nurse is caring for a client who is taking sertraline and reports a desire to begin
taking supplements. Which of the following supplements should the nurse advise the
client to avoid?
