EXAM
Exam Solution vc
Lehne's Pharma test bank midterm 2026 A+ GRADE ASS vc vc vc vc vc vc vc vc
URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS vc vc vc vc vc vc
(17721)
QUESTION 1 vc
1. An APRN works in a urology clinic under the supervision of a physician who does not r
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estrict the types of medications the APRN is allowed to prescribe. State law does not req
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uire the APRN to practice under physician supervision. How would the APRN's prescripti
vc vc vc vc vc vc vc vc vc vc vc vc
ve authority be described?
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a. Full authority
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b. Independent
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c. Without limitation
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d. Limited authority
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ANSWER
ANS: B The APRN has independent prescriptive authority because the regulating body does not require
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that the APRN work under physician supervision. Full prescriptive authority gives the provider the right
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to prescribe independently and without limitation. Limited authority places restrictions on the types of
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drugs that can be prescribed.
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QUESTION 2 vc
1. Which factors increase the need for APRNs to have full prescriptive authority?
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a. More patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease.
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c. Physician's assistants are being utilized less often.
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d. APRN education is more complex than education for physicians.
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ANSWER
ANS: A Implementation of the Affordable Care Act has increased the number of individuals with health c
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are coverage, and thus the number who have access to health care services. The increase in the number
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of patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
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gap.
,QUESTION 3 vc
1. Which factors could be attributed to limited prescriptive authority for APRNs? Select a
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ll that apply.
vc vc
a. Inaccessibility of patient care
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b. Higher health care costs
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c. Higher quality medical treatment
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d. Improved collaborative care
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e. Enhanced health literacy
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ANSWER
ANS: A , B Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
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sible patient care. It may also lead to poor collaboration among providers and higher health care costs. I
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t would not directly impact patient's health literacy.
vc vc vc vc vc vc vc
QUESTION 4 vc
1. A patient presents with delirium tremens requiring Ativan administration. The provid
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er of care is not in the facility. Which action by the nurse is most appropriate?
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a. Obtain a telephone order.
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b. Contact the on-call hospitalist.
vc vc vc vc
c. Obtain an order from the charge nurse.
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d. Wait for a written Ativan order.
vc vc vc vc vc vc
ANSWER
ANS: A In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to pro
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
vide a telephone order. Contacting the on-
vc vc vc vc vc vc
call hospitalist or waiting for a written order would take more time than available for a patient with hig
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
h seizure risk. Writing an order is outside the scope of practice for the charge nurse.DIF: Cognitive Level
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
: ApplicationREF: p. 7TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiol
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ogic Integrity: Reduction of Risk Potential
vc vc vc vc vc
QUESTION 5 vc
1. A patient with chronic pain calls the provider's office to request a refill on theiroxycon
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tin. Which action is most appropriate?
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a. Fax an order to the pharmacy.
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b. Schedule an appointment with the patient.
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c. Verify the patient's adherence to drug regimen.
vc vc vc vc vc vc vc
d. Determine the patient's current medication dosage.
vc vc vc vc vc vc
ANSWER
ANS: B Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is i
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
mportant to verify the patient's adherence to the drug regimen and determine the current dosage of me
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dication; however, this can be accomplished by scheduling an appointment and evaluating the patient in
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person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing Process: Implementation MSC: NCLEX Cli
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ent Needs Category: Physiologic Integrity: Reduction of Risk Potential
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,QUESTION 6 vc
1. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset of a fl
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at, itchy red rash on the chest and neck. Which action is most important?
vc vc vc vc vc vc vc vc vc vc vc vc vc
a. Provide a different prescription.
vc vc vc vc
b. Discontinue the medication.
vc vc vc
c. Prescribe an antihistamine cream.
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d. Assess for respiratory compromise.
vc vc vc vc
ANSWER
ANS: B The priority action is to discontinue the medication to prevent worsening of the patient's sympt
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
oms. A different prescription would be provided, topical antihistamine may be administered, and the pat
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ient would be assessed for respiratory involvement, but these actions would not be performed first.DIF:
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Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Implementation MSC: NCLEX Client Needs C
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ategory: Physiologic Integrity: Reduction of Risk Potential
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QUESTION 7 vc
1. A patient taking three medications for hypertension is diagnosed with COPD. Which ac
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tion should be taken prior to prescribing medications to treat COPD?
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a. Obtain baseline laboratory values.
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b. Obtain a complete medication history.
