NR 293 PHARM-EXAM 1 STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS); A GRADE
A 55-year-old client who has a long history of drug and
alcohol abuse mentions taking ginkgo biloba. The nurse
knows that ginkgo biloba is taken to treat what condition?
1
Insomnia
2
Depression
3
Memory impairment
4
Anxiety and nervousness - correct answer- 3
Ginkgo biloba is an herb used to treat age-related
memory impairment and dementia. It has not been
shown to be effective in treating insomnia, depression, or
anxiety.
,A client is being admitted for a total hip replacement.
When is it necessary for the nurse to ensure that a
medication reconciliation is completed? Select all that
apply.
1
After reporting severe pain
2
On admission to the hospital
3
Upon entering the operating room
4
Before transfer to a rehabilitation facility
5
At time of scheduling for the surgical procedure -
correct answer- 2,4
Medication reconciliation involves the creation of a list of
all medications the client is taking and comparing it to the
healthcare provider's prescriptions on admission or when
there is a transfer to a different setting or service, or
discharge. A change in status does not require medication
reconciliation. A medication reconciliation should be
,completed long before entering the operating room. Total
hip replacement is elective surgery, and scheduling takes
place before admission; medication reconciliation takes
place when the client is admitted.
A client with osteomyelitis is receiving antibiotic therapy
via a central line. Trough blood levels were obtained
immediately before a prescribed dose of antibiotics, and
peak levels were obtained 30 minutes after the infusion
was completed. The laboratory results reveal that the
trough level is higher than the peak level. What does the
nurse conclude that this finding probably indicates?
1
The dose should be increased.
2
The dose is in excess of the client's needs.
3
There was an adequate administration of the antibiotic.
4
There was a problem with the obtaining of blood
specimens - correct answer- 4
, Peak levels will always be higher than trough levels;
therefore this result indicates some mix-up in the drawn
samples. Increasing the dose would be an appropriate
action if the trough level were too low. Concluding that
the dose in excess of the client's needs would be
appropriate if the trough level were too high, but not
exceeding the peak. There is not enough information to
determine whether the antibiotic administered is
adequate
A nurse is preparing a lecture for a group of nursing
students related to ethics and legal principles. Which
statement would be appropriate to include?
1
Beneficence emphasizes the importance of preventing
harm and ensuring the client's well-being.
2
After the nurse has delegated a task or activity, the
unlicensed assistive personnel (UAP) is accountable for
the task or activity.
3
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS); A GRADE
A 55-year-old client who has a long history of drug and
alcohol abuse mentions taking ginkgo biloba. The nurse
knows that ginkgo biloba is taken to treat what condition?
1
Insomnia
2
Depression
3
Memory impairment
4
Anxiety and nervousness - correct answer- 3
Ginkgo biloba is an herb used to treat age-related
memory impairment and dementia. It has not been
shown to be effective in treating insomnia, depression, or
anxiety.
,A client is being admitted for a total hip replacement.
When is it necessary for the nurse to ensure that a
medication reconciliation is completed? Select all that
apply.
1
After reporting severe pain
2
On admission to the hospital
3
Upon entering the operating room
4
Before transfer to a rehabilitation facility
5
At time of scheduling for the surgical procedure -
correct answer- 2,4
Medication reconciliation involves the creation of a list of
all medications the client is taking and comparing it to the
healthcare provider's prescriptions on admission or when
there is a transfer to a different setting or service, or
discharge. A change in status does not require medication
reconciliation. A medication reconciliation should be
,completed long before entering the operating room. Total
hip replacement is elective surgery, and scheduling takes
place before admission; medication reconciliation takes
place when the client is admitted.
A client with osteomyelitis is receiving antibiotic therapy
via a central line. Trough blood levels were obtained
immediately before a prescribed dose of antibiotics, and
peak levels were obtained 30 minutes after the infusion
was completed. The laboratory results reveal that the
trough level is higher than the peak level. What does the
nurse conclude that this finding probably indicates?
1
The dose should be increased.
2
The dose is in excess of the client's needs.
3
There was an adequate administration of the antibiotic.
4
There was a problem with the obtaining of blood
specimens - correct answer- 4
, Peak levels will always be higher than trough levels;
therefore this result indicates some mix-up in the drawn
samples. Increasing the dose would be an appropriate
action if the trough level were too low. Concluding that
the dose in excess of the client's needs would be
appropriate if the trough level were too high, but not
exceeding the peak. There is not enough information to
determine whether the antibiotic administered is
adequate
A nurse is preparing a lecture for a group of nursing
students related to ethics and legal principles. Which
statement would be appropriate to include?
1
Beneficence emphasizes the importance of preventing
harm and ensuring the client's well-being.
2
After the nurse has delegated a task or activity, the
unlicensed assistive personnel (UAP) is accountable for
the task or activity.
3
