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RN Pharmacology Exam 2

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Exam Details !

Title : RN Pharmacology Exam 2

Type : Nursing

Category : RN Nursing Exam(s)

Subcategory : ATI Exam(s)

Domain : RN ATI Pharmacology

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2023

Duration : 75 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Medium

Instructions : Read each question carefully and select the correct answer. Ensure you manage your time effectively to complete all questions within the given timeframe, as answers cannot be changed after submission.

Description : This paper tests core drug knowledge, safe medication administration, side effects, nursing implications, and dosage calculations. Questions are NCLEX-RN aligned and application-based.

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1 : A nurse is caring for a client in the clinic.

Vital signs

1 week ago:

Temperature 370 C (98.60 F)

Heart rate 64/min

Respiratory rate 12/min

Blood pressure 118/72 mm Hg

Today.

Temperature 37.20 C (98.90 F)

Heart rate 82/min

Respiratory rate 16/min

Blood pressure 1 10/68 mm Hg

Nurses notes

1 week ago:

Client presents to the clinic for an infusion of methotrexate for Non-Hodgkin lymphoma. Client premeditated with ondansetron prior to administration. Client tolerated infusion well. Client educated on adverse effects of medication.

Today:

Client returns to the clinic with reports of mouth pain. Oral mucosa is dry with lesions noted in buccal mucosa. Client educated on interventions for stomatitis.

Which of the following client statements indicates to the nurse the teaching was effective?

Select all that apply.

"l will avoid consuming alcoholic beverages:

"l will consume foods that are soft or semisolid.'

l will rinse with saline every 2 hours while awake."

"l will avoid taking folic acid supplements while taking this medication."

I will perform oral hygiene using a firm-bristle toothbrush."

Hint : Mouth sores? Go soft and rinse often — no alcohol, no harsh brushes.

Correct Answers:

"l will avoid consuming alcoholic beverages:
"l will consume foods that are soft or semisolid.'
l will rinse with saline every 2 hours while awake."

Rationale :

"I will avoid consuming alcoholic beverages." "I will consume foods that are soft or semisolid." "I will rinse with saline every 2 hours while awake."

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 : A nurse is caring for a client in a provider's office.

Vital Signs

Temperature 36.20 C (97.20 F) Respiratory rate 18/min

Heart rate 74/min

Blood pressure 118/68 mm Hg Sp02 96% on room air

Day 7:

Temperature 36.90 C (98.40 F) Respiratory rate 18/min

Heart rate 86/min

Blood pressure 98/66 mm Hg

Sp02 97% on room air

Nurses notes

Day:1

Client presents for evaluation of neurological changes, including stiffness of lower extremities, and shaking of hands.

Client is married, has no known allergies, and no surgical history. Client is a retired airline pilot and the parent of five adult children.

Day 7:

Client reports having trouble sleeping due to nightmares and states, "l'm not sure this medication is doing what it's supposed to do." Client reports daily nausea.

Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

"You may initially notice an increase in involuntary movements."

"The medication can cause nausea, so take with a meal."

"You may notice your urine becomes lighter in color."

"You can experience vivid nightmares."

"This medication can make you light-headed if you stand up too quickly from a seated or lying position:

consumption of a high protein meal can reduce the effectiveness of the medication."

Hint : Parkinson’s meds = movement ↑, protein ↓ absorption, watch dreams + dizziness.

Correct Answers:

"You may initially notice an increase in involuntary movements."
"The medication can cause nausea, so take with a meal."
"You can experience vivid nightmares."
"This medication can make you light-headed if you stand up too quickly from a seated or lying position:
consumption of a high protein meal can reduce the effectiveness of the medication."

Rationale :

This refers to levodopa/carbidopa — used for Parkinson’s disease. It causes GI upset, vivid dreams, dyskinesias, and is protein-sensitive.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 : A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Temperature

Heart rate

Respiratory rate

Pain level

Hint : Beta-blockers = Bradycardia → check pulse first!

Correct Answers:

Heart rate

Rationale :

Propranolol is a beta-blocker that slows HR. Check HR before giving to avoid bradycardia.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 : A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

Withdraw the NPH insulin from the vial.

Withdraw the regular insulin from the vial.

Inject air into the regular insulin vial.

Inject air into the NPH vial.

Hint : "Cloudy before clear" for air, "Clear before cloudy" for drawing.

Correct Answers:

Inject air into the NPH vial.

Rationale :

The correct insulin mixing sequence is: Inject air into NPH Inject air into Regular Withdraw Regular Withdraw NPH

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

5 : A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nursethat the treatment has been effective?

Increased salivation

Hyperactive bowel sounds

Heart rate 90/min

Blood pressure 90/50 mm Hg

Hint : Atropine = anti-rest-and-digest = HR goes up.

Correct Answers:

Heart rate 90/min

Rationale :

Atropine blocks excessive parasympathetic (muscarinic) activity → normalizes heart rate.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 : A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has

been effective?

Decreased blood pressure

Excessive thirst

Moist oral mucous membranes

Hint : Moist mouth = fluid status improving.

Correct Answers:

Moist oral mucous membranes

Rationale :

This indicates improved hydration. Other symptoms (thirst, ↑ HR, ↓ BP) would indicate ongoing dehydration.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

7 : A nurse is reviewing the medical history of a client who is to start taking prednisone.

Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

Prior episode of kidney stones

Has a systemic fungal infection

History of asthma

Taking levothyroxine orally

Hint : Don’t give steroids if a fungus is thriving.

Correct Answers:

Has a systemic fungal infection

Rationale :

Steroids suppress immunity, worsening fungal infections.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

8 : A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

"l will notify your provider of your decision.

"If you do not take your medications, you will not recover."

"Most people feel better after they have taken these medications."

"Why are you refusing your medications?"

Hint : Support choice, report, don’t pressure.

Correct Answers:

"Why are you refusing your medications?"

Rationale :

Respect autonomy and communicate with the provider. Avoid threats or persuasion.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

9 : A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse Include in the teaching?

"You should take a stool softener while taking this medication."

"You might urinate more frequently while taking this medication:

"You should minimize exposure to sunlight while taking this medication."

"You should take this medication on an empty stomach."

Hint : Oxy = blocks pain and the bowels — prevent constipation.

Correct Answers:

"You should take a stool softener while taking this medication."

Rationale :

Opioids like oxycodone commonly cause constipation; stool softeners or laxatives are often recommended.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

10 : A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

Confusion

Insomnia

Weight loss

Hint : SSRIs + confusion = red flag for serotonin effects.

Correct Answers:

Confusion

Rationale :

Confusion may indicate serotonin syndrome or CNS toxicity and is the most serious option listed.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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3 : A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

4 : A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

5 : A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nursethat the treatment has been effective?

6 : A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment hasbeen effective?

7 : A nurse is reviewing the medical history of a client who is to start taking prednisone.Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

8 : A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

9 : A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse Include in the teaching?

10 : A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

6 : A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has

been effective?

7 : A nurse is reviewing the medical history of a client who is to start taking prednisone.

Which of the following findings should the nurse identify as a contraindication to prednisone therapy?