NR 293 Pharmacology Exam Latest 2023 - 2024

NR 293 Pharmacology Exam (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct

• A nurse is caring for a client who has multiple medication allergies. During which of the following

steps of the nursing process should the nurse identifythe client's allergies?

• Planning
• Evaluation
• Data Collection

D. Implementation: C. Data Collection

• A nurse is caring for a client and realizes after administering the 0900 medications that she gave

digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO.Which of the following actions shouldthe nurse take first?

• notify the provider
• contact the nursing supervisor
• check the client's apical pulse

D. complete an incident report: C. check the client's apical pulse

• A nurse is preparing to administer medication to a client. Which of the following abbreviations

indicates the greatest frequency of medication administration?

A. BID

B. TID

C. QID

D. Q8h: C. QID

• A nurse is reviewing the medication administration record of a client whohas impaired swallowing.

The nurse should crush the medication when ad-ministering which of the following prescriptions?

• Aspirin EC 80 mg PO daily
• Levothyroxine 75 mcg PO q AM before breakfast
• Metformin XR 500 mg PO daily
• Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additionaldoses.: B. Levothyroxine

75 mcg PO q AM before breakfast EC = enteric coated, XR = extended release, SL = sublingually

• A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IVbolus every 12 hours to

treat a postoperative infection.Which of the followingmanifestations should the nurse monitor for as an adverse effect of the medication?

• disorientation
• epistaxis
• constipation 1 / 3

D. jaundice: B. Epistaxis

Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleedingand epistaxis. It is a second generation cephalosporin.

• A nurse is assisting with the care of a client who is postoperative. The client reports a pain level

of 8 on a scale of 0 to 10 and has a prescription for meperidine.Which of the following routes of administration will deliver themedication with the shortest time of onset?

• oral
• Intravenous
• intramuscular

d. subcutaneous: B. Intravenous

• nurse is monitoring a client with pneumonia who has received penicillinG intramuscularly. Which

of the following findings should the nurse plan toevaluate first?

• pain at the injection site
• prolonged motor dysfunction
• laryngeal edema

D. temperature of 99.7 F: C. laryngeal edema

this can indicate an allergic reaction, possibly anaphylaxis

• A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the

client's blood tests show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase(ALT).The nurse should recognize that these findings are potential indicationsof which of the following conditions?

• renal dysfunction
• myelotoxicity
• hepatic toxicity

d. cardiac dysrhythmia: c. hepatic toxicity

• A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a new

prescription for memantine.The nurse should identify thatwhich of the following findings increases the risk for reduced clearance of themedication?

• Alanine aminotransferase (ALT) 60 international units.
• Creatinine clearance 35 mL/min
• HbA1c 5%

D. BMI 31: B. Creatinine clearance 35 mL/min

• A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child who

weights 44 pounds.The amount available is albuterolsyrup 2 mg/5 mL. How many mL should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if applicable but do not use a

trailing zero.): 5 mL 2 / 3

• A nurse is assisting with the administration of an IV injection to a client.For which of the

following reasons should the nurse inject the medication slowly?

• to reduce toxicity risk
• to improve the absorption pattern
• to prevent medication dilution

D. to protect against embolism: A. to reduce toxicity risk

• A nurse is reinforcing teaching with a client who has atrial fibrillation anda new prescription for

amiodarone. Which of the following items should the nurse instruct the client to avoid while taking this medication?

• green leafy vegetables
• grapefruit juice
• garlic

D. salt substitutes: B. grapefruit juice

• A nurse is caring fora client who has developed MRSA in a surgical inci- sion.Which of the

following medications should the nurse expect the providerto prescribe?

• ceftriaxone
• vancomycin
• ketoconazole

D. ciprofloxacin: B. vancomycin

• A nurse is caring for a client who is experiencing severe cancer pain. Which of the following

medications should the nurse expect the provider toprescribe?

• buprenorphine
• tramadol
• hydromorphone

D. oxycodone: C. hydromorphone

Hydromorphone is an opioid antagonist. It is used for the treatment of moderate tosevere pain management in clients who have cancer.

• A nurse is collecting data from a client who is experiencing chest pain. Which of the following

medications should the nurse expect to administer tosuppress the aggregation of platelets?

• nitroglycerin
• Aspirin
• Morphine

D. Metoprolol: B. Aspirin

• A nurse is caring for a client who takes gentamicin IM and has a pre- scription to obtain a blood

sample to measure a trough level. At which of thefollowing times should the nurse draw the blood sample?

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