UNMC PHARM 2 EXAM 2
UNMC PHARM 2 EXAM 2 NEWEST ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A client who is receiving chemotherapy frequently complains of headache. The
most effective nursing intervention would be to administer:
a. ibuprofen.
b. naproxen.
c. aspirin.
d. acetaminophen. - Correct Answer-d. acetaminophen.
The client experiences nausea and vomiting soon after chemotherapy treatments.
What is the best action by the nurse?
a. Administer an antiemetic 1 to 2 hours before chemotherapy.
b. Increase fluid intake to flush the kidneys prior to chemotherapy.
c. Restrict food on the day the client receives chemotherapy.
d. Administer a sleeping medication during chemotherapy. - Correct Answer-a.
Administer an antiemetic 1 to 2 hours before chemotherapy.
Classification of antineoplastics is difficult because:
a. the drugs kill cancer cells by different mechanisms and have characteristics from
more than one class.
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, UNMC PHARM 2 EXAM 2
b. the drugs cannot always kill the cancer cells.
c. the drugs only have characteristics from one class, even though they kill by
different mechanisms.
d. the drugs have various adverse effects. - Correct Answer-a. the drugs kill cancer
cells by different mechanisms and have characteristics from more than one class.
Which statement regarding the adverse effects of antineoplastic drugs is the most
accurate?
a. They produce the most, but a small range of, adverse effects.
b. They produce the same amount of adverse effects as any other medication.
c. They commonly produce serious adverse effects.
d. They produce the least amount of serious adverse effects of any medication. -
Correct Answer-c. They commonly produce serious adverse effects.
OSHA has established guidelines for the safe handling of chemotherapeutic
medications. The nurse correctly states that safe handling includes:
Select all that apply.
a. safe medication storage.
b. safe medication disposal.
c. safe medication handling.
d. required days off.
e. appropriate charges for services. - Correct Answer-a. safe medication storage.
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, UNMC PHARM 2 EXAM 2
b. safe medication disposal.
c. safe medication handling.
A clinic nurse is developing a teaching handout for clients who are prescribed
warfarin therapy. Which statements should be included in this information?
Select all that apply.
a. "Tell your dentist you are taking warfarin prior to any procedures."
b. "Report to the lab for testing of activated partial thromboplastin time (APTT)."
c. "Avoid strenuous activities."
d. "Place ice at the injection site if stinging or burning occurs."
e. "Take nonsteroidal anti-inflammatories (NSAIDs) for minor pain relief." - Correct
Answer-a. "Tell your dentist you are taking warfarin prior to any procedures."
c. "Avoid strenuous activities."
A client is prescribed intermittent intravenous heparin therapy to treat deep vein
thrombosis (DVT). Which laboratory value should the nurse review prior to
administering this medication?
a. Prothrombin time (PT)
b. Fibrinogen level
c. Activated partial thromboplastin time (APTT)
d. Factor VIII level - Correct Answer-c. Activated partial thromboplastin time
(APTT)
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, UNMC PHARM 2 EXAM 2
The baseline international normalized ratio (INR) of a client started on warfarin for
atrial fibrillation was 1.2. The nurse notes that the INR value is 2.5 prior to
administration of the next dose of medication. Which action by the nurse is the
most appropriate?
a. Administer the antidote and observe for bleeding.
b. Notify the healthcare provider so that the dose can be increased.
c. Administer the medication as ordered.
d. Hold medication and contact the healthcare provider. - Correct Answer-c.
Administer the medication as ordered.
A nurse assessing a client on a heparin drip notes bloody drainage in the
nasogastric tube and indwelling urinary catheter. A stat partial thromboplastin
time (PTT) is drawn according to heparin protocol. The result is 224 seconds.
Which action by the nurse is the most appropriate?
a. Notify the healthcare provider and prepare to administer protamine sulfate.
b. Stop the infusion, increase the IV rate, and prepare to administer aminocaproic
acid.
c. Notify the supervisor and obtain a unit of clotting factors.
d. Call the healthcare provider and prepare to administer vitamin K. - Correct
Answer-a. Notify the healthcare provider and prepare to administer protamine
sulfate.
