RN PHARMACOLOGY A RELIAS A| EXAM QUESTIONS
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WITH ANSWERS NEW EXAM UPDATE GRADED A+
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1.)iPotassiumichloridei10imEqiintravenouslyihasibeeniorderediforiaiclientiwhoseipotassiumiisi2.9ifollowingidi
uretics.iHowiwillitheinurseiadministeritheipotassiumidose?i
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A) Diluteitheidoseiiniai50imliIVirideriandiinfusedioveri1ihouri
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B) PushitheidoseiasiairapidiIVipushibecauseiofitheipatient’sidangerouslyilowipotassiumileveli
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C) Pushitheidoseislowlyioveri10iminutesi
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D) Askitoigiveitheidoseiiniailargeimuscleisinceitheiintravenouslyirouteiisitooidangerousi
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2.)iAiclientiwhoihasibeenitakingiLisinoprili(aniaceiinhibitor)ifori2iweeksicomplainsiofiaidryicough.iHowishouldit
heinurseiresponditoithisicomplaint?i
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A) Theicoughiwillisubsideiwithini5itoi7idaysiwhenitheibodyibecomesiaccustomeditoitheimedicine.i
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B) Theicoughiisiaisigniofiimpendingiangioedema.iTheiclientishouldistopitheimedicineiimmediately.i
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C) Theicoughiisiairesultiofiimmuneisuppression.iTheiclientishouldistopitheimedicineiimmediatelyi
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D) Theicoughiisiaicommonisideieffectiofiprils.iSartansimayibeiprescribediinsteadiifiitibecomesiintolerablei
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3.)iAiclientiisiexperiencingiedema.iWhichiover-the-
counterimedicationimightibeireducingitheidiureticieffectsiofiherilisinopril?i
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A) StiJohn’siWorti
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B) Glucosaminei
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C) VitaminiCi
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, D) Ibuprofeni
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4.)iAiclient,iwhoihasibeeniseeingimultipleidoctors,ireportsithatisheiisitakingiLisinopriliandianotheriantih
ypertensiveimedication,itheinameiofiwhichisheican’tirecall.iWhatitypeiofiantihypertensiveiisicontraindi
catediwhenipeopleiareitakingiACEiinhibitorsidueitoiriskioficompoundieffects?i
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A) Thiazideidiureticsi
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B) Betaiblockersi
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C) Potassium-sparingidiureticsi
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D) Calciumichanneliblockersi
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5.)iInipreparingidischargeieducationiforiaiclientiwhoihasijustibegunihydrochlorothiazideitherapy,iainurseirevie
wsitheiclient'silabiresults.iWhichifindingishoulditheinurseibeiconcernediaboutiinirelationshipitoitheidischargeip
rescription?i
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A) bloodisugarileveliofi80img/dLi
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B) potassiumileveliofi3.1imEq/Li
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C) hemoglobiniofi15ig/dLi
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D) potassiumileveliofi4.8imEq/L.i
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6.)iAiclientihasihadihypertensioniforiapproximatelyi7iyearsiandinowiisiinterestediinibecomingipregnant.iWhati
isitheisafestianti-hypertensiveiforiaiwomaniinitheiearlyistagesiofipregnancy?i
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A) Amlodipinei
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B) Lisinoprili
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C) Methyldopai
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D) Valsartani
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7.)iIfiaiclientiisitakingicarvedilol,iaibetaiblocker,iwhichiadverseieffectishoulditheinurseiwatchifor?i
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A) Hypoventilationi
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B) Sinusitachycardiai
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C) Hypergylcemiai
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D) Dizzinessi
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8.)iWhileipreparingitoiadministeriaischeduledidoseiofidigoxin,itheinurseifindsiainewilabiresultishowingiaidigoxi
nileveliofi
0.7ing/mL.iWhatiactionishoulditheinurseitake?i
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A) Holditheidrugiforianihouriandireassessitheilevel.i
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B) Withholditheidrugiandinotifyitheiprescriberiimmediately.i
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C) AdministeriDigibinditoicounteractitheitoxicity.i
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D) Checkitheipatient’siapicalipulse,iandiifiitiisiwithiniaisafeirange,iadministeritheidigoxin.i
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9.)iAiclientihasibeenitakingidigoxini0.25img,iandifurosemidei40img,idaily.iUponiroutineiassessmentibyitheinu
rse,itheiclientistates,i“Iiseeiyellowihalosiarounditheilights.”iTheinurseishouldiperformiwhichiofitheifollowingi
actionsibasedionithisiassessment?i
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A) Consultitheiproviderithenirequestiaidigoxiniandipotassiumilevelichecki
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B) Withholditheinextidoseiofifurosemide.i
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C) Continueitoimonitoritheipatientiforiheartifailure.i
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D) Documentitheifindingsiandireassessiini1ihour.i
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10.)iAiclientiwithianginaiisipreparingitoigoihomeiwithiaiprescriptioniforiNifedipine,iaicalciumichanneliblocker.
i Whatishoulditheiclientibeitaught?i
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A) Elevateiyourifeetiwheniyouiareisittingitoiavoidiedemaisideieffectsi
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B) Drinkigrapefruitijuiceiwithibreakfastitoireduceiyouririskiofiplaque.i
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C) Eaticheeseiregularlyitoirestoreicalciumiandimanageilooseistools.i
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D) Useisaltisubstituteitoireplenishiyouripotassiumilossesidueitoidiureticieffectsi
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11.)iAiclientiwithistableianginaiasksiwhyitheiphysicianitoldiheritoiputiherinitroipatchioniati8amianditakeiitioffiati
8pm.iWhatiexplanationishouldiheibeigiven?i
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A) Theidoctoriisitryingitoireduceiyouririskiofinightifalls.i
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B) Patch-freeiintervalsiareineededitoisustainimedicationieffectiveness.i
C) Theipatchishouldibeireplaced,inotiremovediatibedtimei
D) Youishouldifollowithisiadviceiforianyipatchimedicationsiyouiuse.i
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12.)iAiclientiwithistableianginaiasistartingitreatmentiwithinifedipineiaicalciumichanneliblocker.iTheiclient’sisp
ouseiasksihowinifedipineialleviatesichestipain.iHowishoulditheinurseirespond?i
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A) “Theyireduceiplateletiaggregation.”i
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B) “Theyireducingitheiworkiofitheiheartibyireducingiaorticipressurei(afterload).”i
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C) “Theyiincreaseitheiheartirateiandicontractility.”i
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D) “Theyiimproveicardiacicirculationithroughivasoconstriction.”i
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13.)iTheinurseiisiprovidingipatientieducationitoiaipatientiwhoihasijustibeenigiveniainewiprescriptioniforisublin
gualinitroglycerinitablets.iWhichistatementibyitheiclientiwouldiindicateiaineediforiadditionaliteaching?i
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A) “Iishoulditakeitheinitroieveryi2itoi3iminutesiuntilimyipainigoesiaway.”i
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B) “Iishoulditakeioneitabletieveryi5iminutes,iupitoiaitotaliofithreeitabletsiifineeded.”i
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C) “Iishouldistoreimyinitroglyceriniiniitsioriginalidarkibottleitoiprotectiitifromilight.”i
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D) “Iishouldikeepitheibottleiofinitroitightlyicloseditoiprotectitheitablets.”i
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