RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSW
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ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
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1. A provider prescribes phenobarbital for a client who has a seizure disorder. T
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he medication has a long half-
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life of 4 days. How many times per day should the nurse expect to administer th
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is medication?
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A. One
B. Two
C. Three
D. Four: A. Medications with long half-
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lives remain at their therapeutic levels between doses for long periods of time. Th
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e nurse should expect to administer this medication once a day.
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2. A staff educator is reviewing medication dosages and factors that influence
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medication metabolism with a group of nurses at an in- g g g g g g g g g
service presentation. Which of the following factors should the educator inclu
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de as a reason to administer lower medication dosages? (Select all that apply.)
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A. Increased renal secretion g g
B. Increased medication-metabolizing enzymes g g
C. Liver failure g
D. Peripheral vascular disease g g
E. Concurrent use of medication the same pathway metabolizes: Answer: g g g g g g g g
C. Liver failure decreases metabolism and thus increases the concentration of a m
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edication. This requires decreasing the dosage.
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E. When the same pathway metabolizes two medications, they compete for metaboli
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sm, thereby increasing the concentration of one or both medications. This requires d
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ecreasing the dosage of one or both medications.
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3. A nurse is preparing to admini
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ster eye drops to a client. Which
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of the following actions
g g g
1g/g116
,RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSW
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ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
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should the nurse take? (Select all thg g g g g g
at apply.)
g
A. have the client lie on her side. g g g g g g
B. Ask the client to look up g g g g g g
at the ceiling.
g g
C. Tell the client to blink when the drops enter her eye.
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D. Drop the medication in g g g
to the center of the client'
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s conjunctival sac.
g g
E. Instruct the client to close her eye gently after instillation: B. The client sho
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uld look upward to keep the drops from falling onto her cornea.
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D. The nurse should drop the medication into t g g g g g g g
he center of the conjunctival sac to promote distri
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bution.
E. The client should close her eye gently to p g g g g g g g g
romote distribution of the medicationg g g g
4. A nurse is completing discharge teaching for a client who has a new pr
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escription for transdermal patches. Which of the following statement
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s should the nurse identify as an indication that the client understand
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s the instructions?
g g
A. "I will clean the site with
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an alcohol swab before I a
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pply the patch." g g
B. "I will rotate the application sites weekly."
g g g g g g
C. "I will apply the patch to an area of skin with no hair."
g g g g g g g g g g g g
2g/g116
,RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSW
g g g g g g g g g
ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
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D. "I will place the new patch on the site of the old patch.: C. The client shou
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ld apply the patch to a hairless area of skin to promote absorption of the medicat
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ion.
5. A nurse reviewing a client's
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medical record notes a new prescription for verifying the trough
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level of the client's medication. Which of the following actions should the nur
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se take? g
A. Obtain a blood specimen i g g g g
mmediately prior to adminis g g g
tering the next dose of medi g g g g g
cation.
B. Verify that the client has g g g g g
been taking the medication
g g g g
for 24 hr before obtaining a
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blood specimen. g
C. Ask the client to pr ovide a urine specimen after the n
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ext dose of medication.
g g g
D. Administer the medication,and obtain a blood specimen 30 min late: A. T g g g g g g g g g g g
o verify trough levels of a medication, the nurse should obtain a blood specimen i
g g g g g g g g g g g g g g
mmediately before administering the next dose of medication. g g g g g g g
6. A nurse is preparing a client's medications. Which of the following actions
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should the nurse take in following legal practice guidelines? (Select all that ap
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ply.)
