NURSING NCLEX|HSOR Module 8 Pharmacology and Intravenous Therapies.
Module 8
Questions
1. 1.ID: 383694396
A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.”
The medication label indicates that the bottle contains 100-mg capsules. How
many capsules does the nurse prepare for administration of one dose?
Correct
Correct Responses: "1"
<i>Rationale:</i> Convert 0.1 g to milligrams: 1000 mg = 1 g; therefore 0.1 g =
100 mg. Next use the medication
formula:<i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><
br><IMG
src="/objects/NCLEX/silvestri1e_v1/mod_08/images/exam/M08Q044E01.gif"
border=0><!-- RspH:I
--><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><br><
IMG src="/objects/NCLEX/silvestri1e_v1/mod_08/images/exam/M08Q044E02.gif"
border=0><!-- RspH:I
--><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i></i
><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i>Test-Taking
Strategy:</i> First, convert 0.1 g to mg. Next. follow the formula for the calculation
of the correct dose. Recheck your work and ensure that the answer makes sense. If
you had difficulty with this question, review medication calculation
problems.<i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i></i>
<i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i>Level
of Cognitive Ability:</i>
Applying<i></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><
i></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i>Client
Needs:</i> Physiological
Integrity<i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i></i><
i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i></i><i>Integrat
ed Process:</i> Nursing
Process/Implementation<i></i><i></i><i></i><br><i></i><i></i><i></i><i
></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i></i><i>
</i><i>Content Area:</i> Medication
Calculations<i></i><i></i><br><i></i><i></i><i></i><i></i><i></i><i></i
><i></i><i></i><br><i></i><i></i><i></i><i></i><i></i><i></i><i>Refe
rence:</i> Potter, P., & Perry, A. (2009). <i>Fundamentals of nursing</i> (7th ed.,
pp. 695-699). St. Louis: Mosby.
Awarded 1.0 out of 1.0 possible points.
2. 2.ID: 383694320
, A client has a prescription for short-term therapy with enoxaparin (Lovenox). The
nurse explains to the client that this medication is being prescribed to:
A. Prevent pain
B. Relieve back spasms
C. Increase the client’s energy level
D. Reduce the risk of deep vein thrombosis Correct
Rationale: Enoxaparin is an anticoagulant that is administered to prevent deep
vein thrombosis and thromboembolism in selected at-risk clients. It is not used to
prevent pain, relieve back spasms, or increase the energy level.
Test-Taking Strategy: To answer this question accurately, it is necessary to be
familiar with this medication and its intended effects. Recalling that this
medication is an anticoagulant will direct you to the correct option. Review the
action of this medication if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Lehne, R. (2010). Pharmacology for nursing care (7th ed., p. 602). St.
Louis: Saunders.
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 383695637
A client receiving parenteral nutrition (PN) requires fat emulsion (lipids), which will
be piggybacked to the PN solution. On obtaining a bottle of fat emulsion, the nurse
notes that fat globules are floating at the top of the solution. Which of these
actions should the nurse take?
A. Shaking the bottle vigorously
B. Requesting a new bottle from the pharmacy Correct
C. Rotating the bottle gently back and forth to mix the globules
D. Running the bottle under warm water until the globules disappear
Rationale: The nurse should not hang a fat emulsion that contains visible fat
globules. Another bottle of solution should be obtained and used in its place. When
PN is combined with fat emulsion, the solution should not be used if there is a
visible “ring” noted in the container of solution. The actions in the other options
are incorrect.
Test-Taking Strategy: Remember that options that are comparable or alike are not
likely to be correct. With this in mind, eliminate rotating the bag and shaking the
, bottle first. To select from the remaining options, think about the significance of
seeing fat globules in the solution and imagine the potential adverse effect of fat
globules in the client’s bloodstream. This will direct you to the correct option.
Review the procedures for administration of fat emulsion if you had difficulty with
this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Parenteral Nutrition
Reference: Gahart, B., & Nazareno, A. (2010). 2010 intravenous medications (26th
ed., p. 576). St. Louis: Mosby.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 383695130
Risperidone (Risperdal) is prescribed for a client with a diagnosis of schizophrenia.
Which laboratory study does the nurse expect to see among the physician’s
prescriptions?
A. Platelet count Correct
B. Creatinine level
C. Sedimentation rate
D. Red blood cell count
Rationale: Baseline assessment includes renal and liver function parameters.
