RNxPharmacologyx2022x
QuestionsxandxCorrectx
Answers
1. Axnursexisxcaringxforxaxclientxwhoxisxreceivingxintravenousxtherapyxandxobservesxrednessxa
ndxinflammationxalongxthexvein.xThexnursexwouldxidentifyxthisxfindingxasxwhichxofxthexfollo
wingxcomplicationsxofxIVxtherapy?
a. Phlebitis
b. Infiltration
c. Venousxspasm
d. Extravasation
2. Axnursexisxreviewingxthexplanxofxcarexwithxaxclientxwhoxhasxaxnewxprescriptionxforxlovastati
n.xWhichxofxthexfollowingxstatementsxbyxthexclientxshouldxindicatextoxthexnursexaxneedxforxf
urtherxassessment?
a. “IxwasxjustxdiagnosedxwithxhepatitisxB.”
b. “Ixshouldxavoidxdrinkingxgrapefruitxjuice.”
c. “Ixtakexmetforminxforxmyxdiabetes.”
d. “Ixamxtryingxtoxdecreasexmyxdietaryxfatxintake.”
3. Axnursexisxteachingxaxclientxwhoxhasxactivexpulmonaryxtuberculosisxaboutxmanagementxofx
medicationxforxthexdisease.xWhichxofxthexfollowingxstatementsxisxappropriatexforxthexnurs
extoxmake?
a. “Youxshouldxreportxmonthlyxtoxhavexyourxbloodxdrawnxtoxmonitorxkidneyxfunctionx
whilextakingxthisxmedication.”
b. “Youxwillxneedxtoxtakextwoxorxmorexmedicationsxtoxtreatxyourxdisease.”
c. “Youxshouldxanticipatextakingxmedicationxtoxtreatxyourxdiseasexforxatxleastxthexnex
txthreexyears.”
d. “Youxwillxneedxtoxundergoxtuberculinxskinxtestsxeveryx6xmonthsxwhilextakingxmedic
ationxforxyourxdisease.”
4. Axnursexisxreviewingxthexmedicationxlistxofxaxclientxwhoxhasxerectilexdysfunctionxandxisxreq
uestingxaxprescriptionxforxsildenafil.xThexnursexshouldxidentifyxthatxwhichxofxthexfollowingx
medicationsxisxaxcontraindicationxforxreceivingxthisxmedication?
a. Furosemide
b. Nitroglycerin
c. Indomethacin
d. Albuterol
,5. Axnursexisxprovidingxdischargexdietaryxteachingxtoxaxclientxwhoxhasxaxnewxprescriptionxforxth
eophylline.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexinclude?
a. “Avoidxcaffeinatedxbeverages.”
b. “Takexthexmedicationxwithxmeals.”
c. “Restrictxmilkxproducts.”
d. “Limitxyourxsodiumxintake.”
, 6. Axnursexinxthexemergencyxdepartmentxisxadmittingxaxclientxwhoxhasxdiabeticxketoacidosisxa
ndxaxbloodxglucosexlevelxofx800xmg/dL.xWhichxofxthexfollowingxinterventionsxshouldxthexnu
rsexinitiatexfirst?
a. Potassiumxchloridex10xmEq/hr
b. BicarbonatexbyxIVxinfusion
c. 0.9%xsodiumxchloridex15xmL/kg/hr
d. Subcutaneousxinsulinxinjections
7. Axnursexisxpreparingxtoxtitratexaxcontinuousxnitroprussidexinfusionxforxaxclient.xThexnursexs
houldxplanxtoxtitratexthexinfusionxaccordingxtoxwhichxofxthexfollowingxassessments?
a. Cardiacxoutput
b. Urinexoutput
c. Bloodxpressure
d. Strokexvolume
8. Ax nursex realizesx thatx theyx failedx tox administerx ax medicationx thatx wasx duex 4x hrx agox tox axcli
ent.xWhichxofxthexfollowingxactionsxshouldxbextakenxfirst?
a. Filexanxincidentxreport.
b. Reportxthexmissedxdosagextoxthexclient’sxprovider.
c. Determinexfactorsxthatxledxtoxthexomission.
d. Assessxthexclientxforxadversexreactions.
9. Ax nursex isx completingx ax medicationx reconciliationx forx ax clientx priorx tox hisx transferx tox axlo
ng-termxcarexfacility.xWhichxofxthexfollowingxactionsxshouldxthexnursextake?
a. Includex medicationsx thex clientx receivedx inx thex acutex settingx butx willx nox longerxn
eedxafterxtransfer.
b. Removexduplicatexmedicationsxofxdifferentxdosagesxfromxthexreconciliationxlist.
c. Comparexthexcurrentxlistxofxmediationsxtoxmedicationsxthexclientxwillxreceivexafterxtr
ansfer.
d. Omitxover-the-counterxmedicationsxfromxthexat-homexmedicationxlist.