A. maintain skill competency. g g g
B.Determine the dosage. g g
C. monitor for adverse effects. g g g
D. Safeguard medications. g
3g/g116
, RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSW
g g g g g g g g g
ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
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E. Identify the client's diagnosis: A.maintaining skill competency and using ap
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propriate administration techniques are legal responsibilities of the nurse
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C. A nurse is legally responsible for monitoring for s
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ide and adverse effects of medication
g g g g g
D. Safeguarding of medications, such as controlled g g g g g g
substances, is a legal responsibility of the nurse g g g g g g g
7. A nurse reviewing a client's health record notes a new prescription for lisi
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nopril 10 mg PO once every day. The nurse should identify this as which of the
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following types of prescription? g g g
A.Single g
B.Stat C. g
Routine
D.Standing: C. A routine or standard prescription identifies medications t g g g g g g g g g
o give on a regular schedule with or without a termination date or a specifi
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c number of doses. The nurse will administer this medication every day u
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ntil the provider discontinues it.
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8. A nurse is reviewing a new prescription for ondansetron 4 mg P
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O PRN for nausea and vomiting for a client who has hyperemesis
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gravidarum. The nurse should clarify which of the following parts of the prescri g g g g g g g g g g g g
tion with the provider? g g g
A. Name B g
.Dosage g
C.Route
D.Frequency: D. This prescription does not include the time or frequency of medicati g g g g g g g g g g g g
n administration. The nurse must clarify this with the prescribing provide
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9. A nurse is admitting a client and completing a preassessment before adm
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inistering medications. Which of the following data should the nurse include i
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n the preassessment? (Select all that apply.)
g g g g g g
4g/g116
g g g g g g g g g
ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
g g g g g g g
1. A provider prescribes phenobarbital for a client who has a seizure disorder. T
g g g g g g g g g g g g
he medication has a long half-
g g g g g
life of 4 days. How many times per day should the nurse expect to administer th
g g g g g g g g g g g g g g g
is medication?
g
A. One
B. Two
C. Three
D. Four: A. Medications with long half-
g g g g g
lives remain at their therapeutic levels between doses for long periods of time. Th
g g g g g g g g g g g g g
e nurse should expect to administer this medication once a day.
g g g g g g g g g g
2. A staff educator is reviewing medication dosages and factors that influence
g g g g g g g g g g g
medication metabolism with a group of nurses at an in- g g g g g g g g g
service presentation. Which of the following factors should the educator inclu
g g g g g g g g g g
de as a reason to administer lower medication dosages? (Select all that apply.)
g g g g g g g g g g g g
A. Increased renal secretion g g
B. Increased medication-metabolizing enzymes g g
C. Liver failure g
D. Peripheral vascular disease g g
E. Concurrent use of medication the same pathway metabolizes: Answer: g g g g g g g g
C. Liver failure decreases metabolism and thus increases the concentration of a m
g g g g g g g g g g g
edication. This requires decreasing the dosage.
g g g g g
E. When the same pathway metabolizes two medications, they compete for metaboli
g g g g g g g g g g g
sm, thereby increasing the concentration of one or both medications. This requires d
g g g g g g g g g g g g
ecreasing the dosage of one or both medications.
g g g g g g g
3. A nurse is preparing to admini
g g g g g
ster eye drops to a client. Which
g g g g g g g
of the following actions
g g g
1g/g116
,RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSW
g g g g g g g g g
ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
g g g g g g g
should the nurse take? (Select all thg g g g g g
at apply.)
g
A. have the client lie on her side. g g g g g g
B. Ask the client to look up g g g g g g
at the ceiling.
g g
C. Tell the client to blink when the drops enter her eye.
g g g g g g g g g g
D. Drop the medication in g g g
to the center of the client'
g g g g g
s conjunctival sac.
g g
E. Instruct the client to close her eye gently after instillation: B. The client sho
g g g g g g g g g g g g g
uld look upward to keep the drops from falling onto her cornea.
g g g g g g g g g g g
D. The nurse should drop the medication into t g g g g g g g
he center of the conjunctival sac to promote distri
g g g g g g g g
bution.