Risperidone is used with caution — often at a reduced dosage — in clients with
renal or hepatic impairment, clients with underlying cardiovascular disorders, and
in older or debilitated clients. The laboratory tests identified in the other options
are not necessary.
Test-Taking Strategy: Use the process of elimination. Recalling that this medication
is used with caution in clients with renal or hepatic failure will direct you to the
correct option. Review this medication if you had difficulty with this question.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Pharmacology
, Reference: Kee, J., Hayes, E., & McCuistion, L. (2009). Pharmacology: A nursing
process approach (6th ed., p. 402). St. Louis: Saunders.
Awarded 1.0 points out of 1.0 possible points.
5. 5.ID: 383695122
The serum theophylline level of a client who is taking the medication (Theo-24) is
16 mcg/mL. On the basis of this result, the nurse will initially:
A. Document the normal value on the chart Correct
B. Call the healthcare provider immediately
C. Call the rapid response team to help with the emergency
D. Call the pharmacy to alert the pharmacist regarding the client’s
theophylline level
Rationale: The normal therapeutic range for theophylline is 10 to 20 mcg/mL. A
level above 20 mcg/mL is considered toxic. A value of 16 mcg/mL is within the
therapeutic range.
Test-Taking Strategy: Specific knowledge regarding the therapeutic range for this
medication is necessary to answer this question. Recalling that the normal
therapeutic range for theophylline levels is 10 to 20 mcg/mL will direct you to the
correct option. Review the nursing considerations related to this medication if you
had difficulty with this question.
Level of Cognitive Ability: Understanding
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Kee, J., Hayes, E., & McCuistion, L. (2009). Pharmacology: A nursing
process approach (6th ed., p. 608). St. Louis: Saunders.
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 383695614
A nurse has obtained a unit of blood from the blood bank and properly checked
the blood bag with another nurse. Which of the following parameters does the
nurse assess just before hanging the transfusion?
A. Skin color
B. Vital signs Correct
C. Latest platelet count
D. Urine output over the last 24 hours
Rationale: A change in vital signs may indicate that a transfusion reaction is
occurring. This is why the nurse assesses vital signs before the procedure, every
15 minutes for the first half-hour, and every half-hour thereafter. The other
options
Module 8
Questions
1. 1.ID: 383694396
A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.”
The medication label indicates that the bottle contains 100-mg capsules. How
many capsules does the nurse prepare for administration of one dose?
Correct
Correct Responses: "1"
<i>Rationale:</i> Convert 0.1 g to milligrams: 1000 mg = 1 g; therefore 0.1 g =
100 mg. Next use the medication
formula:<i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><
br><IMG
src="/objects/NCLEX/silvestri1e_v1/mod_08/images/exam/M08Q044E01.gif"
border=0><!-- RspH:I
--><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><br><
IMG src="/objects/NCLEX/silvestri1e_v1/mod_08/images/exam/M08Q044E02.gif"
border=0><!-- RspH:I
--><i></i><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i></i
><i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i>Test-Taking
Strategy:</i> First, convert 0.1 g to mg. Next. follow the formula for the calculation
of the correct dose. Recheck your work and ensure that the answer makes sense. If
you had difficulty with this question, review medication calculation
problems.<i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i></i>
<i></i><i></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i>Level
of Cognitive Ability:</i>
Applying<i></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><
i></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i>Client
Needs:</i> Physiological
Integrity<i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i></i><
i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i></i><i>Integrat
ed Process:</i> Nursing
Process/Implementation<i></i><i></i><i></i><br><i></i><i></i><i></i><i
></i><i></i><i></i><i></i><i></i><br><i></i><i></i><i></i><i></i><i>
</i><i>Content Area:</i> Medication
Calculations<i></i><i></i><br><i></i><i></i><i></i><i></i><i></i><i></i
><i></i><i></i><br><i></i><i></i><i></i><i></i><i></i><i></i><i>Refe
rence:</i> Potter, P., & Perry, A. (2009). <i>Fundamentals of nursing</i> (7th ed.,
pp. 695-699). St. Louis: Mosby.
Awarded 1.0 out of 1.0 possible points.
2. 2.ID: 383694320
, A client has a prescription for short-term therapy with enoxaparin (Lovenox). The
nurse explains to the client that this medication is being prescribed to:
A. Prevent pain
B. Relieve back spasms
C. Increase the client’s energy level
D. Reduce the risk of deep vein thrombosis Correct
Rationale: Enoxaparin is an anticoagulant that is administered to prevent deep
vein thrombosis and thromboembolism in selected at-risk clients. It is not used to
prevent pain, relieve back spasms, or increase the energy level.