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c. Assess liver enzyme levels.
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d. Determine if patient has insurance coverage.
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ANSWER
ANS: B Prior to adding medications to the treatment regimen, it is essential to assess for any potential d
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rug-
drug interactions through a complete medical history. Baseline laboratory values are not necessary for
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
COPD treatment. Liver enzyme levels may give insight into the possibility of altered metabolism but wo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
uld not be the first action. The presence of insurance coverage would affect the patient's access to treat
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ment but may not affect the type of medication prescribed.DIF: Cognitive Level: ApplicationREF: p. 6TOP
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: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction
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of Risk Potential
vc vc
QUESTION 8 vc
1. A patient with diabetes reports losing their job and an inability to purchase required
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
medications. Which action is most appropriate? vc vc vc vc vc
a. Provide a 7-day sample pack.
vc vc vc vc vc
b. Decrease the daily dose by half.
vc vc vc vc vc vc
c. Contact a different pharmacy.
vc vc vc vc
d. Prescribe a different medication.
vc vc vc vc
ANSWER
, ANS: C Providing a 7- vc vc vc vc
day sample will address the patient's immediate need, but will not help with the patient's long-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
term need for medication. Decreasing the daily dose will diminish the effectiveness of the medication. Se
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
lecting a different pharmacy could decrease the cost of the medication, as costs vary based on the locati
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
on and the pharmacy dispensing the medication. Prescribing a different medication would be the last op
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tion.DIF: Cognitive Level: ApplicationREF: p. 5TOP: Nursing Process: Implementation MSC: NCLEX Client
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Needs Category: Physiologic Integrity: Reduction of Risk Potential
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QUESTION 9 vc
1. A patient is prescribed metronidazole for bacterial vaginosis. Which patient history fin
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ding would be most concerning?
vc vc vc vc
a. Recent yeast infection
vc vc vc
b. Family history of cervicalcancer
vc vc vc vc
c. Drinks two glasses of wine every night
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d. Patient is currently unemployed
vc vc vc vc
ANSWER
ANS: C Patients taking metronidazole should be educated not to drink alcohol to prevent adverse reacti
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ons. It would be concerning that the patient drinks wine daily. History of a yeast infection may indicate i
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ncreased risk for recurrence with administration of an antimicrobial. A family history of cervical cancer
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is not related to administration of metronidazole. Unemployment can indicate lack of insurance coverag
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e, which may limit the patient's ability to purchase medications, but is not the most concerning patient f
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inding.DIF: Cognitive Level: ApplicationREF: p. 12TOP: Nursing Process: Implementation MSC: NCLEX Cli
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ent Needs Category: Physiologic Integrity: Reduction of Risk Potential
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QUESTION 10 vc
1. A patient diagnosed with bipolar disorder is prescribed daily lithium. Which action is
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most important to determine if the therapeutic level is maintained?
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a. Obtain preadministration blood work.
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b. Administer medication at regular intervals.
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c. Ensure periodic laboratory testing is completed.
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d. Assess the patient for adverse effects.
vc vc vc vc vc vc
ANSWER
ANS: C Therapeutic serum levels are determined through periodic laboratory testing. Preadministration
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blood work may be necessary to determine the patient's physical condition but will not determine thera
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peutic levels. Scheduling medication administration at regular intervals will help to ensure medication is
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absorbed and metabolized predictably, but will not determine therapeutic blood levels. Assessing the p
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atient for physical signs of adverse effects does not determine if a therapeutic level has been obtained.D
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IF: Cognitive Level: ApplicationREF: p. 12TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Ca
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tegory: Physiologic Integrity: Reduction of Risk Potential
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QUESTION 11 vc
Exam Solution vc
Lehne's Pharma test bank midterm 2026 A+ GRADE ASS vc vc vc vc vc vc vc vc
URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS vc vc vc vc vc vc
(17721)
QUESTION 1 vc
1. An APRN works in a urology clinic under the supervision of a physician who does not r
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
estrict the types of medications the APRN is allowed to prescribe. State law does not req
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
uire the APRN to practice under physician supervision. How would the APRN's prescripti
vc vc vc vc vc vc vc vc vc vc vc vc
ve authority be described?
vc vc vc
a. Full authority
vc vc
b. Independent
vc
c. Without limitation
vc vc
d. Limited authority
vc vc
ANSWER
ANS: B The APRN has independent prescriptive authority because the regulating body does not require
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
that the APRN work under physician supervision. Full prescriptive authority gives the provider the right
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
to prescribe independently and without limitation. Limited authority places restrictions on the types of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
drugs that can be prescribed.
vc vc vc vc
QUESTION 2 vc
1. Which factors increase the need for APRNs to have full prescriptive authority?
vc vc vc vc vc vc vc vc vc vc vc vc
a. More patients will have access to health care.
