x x x x
ATEST FORM D 2024/PHARMACOLOGY A
x x x x
TI RN PROCTORED ACTUAL EXAM ALL 20
x x x x x x
0 QUESTIONS AND CORRECT DETAILED
x x x x x
ANSWERS
Axnursexisxreviewingxaxclient'sx0800xLaboratoryxvaluesxatx1100.xThexnursexnotesxthatxthexcli
entxreceivedxheparinxatx1100.xWhichxofxthexfollowingxlaboratoryxvaluesxwarrantsxanxinciden
txreportx?x–xanswerxaxPTTx90xseconds
AxnursexisxcaringxforxaxclientxwhoxdevelopsxanxanaphylacticxreactionxtoxIVxantibioticxadmini
stration.xAfterxassessingxaxclient'sxrespiratoryxstatusxandxstoppingxthexmedicationxinfusion,x
whichxofxthexfollowingxactionsxshouldxthexnursextakexnext?x-
xanswerxAdministerxEpinephrinexIM
Axnursexisxcaringxforxaxclientxwhoxisxtakingxtriamterene.xForxwhichxofxthexfollowingxlaborator
yxvaluesxshouldxthexnursexwithholdxthexmedication?x-xanswerxPotassiumx5.3xmEq/xL
Axnursexisxpreparingxtoxadministerxdigoxinxorallyxtoxaxclient.xIdentifyxthexsequencexofxstepsxt
hexnursexshouldxtake.x(Movexthexstepsxintoxthexboxxonxthexright,xplacingxthemxinxthexorderxo
fxperformance.xUsexallxthexsteps)x-xanswerx
Obtainxthexclient'sxapicalxheartxrate
Removexthexmedicationxfromxthexdispensingxsystem
Openxthexmedicationxpackage
Comparexthexclient'sxwristbandxtoxthexmedicationxadministrationxrecord
Documentxadministrationxofxthexmedication
Axnursexisxreviewingxthexlistxofxcurrentxmedicationsxforxaxclientxwhoxisxtoxstartxaxnewxprescri
ptionxforxcarbamazepine.xThexnursexshouldxidentifyxwhichxofxthexfollowingxmedicationsxinte
ractsxwithxcarbamazepine?x–xanswerxestrogen-containingxcontraceptives
Axnursexisxprovidingxteachingxtoxaxclientxwhoxhasxaxnewxprescriptionxforxclozapine.xWhichxo
fxthexfollowingxstatementsxshouldxthexnursexincludexinxthexteaching?x–
xanswerxNotifyxyourxproviderxifxyouxdevelopxaxfeverxwhilextakingxthisxmedication"
youxshouldxhavexyourxWBCxmonitorxeveryxweek
Axnursexisxreviewingxthexmedicationxlistxofxaxclientxwhoxhasxerectilexdysfunctionxandxisxrequ
estingxforxprescriptionxforxsildenafil.xthexnursexshouldxidentifyxwhichxofxthexfollowingxmedica
tionsxisxaxcontraindicationxforxreceivingxmedication?x-xanswerxnitroglycerin
,Axnursexinxaxmedicalxsurgicalxunitxisxpreparingxtoxadministerxanxinfluenzaxvaccinextoxaxclient
.xThexclientxtellsxthexnursexIxnoxlongerxwantxthisxvaccine.xWhichxofxthexfollowingxresponsesx
shouldxthexnursexmake?x-
xanswerxthexinfluenzaxvaccinexthisxstronglyxandxcoveragexbutxIxunderstandxyouxwouldxlikext
oxdeclinexrightxnow
Axnursexisxdiscussingxadversexreactionsxtoxpainxmedicationsxinxolderxadultsxclientsxwithxaxn
ewlyxlicensedxnurse.xWhichxofxthexfollowingxfindingsxshouldxthexnursexincludexasxriskxfactor
sxforxanxadversexdrugxreaction?xselectxallxthatxappliesx-
xanswerxmultiplexhealthxproblemsxdecreasexpercentagexofxbodyxfatxdecreasedxrenalxfuncti
on
Axnursexisxreviewingxaxclient'sxmedicalxrecordxbeforexadministeringxacetaminophenx650xm
gxbyxmouthxeveryx6xhours.xWhichxofxthexfollowingxfindingsxindicatexaxneedxforxthexnursextoxn
otifyxthexprovider?x-xanswerxhistoryxofxalcoholxusexdisorder
axnursexisxcaringxforxaxclientxwhoxhasxhyponatremiaxandxisxreceivingxanxinfusionxofxaxprescri
bedxhypertonicxsolution.xWhichxofxthexfollowingxfindingsxshouldxindicatextoxthexnursexthatxth
extreatmentxisxeffective?x–xanswerximprovexcognition