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UNMC PHARM 2 EXAM 2 NEWEST ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A client who is receiving chemotherapy frequently complains of headache. The
most effective nursing intervention would be to administer:
a. ibuprofen.
b. naproxen.
c. aspirin.
d. acetaminophen. - Correct Answer-d. acetaminophen.
The client experiences nausea and vomiting soon after chemotherapy treatments.
What is the best action by the nurse?
a. Administer an antiemetic 1 to 2 hours before chemotherapy.
b. Increase fluid intake to flush the kidneys prior to chemotherapy.
c. Restrict food on the day the client receives chemotherapy.
d. Administer a sleeping medication during chemotherapy. - Correct Answer-a.
Administer an antiemetic 1 to 2 hours before chemotherapy.
Classification of antineoplastics is difficult because:
a. the drugs kill cancer cells by different mechanisms and have characteristics from
more than one class.
1|Page
, UNMC PHARM 2 EXAM 2
b. the drugs cannot always kill the cancer cells.
c. the drugs only have characteristics from one class, even though they kill by
different mechanisms.
d. the drugs have various adverse effects. - Correct Answer-a. the drugs kill cancer
cells by different mechanisms and have characteristics from more than one class.
Which statement regarding the adverse effects of antineoplastic drugs is the most
accurate?
a. They produce the most, but a small range of, adverse effects.
b. They produce the same amount of adverse effects as any other medication.
c. They commonly produce serious adverse effects.
d. They produce the least amount of serious adverse effects of any medication. -
Correct Answer-c. They commonly produce serious adverse effects.
OSHA has established guidelines for the safe handling of chemotherapeutic
medications. The nurse correctly states that safe handling includes:
Select all that apply.
a. safe medication storage.
b. safe medication disposal.
c. safe medication handling.
d. required days off.
e. appropriate charges for services. - Correct Answer-a. safe medication storage.
2|Page
, UNMC PHARM 2 EXAM 2
b. safe medication disposal.
c. safe medication handling.
A clinic nurse is developing a teaching handout for clients who are prescribed
warfarin therapy. Which statements should be included in this information?
Select all that apply.
a. "Tell your dentist you are taking warfarin prior to any procedures."
b. "Report to the lab for testing of activated partial thromboplastin time (APTT)."
c. "Avoid strenuous activities."
d. "Place ice at the injection site if stinging or burning occurs."
e. "Take nonsteroidal anti-inflammatories (NSAIDs) for minor pain relief." - Correct
Answer-a. "Tell your dentist you are taking warfarin prior to any procedures."
c. "Avoid strenuous activities."
A client is prescribed intermittent intravenous heparin therapy to treat deep vein
thrombosis (DVT). Which laboratory value should the nurse review prior to
administering this medication?
a. Prothrombin time (PT)
b. Fibrinogen level
c. Activated partial thromboplastin time (APTT)
d. Factor VIII level - Correct Answer-c. Activated partial thromboplastin time
(APTT)
3|Page
, UNMC PHARM 2 EXAM 2
The baseline international normalized ratio (INR) of a client started on warfarin for
atrial fibrillation was 1.2. The nurse notes that the INR value is 2.5 prior to
administration of the next dose of medication. Which action by the nurse is the
most appropriate?
a. Administer the antidote and observe for bleeding.
b. Notify the healthcare provider so that the dose can be increased.
c. Administer the medication as ordered.
d. Hold medication and contact the healthcare provider. - Correct Answer-c.
Administer the medication as ordered.
A nurse assessing a client on a heparin drip notes bloody drainage in the
nasogastric tube and indwelling urinary catheter. A stat partial thromboplastin
time (PTT) is drawn according to heparin protocol. The result is 224 seconds.
Which action by the nurse is the most appropriate?
a. Notify the healthcare provider and prepare to administer protamine sulfate.
b. Stop the infusion, increase the IV rate, and prepare to administer aminocaproic
acid.
c. Notify the supervisor and obtain a unit of clotting factors.
d. Call the healthcare provider and prepare to administer vitamin K. - Correct
Answer-a. Notify the healthcare provider and prepare to administer protamine
sulfate.
4|Page