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b. Enrollment in medical schools is predicted to decrease.
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c. Physician's assistants are being utilized less often.
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d. APRN education is more complex than education for physicians.
vc vc vc vc vc vc vc vc vc
ANSWER
ANS: A Implementation of the Affordable Care Act has increased the number of individuals with health c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
are coverage, and thus the number who have access to health care services. The increase in the number
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of patients creates the need for more providers with prescriptive authority. APRNs can fill this practice
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
gap.
,QUESTION 3 vc
1. Which factors could be attributed to limited prescriptive authority for APRNs? Select a
vc vc vc vc vc vc vc vc vc vc vc vc vc
ll that apply.
vc vc
a. Inaccessibility of patient care
vc vc vc vc
b. Higher health care costs
vc vc vc vc
c. Higher quality medical treatment
vc vc vc vc
d. Improved collaborative care
vc vc vc
e. Enhanced health literacy
vc vc vc
ANSWER
ANS: A , B Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and acces
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sible patient care. It may also lead to poor collaboration among providers and higher health care costs. I
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
t would not directly impact patient's health literacy.
vc vc vc vc vc vc vc
QUESTION 4 vc
1. A patient presents with delirium tremens requiring Ativan administration. The provid
vc vc vc vc vc vc vc vc vc vc vc
er of care is not in the facility. Which action by the nurse is most appropriate?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
a. Obtain a telephone order.
vc vc vc vc
b. Contact the on-call hospitalist.
vc vc vc vc
c. Obtain an order from the charge nurse.
vc vc vc vc vc vc vc
d. Wait for a written Ativan order.
vc vc vc vc vc vc
ANSWER
ANS: A In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to pro
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
vide a telephone order. Contacting the on-
vc vc vc vc vc vc
call hospitalist or waiting for a written order would take more time than available for a patient with hig
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
h seizure risk. Writing an order is outside the scope of practice for the charge nurse.DIF: Cognitive Level
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
: ApplicationREF: p. 7TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiol
vc vc vc vc vc vc vc vc vc vc vc vc
ogic Integrity: Reduction of Risk Potential
vc vc vc vc vc
QUESTION 5 vc
1. A patient with chronic pain calls the provider's office to request a refill on theiroxycon
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tin. Which action is most appropriate?
vc vc vc vc vc
a. Fax an order to the pharmacy.
vc vc vc vc vc vc
b. Schedule an appointment with the patient.
vc vc vc vc vc vc
c. Verify the patient's adherence to drug regimen.
vc vc vc vc vc vc vc
d. Determine the patient's current medication dosage.
vc vc vc vc vc vc
ANSWER
ANS: B Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is i
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
mportant to verify the patient's adherence to the drug regimen and determine the current dosage of me
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dication; however, this can be accomplished by scheduling an appointment and evaluating the patient in
vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing Process: Implementation MSC: NCLEX Cli
c vc vc vc vc vc vc vc vc vc vc vc
ent Needs Category: Physiologic Integrity: Reduction of Risk Potential
vc vc vc vc vc vc vc vc
,QUESTION 6 vc
1. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset of a fl
vc vc vc vc vc vc vc vc vc vc vc vc vc
at, itchy red rash on the chest and neck. Which action is most important?
vc vc vc vc vc vc vc vc vc vc vc vc vc
a. Provide a different prescription.
vc vc vc vc
b. Discontinue the medication.
vc vc vc
c. Prescribe an antihistamine cream.
vc vc vc vc
d. Assess for respiratory compromise.
vc vc vc vc
ANSWER
ANS: B The priority action is to discontinue the medication to prevent worsening of the patient's sympt
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
oms. A different prescription would be provided, topical antihistamine may be administered, and the pat
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ient would be assessed for respiratory involvement, but these actions would not be performed first.DIF:
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Cognitive Level: ApplicationREF: p. 6TOP: Nursing Process: Implementation MSC: NCLEX Client Needs C
vc vc vc vc vc vc vc vc vc vc vc vc
ategory: Physiologic Integrity: Reduction of Risk Potential
vc vc vc vc vc vc
QUESTION 7 vc
1. A patient taking three medications for hypertension is diagnosed with COPD. Which ac
vc vc vc vc vc vc vc vc vc vc vc vc vc
tion should be taken prior to prescribing medications to treat COPD?
