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NURSING NR 324 Pharm Review Final Exam 1 Questions with Answers: Chamberlain College of Nursing

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1-when you are having difficulty swallowing meds, you are prescribed an enteric coated medication, the client asks if the medication can be crush, which of the following should be an appropriate response: a) Crushing the medication is not recommended, medication needs to be absorbed in the intestines. 2- a nurse is completing a medication history for a client who is reporting using over the counter calcium carbonate antacid, which of the following recommendation should the nurse make about taking this medication: a) Drink a glass of water after taking this medication. 3- a nurse if caring for four client that require administration of oral medications in the morning, which of the following medications should the nurse administer before breakfast: a) Alendronate (treats osteoporosis) 4- a client with a history of myocardial infarction is prescribed aspirin 325 mg, the nurse should recognize that the aspiring is giving for which of the following actions of the medication: a) Antiplatelet aggregate 5- a nurse is providing discharge instruction to a client with asthma and a new prescription for cromolyn and albuterol via nebulizer, which of the following statements by the client indicates an understanding of the instruction: a) Take albuterol before taking cromolyn

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1-when you are having difficulty swallowing meds, you are prescribed an enteric coated
medication, the client asks if the medication can be crush, which of the following should be an
appropriate response:
a) Crushing the medication is not recommended, medication needs to be absorbed in the
intestines.

2- a nurse is completing a medication history for a client who is reporting using over the
counter calcium carbonate antacid, which of the following recommendation should the nurse
make about taking this medication:
a) Drink a glass of water after taking this medication.

3- a nurse if caring for four client that require administration of oral medications in the
morning, which of the following medications should the nurse administer before breakfast:
a) Alendronate (treats osteoporosis)

4- a client with a history of myocardial infarction is prescribed aspirin 325 mg, the nurse should
recognize that the aspiring is giving for which of the following actions of the medication:
a) Antiplatelet aggregate

5- a nurse is providing discharge instruction to a client with asthma and a new prescription for
cromolyn and albuterol via nebulizer, which of the following statements by the client indicates
an understanding of the instruction:
a) Take albuterol before taking cromolyn

6- a nurse is providing teaching to a client with asthma and a new prescription with inhaled
beclomethasone, which of the following should the nurse provide:
a) Rinse the mouth after taking the medication.

7- a nurse is caring for a client with hypertension and ask a nurse for a prescription for a non-
specific beta 1- beta 2 blocker, the nurse should inform the patient that this medication is
contraindicated in clients who have a history of which of the following conditions:
a) Glaucoma
b) Asthma
c) Depression
d) Migraine

Rationale: beta blockers are contraindicated for patients who have asthma because it can cause
bronchospasms. Beta blockers work by blocking the sympathetic stimulation which prevents
smooth muscle relaxation.

8- a nurse is taking a health history in a client that report taking several over the counter
medications including a H2 Receptor antagonist, which of the following should indicate that the
H2 receptor antagonist is therapeutic:
a) Relieve of heartburn.

, 9- a nurse is caring for four patients, after administering morning medications, the nurse
realized that the nifedipine prescribed for one patient was administered to another client.
Which of the following actions should the nurse complete first:
a) Notify healthcare provider
b) Check vital signs of the client who received the medication
c) Complete an occurrence form
d) Administer medication to the right client

10- a nurse is reviewing a client’s admission record and the nurse notices that there are
prescription for several medications, which of the following actions should the nurse recognize
is of primary consideration when determining the schedule of administration:
a) Specific characteristics of the medication.

11- a nurse in a public clinic is planning a health fair for older adult clients in the community,
which of the following foods should the nurse advice the clients to avoid when taking their
prescriptions:
a) Grapefruit juice

12- a nurse is providing dietary teaching for a client who is taking furosemide, the nurse should
recommend which of the following foods as the best source of potassium:
a) Bananas

13- a nurse is assessing a client prior to administering a seasonal influenza vaccine, the client
reports reading about the influenza vaccine that is given as a nasal spray and wants to receive
it. The nurse should recognize which of the following should be a reason for the client not to
have the nasal spray influenza vaccine:
a) The client’s age is 62. (client’s age needs to be between the ages of 2 and 49 to receive
the nasal spray form)

14- a nurse is assessing a client prior to administration of morphine, which of the following
assessment should the nurse recognize as a priority:
a) Check respiration rate.

15- a nurse is assessing an older adult client receiving oral digoxin, which of the following
manifestations should the nurse recognize as a signs of digoxin toxicity:
a) Anorexia (confusion, headache, yellow halos visual changes, know when the last level of
digoxin was drawn)

16- a nurse is assessing a client on a long-term omeprazole medication, which of the following
findings should the nurse recognize as the use of the medication is effective:
a) Reduce of dyspepsia.

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