Axnursexisxreviewingxthexlaboratoryxresultsxofxaxclientxwhoxisxreceivingxgenitalxmedicinexforx
Staphylococcus.xWhichxofxthexfollowingxfindingsxshouldxthexnursexreportxtoxthereximmediat
ely?x-xanswerxfastingxbloodxglucosex130xmg
AxnursexisxreviewingxthexlaboratoryxresultsxofxaxclientxwhoxisxreceivingxHeparinxbyxcontinuo
usxIVxinfusion.xWhichxofxthexfollowingxResultsxindicatesxthexnursexshouldxdecreasexthexinfu
sionxrate?x–xanswerxaxPTTx90xsec
ThexnursexisxcaringxforxaxclientxwhoxhasxdiabetesxmellitusxandxisxtakingxPioglitazone.xThexn
ursexshouldxplanxtoxmonitorxthexclientxforxwhichxofxthexfollowingxadversexeffects?x-
xanswerxorthostaticxhypotension
Axnursexisxcaringxforxaxclientxwhoxisxreceivingxceftriaxonexintravenously.xWhichxofxthexfollow
ingxmanifestationsxshouldxthexnursexidentifyxasxanxallergicxreaction?x-xanswerxHypotension
Axnursexisxreviewingxthexlaboratoryxresultsxofxaxclientxwhoxreceivedxaxdosexofxsodiumxpolyst
yrenexsulfonate.xWhichxofxthexfollowingxfindingsxshouldxaxnursexidentifyxasxanxindicationxth
atxthexmedicationxhasxbeenxeffective?x-xanswerxcalciumx8xmg-
xunderxnormalxrangexpotassiumx4.6xmeq-xinxnormalxrange
Axnursexisxcaringxforxaxclientxwhoxhasxheartxfailurexandxisxtakingxhydrochlorothiazide.xThexn
ursexshouldxmonitorxthexclientxforxwhichxofxthexfollowingxmanifestationsxhasxanxadversexeff
ectxofxthexmedication?x-xanswerxhypokalemia
Axnursexrecentlyxadministeredxfilgrastimxintravenouslyxtoxaxclientxwhoxhasxcancerxandxisxre
ceivingxcytotoxicxchemotherapy.xForxwhichxofxthexfollowingxdata,xdiscoveredxafterxthexmedi
,cationxwasxadministered,xshouldxthexnursexfilexanxincidentxreport?x-
xanswerxThexmedicationxvialxsatxatxroomxtemperaturexforx2xhoursxbeforexitxwasxadministere
d.
Axnursexinxaxprovider'sxofficexisxassessingxaxclientxwhoxhasxhypothyroidismxandxhasxbeenxt
akingxlevothyroxinexforx2xmonths.xWhichxofxthexfollowingxstatementsxbyxthexclientxindicatex
axtherapeuticxresponsextoxthexmedication?x-
xanswerxIxhavexnoticedxI'mxnotxasxcoldxasxIxusedxtoxbe
axnursexisxreceivingxthexlaboratoryxresultsxofxaxclientxwhoxhasxrheumatoidxarthritisxandxaxpr
escriptionxforxcyclosporine.xThexnursexshouldxreportxwhichxofxthexfollowingxlaboratoryxresul
tsxofxthexprovider?x-xanswerxcreatininex2.8xmg
Axnursexisxteachingxaxnewly-
licensedxnursexaboutxexpiredxmedication.xWhichxofxthexfollowingxinstructionsxshouldxthexnu
rsexincludexinxthexteaching?x-xanswerxreturnxthexmedicationxtoxthexpharmacy
axnursexisxadministeringxnaloxonextoxaxclientxwhoxhasxdevelopedxanxadversexreactionxtoxM
orphine.xThexnursexshouldxidentifyxwhichxofxthexfollowingxfindingsxasxaxtherapeuticxeffectxof
xnaloxone?x-xanswerxincreasedxrespiratoryxrate
axnursexisxpreparingxtoxadministerxHeparinxsubcutaneouslyxtoxaxclient.xWhichxofxthexfollowi
ngxshouldxthexnursexplanxtoxminimizexbleedingxfollowingxthexinjection?x-
xanswerxgraspxskinxbetweenxthumbxandxforefingerxthroughoutxthexinjection
AxnursexisxcaringxforxanxolderxadultxclientxwhoxisxtakingxPrednisonexforxlongxtermxtreatmentx
forxrheumatoidxarthritis.xThexnursexshouldxmonitorxthexclientxforxwhichxofxthexfollowingxadve
rsexreactionsxtoxthexdrug?x-xanswerxbonexloss
Axnursexisxinterviewingxaxclientxwhoxreportsxaxdesirextoxquitxsmoking.xWhichxofxthexfollowing
