PHARM PROCTORED EXAM

PHARM PROCTORED EXAM 1. A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? A. Avoid caffeinated beverages B. Take the medication with meals C. Restrict milk products D. Limit sodium intake Ans- A 2. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? A. Withdrawal NPH from the vial B. Inject air into the NPH vial C. Inject air into the regular vial D. Withdrawal regular insulin from the vial Ans- B 3. a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? A. Take the medication immediately after breakfast B. Take the medication with an antacid C. Sit upright for at least 30 mins after taking the medication D. Drink orange juice with the medication Ans- C 4. a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? A. Bladder distention B. Productive cough C. Gastrointestinal bleeding D. Decrease deep tending reflexes Ans- A 5. nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching? A. Use nasal decongestion 15 mins before the medication if you have a stuffy nose B. Lie down for 1 hour after administering the medication C. Administer the medication into one nostril once per week D. Plan to self-administer this medication for the next 6 months Ans- C 6. a nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconciliation for which of the following clients? A. Client who is transported to radiology B. A client who has a consultation for .... C. A client who has a referral for social services D. A client who has been transferred to a step-down unit Ans- D 7. a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurses priority? A. Back pain B. Flushing C. nausea D. Uterine tachysystole Ans- D 8. a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching? A. Messages the site to enhance absorption B. Injections the medication into a muscle C. Administers the medication into the abdomen D. Aspirates the medication after injection Ans- C 9. a nurse is assessing a client how has been taking digoxin and ...... which of the following findings to the nurse indicates this client has developed digoxin toxicity? A. Ringing in the ears B. Hyperkalemia C. Blurred vision D. hypertension Ans- C 10. a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? A. Headache B. Excessive salivation C. Fever D. Myoclonic seizure Ans- B 11. a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? A. NPH insulin B. Clopidogrel C. Furosemide D. Pantoprazole Ans- B 12. a nurse is assessing a who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Agitation B. Report of blurred vision C. Hypertension D. Watery diarrhea Ans- D 13. a nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching? A. Cromolyn should take effect within 5 mins B. Cromolyn should dilate the bronchioles C. Cromolyn can be used after exercise D. Cromolyn is a long-term management medication Ans- D 14. a nurse is reviewing the medications of a client is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications? A. Imipramine B. Levothyroxine C. Montelukast D. Omeprazole Ans- A 15. a nurse is reviewing a client's medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated? Ans- GLAUCOMA 16. a nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects? A. insomnia B. Blurred vision C. Tachypnea D. Metallic taste Ans- B 17. math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = Ans- 0.4 18. a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider? Ans- FENTANYL 19. charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report? Ans- a client who has a lithium level of 1.8 receives her morning dose 20. a nurse is caring for a client who has a alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? A. Encourage participation in a 12 step program B. Implement seizure precautions Ans- B 21. a nurse is planning care for a group of clients. which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction? Ans- FUROSEMIDE AND AMIKACIN 22. a nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse effects is the priority for the nurse to report to the provider? A. Insomnia B. Bruxism C. confusion D. Weight loss Ans- B OR C 23. a nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter? Ans- a vein on the clients wrist 24. a nurse is assessing a client who is in labor and is receiving epidural anesthesia. which of the following findings should the nurse identify as the p