RN VATI Pharmacology 2024 EXAM TEST
QUESTIONS AND ANSWERS (/2024/2025)
(VERIFIED ANSWERS)
A nurse is preparing to administer diclofenac to a client who has
chronic bursitis. Which of the following actions should the nurse
take?
a. administer the medication at bedtime
b. avoid administering the medication with antacids
c. administer the medication with food
d. crush the medication prior to administration - CORRECT
ANSWER Administer the medication with food
A nurse is caring for a client who is receiving heparin by
continuous IV infusion for treatment of venous thrombosis. Which
of the following laboratory values should the nurse monitor for in
order to titrate the heparin dose?
a. platelet function assay
b. aPTT
c. INR
d. Amylase - CORRECT ANSWER aPTT
The nurse should monitor the aPTT of a client who is receiving
heparin by continuous IV infusion. When beginning heparin
therapy, the nurse should monitor the aPTT every 4 to 6 hr. Once
the client has achieved the desired range, the nurse should
monitor the aPTT daily.
The nurse should monitor the platelet function assay of a client
who has a bleeding disorder. This test evaluates platelet function
,and ability to cause hemostasis; however, heparin does not affect
it.The nurse should monitor a client's INR to evaluate the effects
of warfarin therapy. The nurse should ensure the collection of the
client's blood specimen prior to administering the daily warfarin
dose.The nurse should review the amylase levels of a client who
has pancreatitis. Amylase is a pancreatic enzyme that increases
in clients who have acute or chronic pancreatitis; however,
heparin does not affect this enzyme.
A nurse is assessing a client who has a positive Trousseau's sign.
Wich of the following medications should the nurse plan to
administer?
a. sodium bicarbonate
b. manesium sulfate
c. calcium gluconate
d. potassium chloride - CORRECT ANSWER Calcium
gluconate
The nurse should identify that a positive Trousseau's sign is a
manifestation of hypocalcemia. Therefore, the nurse should plan
to administer calcium gluconate to treat hypocalcemia.
Sodium bicarbonate is administered to treat metabolic acidosis.
The nurse should recognize that sodium bicarbonate is not used
to treat a positive Trousseau's sign.Magnesium sulfate is
administered to treat hypomagnesemia. The nurse should
recognize that magnesium sulfate is not used to treat a positive
Trousseau's sign. Potassium chloride is administered to treat
hypokalemia. The nurse should recognize that potassium chloride
is not used to treat a positive Trousseau's sign.
A nurse is preparing to administer morphine 0.3 mg/kg PO to a
school-aged child who weighs 88 lb. Available is morphine oral
, solution 2mg/ml. How many mL should the nurse administer? -
CORRECT ANSWER 6 mL
A nurse is administering haloperidol to a client who has
schizophrenia. For which of the following adverse effects should
the nurse monitor?
a. gingival hyperplasia
b. muscle rigidity
c. polyuria
d. bruising - CORRECT ANSWER Muscle rigidity
A client who is taking haloperidol, a first-generation antipsychotic
agent, can develop extrapyramidal effects, such as parkinsonism,
which manifests as tremors, bradykinesia, loss of balance, mask-
like facial expression, shuffling gait, and muscle rigidity.
Haloperidol is an antipsychotic agent that can cause akathisia
(motor restlessness) within hours of receiving the first dose;
however, gingival hyperplasia is not an adverse effect of
haloperidol. Phenytoin is an example of a medication that causes
gingival hyperplasia.Haloperidol has several genitourinary
adverse effects, including urinary retention and impotence;
however, urinary output does not typically increase.Haloperidol
has significant cardiovascular effects, including dysrhythmias,
myocardial infarction, severe heart failure, and hypotension;
however, it does not affect blood coagulation.
