CJE-Pharmacology Study Guide Exam
with Complete Answers.
A client is prescribed spironolactone to manage moderate congestive heart failure.
Which intervention should be part of the plan of care? - Answer Administering in the
morning
The health care team plans discharge instructions for a client with hypertension and recently
started on a two-medication regimen.
The nurse knows there is a need for further teaching when the client makes which comment? -
Answer "I am not allowed to take any over-the-counter medications while on this
medication."
The nurse is caring for a client with a new diagnosis of hyponatremia due to syndrome of
inappropriate antidiuretic hormone. The nurse reads the progress notes and notices that the
client failed at maintaining the prescribed water restriction. The nurse would be expecting
which medications to help the client? Select all that apply. - Answer - Oral salt tablets
- Lithium
- Furosemide
33-year-old female client reports to the clinic with complaints of fatigue, increased urination,
and increased thirst. She also has a yeast infection she has been trying to treat with over the
counter medications without any success. She is 5'7" and 220 pounds (BMI 345). She works as a
secretary. Comorbidities include hypercholesterolemia and polycystic ovarian syndrome.
Glycosylated hemoglobin <5.7 17.1
Triglycerides <150 mg/dL 260
BMP: Sodium
135-145 mEq/L
144
Potassium
3.5-5.0 mEq/L
3.9
Glucose
70-110 mg/dL
210CBC: WBC
5-10 K/uL
,8
RBC
4.5-6.0 million/uL
6.3
Hemoglobin
12-18 g/dL
17Hematocrit
38-48%
42
Urinalysis
Glucose
≤ 130 mg/d
142
•Specific gravity
1.005-1.025
1.008•Specific gravity
1.005-1.025
1.008
pH
4.5-8
5.6
leukocytes
negative
negativeThe nurse cares for a client in the clinic.
Review the electronic health record. Complete the diagram by dragging from the choices below
to specify what condition thec - Answer Condition the client is most likely experiencing
-Type 2 diabetes mellitus
Actions the nurse should take
-Educate client on metformin
-Obtain BUN/creatinine levels
, Parameters to monitor to assess progress -Daily weights log
-Diarrhea and weight loss
A nurse cares for a client experiencing severe chest pain in the emergency department. The
electrocardiogram reveals an ST elevation, and the health care provider orders a nitroglycerin
drip at 10 mcg/min to be increased by 10 mcg/min at 5-minute intervals if chest pain persists
and systolic blood pressure remains above 100 mmg while awaiting transfer to the cardiac
catheterization lab. Which findings indicate an expected outcome of the nitroglycerin infusion?
Select all that apply. - Answer -The client reports a new onset headache
-The client's blood pressure decreased from 164/96 mmHg to 148/90 mmHg in 5 minutes.
A nurse cares for a client and administers an antiemetic.
What finding suggests that the medication is effective? - Answer Less vomiting
3/14 11:20am
132/86
88
R 16
T 98.6 °F
37 °C
98% RA
3/14 13:45
130/82
84
18
T 98.6 °F
37 °C
991 °F
37.3 °C
Sp02
98% RA
97% RA
A client with arthritis reports persistent and daily pain. The nurse provides pain medication to
the client at 1145.
with Complete Answers.
A client is prescribed spironolactone to manage moderate congestive heart failure.
Which intervention should be part of the plan of care? - Answer Administering in the
morning
The health care team plans discharge instructions for a client with hypertension and recently
started on a two-medication regimen.
The nurse knows there is a need for further teaching when the client makes which comment? -
Answer "I am not allowed to take any over-the-counter medications while on this
medication."
The nurse is caring for a client with a new diagnosis of hyponatremia due to syndrome of
inappropriate antidiuretic hormone. The nurse reads the progress notes and notices that the
client failed at maintaining the prescribed water restriction. The nurse would be expecting
which medications to help the client? Select all that apply. - Answer - Oral salt tablets
- Lithium
- Furosemide
33-year-old female client reports to the clinic with complaints of fatigue, increased urination,
and increased thirst. She also has a yeast infection she has been trying to treat with over the
counter medications without any success. She is 5'7" and 220 pounds (BMI 345). She works as a
secretary. Comorbidities include hypercholesterolemia and polycystic ovarian syndrome.
Glycosylated hemoglobin <5.7 17.1
Triglycerides <150 mg/dL 260
BMP: Sodium
135-145 mEq/L
144
Potassium
3.5-5.0 mEq/L
3.9
Glucose
70-110 mg/dL
210CBC: WBC
5-10 K/uL
,8
RBC
4.5-6.0 million/uL
6.3
Hemoglobin
12-18 g/dL
17Hematocrit
38-48%
42
Urinalysis
Glucose
≤ 130 mg/d
142
•Specific gravity
1.005-1.025
1.008•Specific gravity
1.005-1.025
1.008
pH
4.5-8
5.6
leukocytes
negative
negativeThe nurse cares for a client in the clinic.
Review the electronic health record. Complete the diagram by dragging from the choices below
to specify what condition thec - Answer Condition the client is most likely experiencing
-Type 2 diabetes mellitus
Actions the nurse should take
-Educate client on metformin
-Obtain BUN/creatinine levels
, Parameters to monitor to assess progress -Daily weights log
-Diarrhea and weight loss
A nurse cares for a client experiencing severe chest pain in the emergency department. The
electrocardiogram reveals an ST elevation, and the health care provider orders a nitroglycerin
drip at 10 mcg/min to be increased by 10 mcg/min at 5-minute intervals if chest pain persists
and systolic blood pressure remains above 100 mmg while awaiting transfer to the cardiac
catheterization lab. Which findings indicate an expected outcome of the nitroglycerin infusion?
Select all that apply. - Answer -The client reports a new onset headache
-The client's blood pressure decreased from 164/96 mmHg to 148/90 mmHg in 5 minutes.
A nurse cares for a client and administers an antiemetic.
What finding suggests that the medication is effective? - Answer Less vomiting
3/14 11:20am
132/86
88
R 16
T 98.6 °F
37 °C
98% RA
3/14 13:45
130/82
84
18
T 98.6 °F
37 °C
991 °F
37.3 °C
Sp02
98% RA
97% RA
A client with arthritis reports persistent and daily pain. The nurse provides pain medication to
the client at 1145.