10. Axnursexrecentlyxadministeredxfilgrastimxintravenouslyxtoxaxclientxwhoxhasxcancerxandxisxre
ceivingxcytotoxicxchemotherapy.xForxwhichxofxthexfollowingxdata,xdiscoveredxafterxthexme
dicationxwasxadministered,xshouldxthexnursexfilexanxincidentxreport?
a. Thexclientxhasxchemotherapyx12xhrxbeforexthexmedicationxwasxadministered.
b. Thex nursex flushedx thex client’sx IVx linex dextrosex 5%x inx waterx beforex andx afterx
medicationxwasxadministered.
c. Thexmedicationxvialxsatxatxroomxtemperaturexforx2xhrxbeforexitxwasxadministered
QuestionsxandxCorrectx
Answers
1. Axnursexisxcaringxforxaxclientxwhoxisxreceivingxintravenousxtherapyxandxobservesxrednessxa
ndxinflammationxalongxthexvein.xThexnursexwouldxidentifyxthisxfindingxasxwhichxofxthexfollo
wingxcomplicationsxofxIVxtherapy?
a. Phlebitis
b. Infiltration
c. Venousxspasm
d. Extravasation
2. Axnursexisxreviewingxthexplanxofxcarexwithxaxclientxwhoxhasxaxnewxprescriptionxforxlovastati
n.xWhichxofxthexfollowingxstatementsxbyxthexclientxshouldxindicatextoxthexnursexaxneedxforxf
urtherxassessment?
a. “IxwasxjustxdiagnosedxwithxhepatitisxB.”
b. “Ixshouldxavoidxdrinkingxgrapefruitxjuice.”
c. “Ixtakexmetforminxforxmyxdiabetes.”
d. “Ixamxtryingxtoxdecreasexmyxdietaryxfatxintake.”
3. Axnursexisxteachingxaxclientxwhoxhasxactivexpulmonaryxtuberculosisxaboutxmanagementxofx
medicationxforxthexdisease.xWhichxofxthexfollowingxstatementsxisxappropriatexforxthexnurs
extoxmake?
a. “Youxshouldxreportxmonthlyxtoxhavexyourxbloodxdrawnxtoxmonitorxkidneyxfunctionx
whilextakingxthisxmedication.”
b. “Youxwillxneedxtoxtakextwoxorxmorexmedicationsxtoxtreatxyourxdisease.”
c. “Youxshouldxanticipatextakingxmedicationxtoxtreatxyourxdiseasexforxatxleastxthexnex
txthreexyears.”
d. “Youxwillxneedxtoxundergoxtuberculinxskinxtestsxeveryx6xmonthsxwhilextakingxmedic
ationxforxyourxdisease.”
4. Axnursexisxreviewingxthexmedicationxlistxofxaxclientxwhoxhasxerectilexdysfunctionxandxisxreq
uestingxaxprescriptionxforxsildenafil.xThexnursexshouldxidentifyxthatxwhichxofxthexfollowingx
medicationsxisxaxcontraindicationxforxreceivingxthisxmedication?
a. Furosemide
b. Nitroglycerin
c. Indomethacin
d. Albuterol
,5. Axnursexisxprovidingxdischargexdietaryxteachingxtoxaxclientxwhoxhasxaxnewxprescriptionxforxth
eophylline.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexinclude?
a. “Avoidxcaffeinatedxbeverages.”
b. “Takexthexmedicationxwithxmeals.”
c. “Restrictxmilkxproducts.”
d. “Limitxyourxsodiumxintake.”
, 6. Axnursexinxthexemergencyxdepartmentxisxadmittingxaxclientxwhoxhasxdiabeticxketoacidosisxa
ndxaxbloodxglucosexlevelxofx800xmg/dL.xWhichxofxthexfollowingxinterventionsxshouldxthexnu
rsexinitiatexfirst?
a. Potassiumxchloridex10xmEq/hr
b. BicarbonatexbyxIVxinfusion
c. 0.9%xsodiumxchloridex15xmL/kg/hr
d. Subcutaneousxinsulinxinjections
7. Axnursexisxpreparingxtoxtitratexaxcontinuousxnitroprussidexinfusionxforxaxclient.xThexnursexs
houldxplanxtoxtitratexthexinfusionxaccordingxtoxwhichxofxthexfollowingxassessments?
a. Cardiacxoutput
b. Urinexoutput
c. Bloodxpressure
d. Strokexvolume
8. Ax nursex realizesx thatx theyx failedx tox administerx ax medicationx thatx wasx duex 4x hrx agox tox axcli
ent.xWhichxofxthexfollowingxactionsxshouldxbextakenxfirst?
a. Filexanxincidentxreport.
b. Reportxthexmissedxdosagextoxthexclient’sxprovider.
c. Determinexfactorsxthatxledxtoxthexomission.
d. Assessxthexclientxforxadversexreactions.
9. Ax nursex isx completingx ax medicationx reconciliationx forx ax clientx priorx tox hisx transferx tox axlo
ng-termxcarexfacility.xWhichxofxthexfollowingxactionsxshouldxthexnursextake?
a. Includex medicationsx thex clientx receivedx inx thex acutex settingx butx willx nox longerxn
eedxafterxtransfer.
b. Removexduplicatexmedicationsxofxdifferentxdosagesxfromxthexreconciliationxlist.
c. Comparexthexcurrentxlistxofxmediationsxtoxmedicationsxthexclientxwillxreceivexafterxtr
ansfer.
d. Omitxover-the-counterxmedicationsxfromxthexat-homexmedicationxlist.
10. Axnursexrecentlyxadministeredxfilgrastimxintravenouslyxtoxaxclientxwhoxhasxcancerxandxisxre
ceivingxcytotoxicxchemotherapy.xForxwhichxofxthexfollowingxdata,xdiscoveredxafterxthexme
dicationxwasxadministered,xshouldxthexnursexfilexanxincidentxreport?
a. Thexclientxhasxchemotherapyx12xhrxbeforexthexmedicationxwasxadministered.
b. Thex nursex flushedx thex client’sx IVx linex dextrosex 5%x inx waterx beforex andx afterx
medicationxwasxadministered.
c. Thexmedicationxvialxsatxatxroomxtemperaturexforx2xhrxbeforexitxwasxadministered