A nurse receives a verbal prescription from the provider for
hydrochlorothiazide 25 mg by mouth daily for a client who has
hypertension. Which of the following indicates how the nurse
should transcribe the prescription in the client's medical record?
a. Hydrochlorothiazide 25.0 mg orally q.d.
b. Hydrochlorothiazide 25 mg PO daily
QUESTIONS AND ANSWERS (/2024/2025)
(VERIFIED ANSWERS)
A nurse is preparing to administer diclofenac to a client who has
chronic bursitis. Which of the following actions should the nurse
take?
a. administer the medication at bedtime
b. avoid administering the medication with antacids
c. administer the medication with food
d. crush the medication prior to administration - CORRECT
ANSWER Administer the medication with food
A nurse is caring for a client who is receiving heparin by
continuous IV infusion for treatment of venous thrombosis. Which
of the following laboratory values should the nurse monitor for in
order to titrate the heparin dose?
a. platelet function assay
b. aPTT
c. INR
d. Amylase - CORRECT ANSWER aPTT
The nurse should monitor the aPTT of a client who is receiving
heparin by continuous IV infusion. When beginning heparin
therapy, the nurse should monitor the aPTT every 4 to 6 hr. Once
the client has achieved the desired range, the nurse should
monitor the aPTT daily.
The nurse should monitor the platelet function assay of a client
who has a bleeding disorder. This test evaluates platelet function
,and ability to cause hemostasis; however, heparin does not affect
it.The nurse should monitor a client's INR to evaluate the effects
of warfarin therapy. The nurse should ensure the collection of the
client's blood specimen prior to administering the daily warfarin
dose.The nurse should review the amylase levels of a client who
has pancreatitis. Amylase is a pancreatic enzyme that increases
in clients who have acute or chronic pancreatitis; however,
heparin does not affect this enzyme.
A nurse is assessing a client who has a positive Trousseau's sign.
Wich of the following medications should the nurse plan to
administer?
a. sodium bicarbonate
b. manesium sulfate
c. calcium gluconate
d. potassium chloride - CORRECT ANSWER Calcium
gluconate
The nurse should identify that a positive Trousseau's sign is a
manifestation of hypocalcemia. Therefore, the nurse should plan
to administer calcium gluconate to treat hypocalcemia.
Sodium bicarbonate is administered to treat metabolic acidosis.
The nurse should recognize that sodium bicarbonate is not used
to treat a positive Trousseau's sign.Magnesium sulfate is
administered to treat hypomagnesemia. The nurse should
recognize that magnesium sulfate is not used to treat a positive
Trousseau's sign. Potassium chloride is administered to treat
hypokalemia. The nurse should recognize that potassium chloride
is not used to treat a positive Trousseau's sign.
A nurse is preparing to administer morphine 0.3 mg/kg PO to a
school-aged child who weighs 88 lb. Available is morphine oral
, solution 2mg/ml. How many mL should the nurse administer? -
CORRECT ANSWER 6 mL
A nurse is administering haloperidol to a client who has
schizophrenia. For which of the following adverse effects should
the nurse monitor?
a. gingival hyperplasia
b. muscle rigidity
c. polyuria
d. bruising - CORRECT ANSWER Muscle rigidity
A client who is taking haloperidol, a first-generation antipsychotic
agent, can develop extrapyramidal effects, such as parkinsonism,
which manifests as tremors, bradykinesia, loss of balance, mask-
like facial expression, shuffling gait, and muscle rigidity.
Haloperidol is an antipsychotic agent that can cause akathisia
(motor restlessness) within hours of receiving the first dose;
however, gingival hyperplasia is not an adverse effect of
haloperidol. Phenytoin is an example of a medication that causes
gingival hyperplasia.Haloperidol has several genitourinary
adverse effects, including urinary retention and impotence;
however, urinary output does not typically increase.Haloperidol
has significant cardiovascular effects, including dysrhythmias,
myocardial infarction, severe heart failure, and hypotension;
however, it does not affect blood coagulation.
A nurse receives a verbal prescription from the provider for
hydrochlorothiazide 25 mg by mouth daily for a client who has
hypertension. Which of the following indicates how the nurse
should transcribe the prescription in the client's medical record?
a. Hydrochlorothiazide 25.0 mg orally q.d.
b. Hydrochlorothiazide 25 mg PO daily