xprescriptionsxshouldxthexnursexexpectxthexproviderxtoxprescribe?x-xanswerxbupropion
Axnursexisxteachingxaxclientxaboutxself-
administrationxofxanxenoxaparin.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexinclu
dextoxselectxallxthatxapplies?x-
xanswerxalternatexthexinjectionxsitexbetweenxthexsidesxofxthexabdomen
graspxthexskinxbetweenxthexthumbxandxforefingerxwhilexinjectingxthexmedication
insertxthexentirexlengthxofxthexneedlexintoxthexskinxduringxthexinjection
axnursexisxassessingxaxclientxwhoxisxinxsepticxshockxandxisxreceivingxdopaminexbyxcontinuo
usxIVxinfusion.xWhichxofxthexfollowingxfindingsxindicatesxthatxthexnursexshouldxincreasexthex
ratexofxthexinfusion?x-xanswerxheadache
Axnursexisxreviewingxthexlaboratoryxreportxofxaxclientxwhoxhasxbipolarxdisorderxpriorxtoxthexa
dministrationxofxlithiumxcarbonate.xThexclient'sxlithiumxlevelxisx2.6xmeq.xWhichxofxthexfollowi
ngxactionsxshouldxthexnursextake?x-xanswerxpreparexthexclientxforxhemodialysis
, Axnursexisxinterviewingxaxclientxwhoxwasxnewlyxadmittedxpriorxtoxadministeringxmedication.x
Thexclientxtellsxthexnurse,x"xIxforgotxtoxtellxthexdoctorxIxlikexalbuterolxforxasthma".xforxwhichxofx
thexfollowingxmedicationsxshouldxthexnursexwithholdxthexdosexandxnotifyxthexprovider?x-
xanswerxpropranolol
Axnursexisxteachingxaxclientxwhoxisxtoxstartxtakingxclopidogrel.xthexnursexshouldxinstructxthex
clientxtoxMonitorxandxReportxwhichxofxthexfollowingxadversexeffectsxofxthexmedication?x-
xanswerxblurredxvision
Axnursexisxprovidingxteachingxtoxaxclientxwhoxhasxaxnewxprescriptionxforxparoxetine.xthexnur
sexshouldxinstructxthexclientxtoxmonitorxwhichxofxthexfollowingxadversexeffects?x-
xanswerxDrowsiness
Axnursexisxadministeringxferrousxsulfatexelixirxtoxaxclientxwhoxhasxironxdeficiencyxanemia.xW
hichxofxthexfollowingxactionsxshouldxthexnursextake?x-
xanswerxadministerxthexmedicationxthroughxaxstraw
AxnursexisxcaringxforxaxclientxwhoxisxreceivingxTotalxparenteralxNutrition.xWhichxofxthexfollow
ingxactionsxshouldxthexnursextake?x-xanswerxmonitorxthexclient'sxweightxdaily
axnursexisxassessingxaxclientxwhoxhasxhypermagnesemia.xWhichxofxthexfollowingxmedicatio
nsxshouldxthexnursexpreparextoxadminister?x-xanswerxcalciumxgluconate
axnursexisxcaringxforxaxclientxwhoxisxreceivingxhospicexcarexandxhasxaxprescriptionxforxfenta
nylxbuccalxfilm.xWhichxofxthexfollowingxmethodsxshouldxthexnursexusextoxadministerxthisxme
dication?x-xanswerxinsertxthexmedicationxagainstxthexmucosalxmembranexofxthexcheek
AxclientxwhoxhasxGravesxdiseasexisxprescribedxmethimazole.xWhichxofxthexfollowingxeffect
sxshouldxthexnursexexpectxtoxseexafterxthexclientsxtakexthexmedicationxafterx2xmonths?x-
xanswerxincreasexsleeping
AxnursexisxassessingxaxclientxwhoxhasxGravesxdiseasexandxisxtakingxmethimazole.xWhichxo
fxthexfollowingxfindingsxindicatexthatxthexclientxneedsxaxlowerxdosexofxthexmedication?x-
xanswerxexophthalmos
Axnursexisxplanningxtoxadministerxaxcontrolledxsubstancextoxaxclientxwhoxisxexperiencingxpai
n.xWhichxofxthexfollowingxactionsxshouldxthexnursexplanxtoxtakexfirst?x-
xanswerxIdentifyxthexclientxusingxtwoxidentifiers
axnursexaccidentallyxadministersxthexmedicationxMetforminxinsteadxofxmetoprololxtoxaxclien
txwhichxofxthexfollowingxactionsxshouldxthexnursextake?x-
xanswerxcheckxthexclient'sxglucosexlevel