PN PHARMACOLOGY K-APLAN EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAILED ANSWERS

PN PHARMACOLOGY K-APLAN EXAM 2024- 2025 ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAILED ANSWERS Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus) two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. The nurse caring for the client provides instructions regarding administration of the medication. Which statement by the client indicates an understanding of how to take these medications? 1. "I will take the two puffs of the fluticasone propionate first and then the two puffs of the albuterol." 2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate." 3."I will alternate a single puff of each, beginning with the fluticasone propionate." 4. "I will alternate a single puff of each, beginning with the albuterol." - Answer️️ -2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate." TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care clinic. The nurse is collecting data on the client and is providing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication? - Answer️️ -4. When the last alcoholic drink was consumed A nurse is caring for a client with liver disease. Laboratory studies are performed, and the client's serum calcium level is 13 mg/dL. The nurse checks to see that which medication is available in the stock medication supply area on the clinical nursing unit that may be needed to treat this calcium imbalance? - Answer️️ -4. Calcitonin (Cibacalcin) A client with carcinoma is admitted to the hospital for a chemotherapy treatment with intravenous bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of care. Which assessment finding most closely correlates to symptoms of interstitial pneumonitis, requiring reporting? - Answer️️ -4. Lung wheezing and shortness of breath Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if noted on the client's record, indicates that the medication needs to be administered with caution? - Answer️️ -3. Renal insufficiency A nurse employed in the emergency department is preparing to administer syrup of ipecac to a 7-month-old child. The nurse prepares 5 mL of the syrup and administers TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 one half glass of water following administration of the ipecac syrup. Which response would the nurse expect? - Answer️️ -1. Vomiting A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid? - Answer️️ -3. Grapefruit juice A client is being treated for acute congestive heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is the priority assessment? - Answer️️ -3. Monitoring blood pressure A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the following should be included in the list of instructions? - Answer️️ -2. Maintain a high fluid intake. Docetaxel (Taxotere) is prescribed for a client with metastatic breast cancer. In addition, dexamethasone (Decadron) is prescribed to be administered before initiation of the docetaxel. The nurse tells the client that the dexamethasone is prescribed to: - Answer️️ -2. Reduce the severity of fluid retention. Streptokinase (Streptase) is being administered to a client following an acute inferior myocardial infarction. The nurse plans care, knowing that the primary purpose of streptokinase is to: - Answer️️ -4. Dissolve the thrombus. A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. The nurse tells the client to: - Answer️️ -4. Leave the cream on for 8 to 12 hours and then remove by washing. A nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On the basis of this data, the nurse reports the finding and makes which determination? - Answer️️ -4. The client is experiencing magnesium toxicity. A client who is human immunodeficiency virus (HIV) seropositive has been taking zalcitabine (ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to be monitored while taking this medication? - Answer️️ -4. Liver function studies The nurse administering medications to a group of clients notes a prescription to give a subcutaneous dose of heparin sodium. The nurse should do which of the following to give this medication safely? - Answer️️ -3. Give the injection using a 25- to 27-gauge, ⅝-inch needle. The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy? - Answer️️ -3. Increased uric acid level TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? - Answer️️ -3. Reduction of steatorrhea Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound containing purulent drainage. The nurse is assisting in developing a plan of care for the client and includes which of the following in the plan? - Answer️️ -1. Ensure that the solution is freshly prepared before use. A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring this client should look for which of the following to indicate a primary therapeutic response from the medication? - Answer️️ -1. Decreased muscle spasms A client with cancer is receiving cisplatin. Which finding indicates that the client is experiencing an adverse effect of the medication? - Answer️️ -1. Tinnitus The nurse provides medication instructions to an older hypertensive client who is taking 20 mg of lisinopril (Prinivil, Zestril) orally daily. The nurse evaluates the need for further teaching when the client states which of the following? - Answer️️ -1. "I can skip a dose once a week." A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic) eye drops for the treatment of glaucoma. The nurse instructs the client regarding the administration of the medication and about the importance of returning to the clinic for monitoring of the: - Answer️️ -2. Blood pressure and apical pulse TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 A nurse is reviewing medications with the client receiving colchicine for the treatment of gout. The nurse determines that the medication is effective if the client reports a decrease in: - Answer️️ -3. Joint inflammation A nurse is providing instructions to the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. The nurse tells the mother to: - Answer️️ -1. Administer the iron through a straw. A nurse is caring for a client with chronic congestive heart failure who is taking digoxin (Lanoxin) 0.125 mg daily. Before administering the medication, the nurse reviews the serum digoxin level that was drawn earlier in the day. The result is 1 ng/mL. Which of the following actions should the nurse take based on this laboratory result? - Answer️️ -2. Administer the dose of the medication as scheduled. A client has a prescription to receive albuterol (Proventil HFA) two puffs and beclomethasone dipropionate (Qvar) two puffs by metered-dose inhaler. The nurse plans to give these medications most effectively by: - Answer️️ -4. Administering the albuterol before the beclomethasone dipropionate A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse tells the client that it is best to take the medication: - Answer️️ -1. With meals A nurse tells a client with leukemia that allopurinol (Zyloprim) has be