Test-Taking Strategy: To answer this question accurately, it is necessary to be
familiar with this medication and its intended effects. Recalling that this
medication is an anticoagulant will direct you to the correct option. Review the
action of this medication if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Lehne, R. (2010). Pharmacology for nursing care (7th ed., p. 602). St.
Louis: Saunders.
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 383695637
A client receiving parenteral nutrition (PN) requires fat emulsion (lipids), which will
be piggybacked to the PN solution. On obtaining a bottle of fat emulsion, the nurse
notes that fat globules are floating at the top of the solution. Which of these
actions should the nurse take?
A. Shaking the bottle vigorously
B. Requesting a new bottle from the pharmacy Correct
C. Rotating the bottle gently back and forth to mix the globules
D. Running the bottle under warm water until the globules disappear
Rationale: The nurse should not hang a fat emulsion that contains visible fat
globules. Another bottle of solution should be obtained and used in its place. When
PN is combined with fat emulsion, the solution should not be used if there is a
visible “ring” noted in the container of solution. The actions in the other options
are incorrect.
Test-Taking Strategy: Remember that options that are comparable or alike are not
likely to be correct. With this in mind, eliminate rotating the bag and shaking the
, bottle first. To select from the remaining options, think about the significance of
seeing fat globules in the solution and imagine the potential adverse effect of fat
globules in the client’s bloodstream. This will direct you to the correct option.
Review the procedures for administration of fat emulsion if you had difficulty with
this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Parenteral Nutrition
Reference: Gahart, B., & Nazareno, A. (2010). 2010 intravenous medications (26th
ed., p. 576). St. Louis: Mosby.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 383695130
Risperidone (Risperdal) is prescribed for a client with a diagnosis of schizophrenia.
Which laboratory study does the nurse expect to see among the physician’s
prescriptions?
A. Platelet count Correct
B. Creatinine level
C. Sedimentation rate
D. Red blood cell count
Rationale: Baseline assessment includes renal and liver function parameters.
Risperidone is used with caution — often at a reduced dosage — in clients with
renal or hepatic impairment, clients with underlying cardiovascular disorders, and
in older or debilitated clients. The laboratory tests identified in the other options
are not necessary.
Test-Taking Strategy: Use the process of elimination. Recalling that this medication
is used with caution in clients with renal or hepatic failure will direct you to the
correct option. Review this medication if you had difficulty with this question.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Pharmacology
, Reference: Kee, J., Hayes, E., & McCuistion, L. (2009). Pharmacology: A nursing
process approach (6th ed., p. 402). St. Louis: Saunders.
Awarded 1.0 points out of 1.0 possible points.
5. 5.ID: 383695122
The serum theophylline level of a client who is taking the medication (Theo-24) is
16 mcg/mL. On the basis of this result, the nurse will initially:
A. Document the normal value on the chart Correct
B. Call the healthcare provider immediately
C. Call the rapid response team to help with the emergency
D. Call the pharmacy to alert the pharmacist regarding the client’s
theophylline level
Rationale: The normal therapeutic range for theophylline is 10 to 20 mcg/mL. A
level above 20 mcg/mL is considered toxic. A value of 16 mcg/mL is within the
therapeutic range.
Test-Taking Strategy: Specific knowledge regarding the therapeutic range for this
medication is necessary to answer this question. Recalling that the normal
therapeutic range for theophylline levels is 10 to 20 mcg/mL will direct you to the
correct option. Review the nursing considerations related to this medication if you
had difficulty with this question.
Level of Cognitive Ability: Understanding
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Kee, J., Hayes, E., & McCuistion, L. (2009). Pharmacology: A nursing
process approach (6th ed., p. 608). St. Louis: Saunders.
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 383695614
A nurse has obtained a unit of blood from the blood bank and properly checked
the blood bag with another nurse. Which of the following parameters does the
nurse assess just before hanging the transfusion?
A. Skin color
B. Vital signs Correct
C. Latest platelet count
D. Urine output over the last 24 hours
Rationale: A change in vital signs may indicate that a transfusion reaction is
occurring. This is why the nurse assesses vital signs before the procedure, every
15 minutes for the first half-hour, and every half-hour thereafter. The other
options