vc vc vc vc vc vc vc vc vc vc
a. Obtain baseline laboratory values.
vc vc vc vc
b. Obtain a complete medication history.
vc vc vc vc vc
c. Assess liver enzyme levels.
vc vc vc vc
d. Determine if patient has insurance coverage.
vc vc vc vc vc vc
ANSWER
ANS: B Prior to adding medications to the treatment regimen, it is essential to assess for any potential d
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rug-
drug interactions through a complete medical history. Baseline laboratory values are not necessary for
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
COPD treatment. Liver enzyme levels may give insight into the possibility of altered metabolism but wo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
uld not be the first action. The presence of insurance coverage would affect the patient's access to treat
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ment but may not affect the type of medication prescribed.DIF: Cognitive Level: ApplicationREF: p. 6TOP
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction
vc vc vc vc vc vc vc vc vc vc vc vc
of Risk Potential
vc vc
QUESTION 8 vc
1. A patient with diabetes reports losing their job and an inability to purchase required
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
medications. Which action is most appropriate? vc vc vc vc vc
a. Provide a 7-day sample pack.
vc vc vc vc vc
b. Decrease the daily dose by half.
vc vc vc vc vc vc
c. Contact a different pharmacy.
vc vc vc vc
d. Prescribe a different medication.
vc vc vc vc
ANSWER
, ANS: C Providing a 7- vc vc vc vc
day sample will address the patient's immediate need, but will not help with the patient's long-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
term need for medication. Decreasing the daily dose will diminish the effectiveness of the medication. Se
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
lecting a different pharmacy could decrease the cost of the medication, as costs vary based on the locati
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
on and the pharmacy dispensing the medication. Prescribing a different medication would be the last op
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tion.DIF: Cognitive Level: ApplicationREF: p. 5TOP: Nursing Process: Implementation MSC: NCLEX Client
vc vc vc vc vc vc vc vc vc vc vc v
Needs Category: Physiologic Integrity: Reduction of Risk Potential
c vc vc vc vc vc vc vc
QUESTION 9 vc
1. A patient is prescribed metronidazole for bacterial vaginosis. Which patient history fin
vc vc vc vc vc vc vc vc vc vc vc vc
ding would be most concerning?
vc vc vc vc
a. Recent yeast infection
vc vc vc
b. Family history of cervicalcancer
vc vc vc vc
c. Drinks two glasses of wine every night
vc vc vc vc vc vc vc
d. Patient is currently unemployed
vc vc vc vc
ANSWER
ANS: C Patients taking metronidazole should be educated not to drink alcohol to prevent adverse reacti
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ons. It would be concerning that the patient drinks wine daily. History of a yeast infection may indicate i
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ncreased risk for recurrence with administration of an antimicrobial. A family history of cervical cancer
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is not related to administration of metronidazole. Unemployment can indicate lack of insurance coverag
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e, which may limit the patient's ability to purchase medications, but is not the most concerning patient f
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inding.DIF: Cognitive Level: ApplicationREF: p. 12TOP: Nursing Process: Implementation MSC: NCLEX Cli
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ent Needs Category: Physiologic Integrity: Reduction of Risk Potential
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QUESTION 10 vc
1. A patient diagnosed with bipolar disorder is prescribed daily lithium. Which action is
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most important to determine if the therapeutic level is maintained?
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a. Obtain preadministration blood work.
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b. Administer medication at regular intervals.
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c. Ensure periodic laboratory testing is completed.
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d. Assess the patient for adverse effects.
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ANSWER
ANS: C Therapeutic serum levels are determined through periodic laboratory testing. Preadministration
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blood work may be necessary to determine the patient's physical condition but will not determine thera
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peutic levels. Scheduling medication administration at regular intervals will help to ensure medication is
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absorbed and metabolized predictably, but will not determine therapeutic blood levels. Assessing the p
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atient for physical signs of adverse effects does not determine if a therapeutic level has been obtained.D
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IF: Cognitive Level: ApplicationREF: p. 12TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Ca
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tegory: Physiologic Integrity: Reduction of Risk Potential
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QUESTION 11 vc
