1|Page
Kaplan Pharmacology Integrated Proctored Exam
TEST A ACTUAL VERIFIED EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE.pdf
What are the symptoms of too much lithium in your body?
Call your doctor right away if you have diarrhea, vomiting,
drowsiness, muscle weakness, tremors, unsteadiness, or
other problems with muscle control or coordination. These
may be symptoms of lithium toxicity. Make sure your
doctor knows if you have a heart disorder called Brugada
syndrome.
Treatment varies
Moderate to severe toxicity
Moderate to severe lithium toxicity usually requires
additional treatment, such as:
Stomach pumping. This procedure may be an option if
you've taken lithium within the last hour.
Whole bowel irrigation. You'll swallow a solution or be
given one through a tube to help flush the extra lithium out
of your intestines.
,2|Page
IV fluids. You may need these to restore your electrolyte
balance.
Hemodialysis. This procedure uses an artificial kidney,
called a hemodialyzer, to remove waste from your blood.
Medication. If you start to have seizures, your doctor might
prescribe an anticonvulsant medication.
Vital sign monitoring. Your doctor may choose to keep you
under supervision while they monitor your vital signs,
including your blood pressure and heart rate, for any
unusual signs.
The nurse teaches the client about sublingual nitroglycerin
administration. Which client statement indicates further
teaching is necessary? - Answer-I will swallow frequently
until the tablet completely dissolves.
Nitroglycerin is used to prevent angina (chest pain)
caused by coronary artery disease. This medicine is also
used to relieve an angina attack that is already occurring.
Nitroglycerin belongs to the group of medicines called
nitrates. It works by relaxing the blood vessels and
increasing the supply of blood and oxygen to the heart
while reducing its work load. When used regularly on a
,3|Page
long-term basis, or just before exercise or a stressful
event, this helps prevent angina attacks from occurring.
What happens if you swallow a nitroglycerin tablet?
If you accidentally swallow the tablet, take another. The
medicine won't work if you swallow it. For between-cheek-
and-gum (buccal) tablets, place the tablet between your
cheek and gum. Leave it there until it dissolves.
Nitroglycerin sublingual tablets should not be chewed,
crushed, or swallowed. They work much faster when
absorbed through the lining of the mouth.
A client is receiving 5% dextrose in 0.45% saline IV at 150
mL per hour in the forearm. Which finding best indicates to
the nurse the IV is infiltrated? - Answer-The client reports
the arm is painful.
What are signs of an infiltration/extravasation?
Redness around the site.
Swelling, puffy or hard skin around the site.
Blanching (lighter skin around the IV site)
Pain or tenderness around the site.
IV not working.
, 4|Page
Cool skin temperature around the IV site or of the scalp,
hand, arm, leg or foot near the site.
What is dextrose 5% IV used for?
Dextrose injection is a sterile solution used to provide your
body with extra water and carbohydrates (calories from
sugar). It is used when a patient is not able to drink
enough liquids or when additional fluids are needed.
Dextrose 5 in .9 Sodium Chloride is a prescription
medicine used to treat the symptoms of Hypoglycemia.
Dextrose 5 in .9 Sodium Chloride may be used alone or
with other medications.
The client is diagnosed with rheumatoid arthritis. The
nurse instructs the client about taking methotrexate. The
nurse includes which statement? - Answer-Report any
temperature increases to your health care provider
immediately.
Rheumatoid arthritis is a chronic inflammatory disorder
that can affect more than just your joints. In some people,
the condition can damage a wide variety of body systems,
including the skin, eyes, lungs, heart and blood vessels.
Kaplan Pharmacology Integrated Proctored Exam
TEST A ACTUAL VERIFIED EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE.pdf
What are the symptoms of too much lithium in your body?
Call your doctor right away if you have diarrhea, vomiting,
drowsiness, muscle weakness, tremors, unsteadiness, or
other problems with muscle control or coordination. These
may be symptoms of lithium toxicity. Make sure your
doctor knows if you have a heart disorder called Brugada
syndrome.
Treatment varies
Moderate to severe toxicity
Moderate to severe lithium toxicity usually requires
additional treatment, such as:
Stomach pumping. This procedure may be an option if
you've taken lithium within the last hour.
Whole bowel irrigation. You'll swallow a solution or be
given one through a tube to help flush the extra lithium out
of your intestines.
,2|Page
IV fluids. You may need these to restore your electrolyte
balance.
Hemodialysis. This procedure uses an artificial kidney,
called a hemodialyzer, to remove waste from your blood.
Medication. If you start to have seizures, your doctor might
prescribe an anticonvulsant medication.
Vital sign monitoring. Your doctor may choose to keep you
under supervision while they monitor your vital signs,
including your blood pressure and heart rate, for any
unusual signs.
The nurse teaches the client about sublingual nitroglycerin
administration. Which client statement indicates further
teaching is necessary? - Answer-I will swallow frequently
until the tablet completely dissolves.
Nitroglycerin is used to prevent angina (chest pain)
caused by coronary artery disease. This medicine is also
used to relieve an angina attack that is already occurring.
Nitroglycerin belongs to the group of medicines called
nitrates. It works by relaxing the blood vessels and
increasing the supply of blood and oxygen to the heart
while reducing its work load. When used regularly on a
,3|Page
long-term basis, or just before exercise or a stressful
event, this helps prevent angina attacks from occurring.
What happens if you swallow a nitroglycerin tablet?
If you accidentally swallow the tablet, take another. The
medicine won't work if you swallow it. For between-cheek-
and-gum (buccal) tablets, place the tablet between your
cheek and gum. Leave it there until it dissolves.
Nitroglycerin sublingual tablets should not be chewed,
crushed, or swallowed. They work much faster when
absorbed through the lining of the mouth.
A client is receiving 5% dextrose in 0.45% saline IV at 150
mL per hour in the forearm. Which finding best indicates to
the nurse the IV is infiltrated? - Answer-The client reports
the arm is painful.
What are signs of an infiltration/extravasation?
Redness around the site.
Swelling, puffy or hard skin around the site.
Blanching (lighter skin around the IV site)
Pain or tenderness around the site.
IV not working.
, 4|Page
Cool skin temperature around the IV site or of the scalp,
hand, arm, leg or foot near the site.
What is dextrose 5% IV used for?
Dextrose injection is a sterile solution used to provide your
body with extra water and carbohydrates (calories from
sugar). It is used when a patient is not able to drink
enough liquids or when additional fluids are needed.
Dextrose 5 in .9 Sodium Chloride is a prescription
medicine used to treat the symptoms of Hypoglycemia.
Dextrose 5 in .9 Sodium Chloride may be used alone or
with other medications.
The client is diagnosed with rheumatoid arthritis. The
nurse instructs the client about taking methotrexate. The
nurse includes which statement? - Answer-Report any
temperature increases to your health care provider
immediately.
Rheumatoid arthritis is a chronic inflammatory disorder
that can affect more than just your joints. In some people,
the condition can damage a wide variety of body systems,
including the skin, eyes, lungs, heart and blood vessels.