E. The client should close her eye gently to p g g g g g g g g
romote distribution of the medicationg g g g
4. A nurse is completing discharge teaching for a client who has a new pr
g g g g g g g g g g g g g
escription for transdermal patches. Which of the following statement
g g g g g g g g
s should the nurse identify as an indication that the client understand
g g g g g g g g g g g
s the instructions?
g g
A. "I will clean the site with
g g g g g g
an alcohol swab before I a
g g g g g
pply the patch." g g
B. "I will rotate the application sites weekly."
g g g g g g
C. "I will apply the patch to an area of skin with no hair."
g g g g g g g g g g g g
2g/g116
,RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSW
g g g g g g g g g
ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
g g g g g g g
D. "I will place the new patch on the site of the old patch.: C. The client shou
g g g g g g g g g g g g g g g g
ld apply the patch to a hairless area of skin to promote absorption of the medicat
g g g g g g g g g g g g g g g
ion.
5. A nurse reviewing a client's
g g g g
medical record notes a new prescription for verifying the trough
g g g g g g g g g
level of the client's medication. Which of the following actions should the nur
g g g g g g g g g g g g
se take? g
A. Obtain a blood specimen i g g g g
mmediately prior to adminis g g g
tering the next dose of medi g g g g g
cation.
B. Verify that the client has g g g g g
been taking the medication
g g g g
for 24 hr before obtaining a
g g g g g g
blood specimen. g
C. Ask the client to pr ovide a urine specimen after the n
g g g g g g g g g g g
ext dose of medication.
g g g
D. Administer the medication,and obtain a blood specimen 30 min late: A. T g g g g g g g g g g g
o verify trough levels of a medication, the nurse should obtain a blood specimen i
g g g g g g g g g g g g g g
mmediately before administering the next dose of medication. g g g g g g g
6. A nurse is preparing a client's medications. Which of the following actions
g g g g g g g g g g g g
should the nurse take in following legal practice guidelines? (Select all that ap
g g g g g g g g g g g g
ply.)
A. maintain skill competency. g g g
B.Determine the dosage. g g
C. monitor for adverse effects. g g g
D. Safeguard medications. g
3g/g116
, RN Pharmacology LATEST 2024 ACTUAL EXAM 242 QUESTIONS AND ANSW
g g g g g g g g g
ERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADE A+
g g g g g g g
E. Identify the client's diagnosis: A.maintaining skill competency and using ap
g g g g g g g g g
propriate administration techniques are legal responsibilities of the nurse
g g g g g g g g
C. A nurse is legally responsible for monitoring for s
g g g g g g g g
ide and adverse effects of medication
g g g g g
D. Safeguarding of medications, such as controlled g g g g g g
substances, is a legal responsibility of the nurse g g g g g g g
7. A nurse reviewing a client's health record notes a new prescription for lisi
g g g g g g g g g g g g
nopril 10 mg PO once every day. The nurse should identify this as which of the
g g g g g g g g g g g g g g g g
following types of prescription? g g g
A.Single g
B.Stat C. g
Routine
D.Standing: C. A routine or standard prescription identifies medications t g g g g g g g g g
o give on a regular schedule with or without a termination date or a specifi
g g g g g g g g g g g g g g
c number of doses. The nurse will administer this medication every day u
g g g g g g g g g g g g
ntil the provider discontinues it.
g g g g
8. A nurse is reviewing a new prescription for ondansetron 4 mg P
g g g g g g g g g g g
O PRN for nausea and vomiting for a client who has hyperemesis
g g g g g g g g g g g
gravidarum. The nurse should clarify which of the following parts of the prescri g g g g g g g g g g g g
tion with the provider? g g g
A. Name B g
.Dosage g
C.Route
D.Frequency: D. This prescription does not include the time or frequency of medicati g g g g g g g g g g g g
n administration. The nurse must clarify this with the prescribing provide
g g g g g g g g g g
9. A nurse is admitting a client and completing a preassessment before adm
g g g g g g g g g g g
inistering medications. Which of the following data should the nurse include i
g g g g g g g g g g g
n the preassessment? (Select all that apply.)
g g g g g g
4g/g116
