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RN Pharmacology~2023 Re-take Exam

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Title : RN Pharmacology~2023 Re-take Exam

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 : 130 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 assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

Elevate the extremity.

Flush the IV catheter.

Slow the infusion rate.

Apply pressure to the IV site.

Hint : Infiltrate = elevate.”

Correct Answers:

Elevate the extremity.

Rationale :

Elevating reduces swelling. Never flush or apply pressure

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 : A nurse is caring for a group of clients. Which of the following situations requires an incident report?

A client vomits after receiving an oral medication

A client receives their meal tray 20 minutes before time

A client receives their insulin before scheduled time

a client experiences a seizure

Hint : Timing is critical with insulin—wrong time can lead to hypo- or hyperglycemia.

Correct Answers:

A client receives their insulin before scheduled time

Rationale :

Administering insulin at the wrong time is a medication error and requires an incident report.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 : A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures.

The nurse should instruct the client to monitor for which of the following adverse effects?

Blurred vision

Tachypnea

Metallic taste

Hint : Carbamazepine = CNS side effects.

Correct Answers:

Blurred vision

Rationale :

Carbamazepine can cause CNS effects including blurred vision, dizziness, and ataxia.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 : A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

Grasp skin between thumb and forefinger throughout the injectio

Aspirate the syringe prior to injecting the heparin.

Use the Z-track method to administer the medication.

Gently massage the site following the injection.

Hint : Pinch the skin, don’t rub after heparin!

Correct Answers:

Grasp skin between thumb and forefinger throughout the injectio

Rationale :

This technique prevents injecting into muscle and reduces bleeding risk. Hint:

Distractor Analysis :

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5 : A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

Hypertension

Bradypnea

Fever

Bradycardia

Hint : A = antiarrhythmic = slows things down.

Correct Answers:

Bradycardia

Rationale :

Amiodarone may slow the heart rate due to its effects on cardiac conduction.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 : A nurse is reviewing a client's medication administration record and finds digoxin was administered to the client with a heart rate of 58/min. Which of the following actions should the nurse take first?

Notify the nurse manager about the incident

Prepare and file an incident report.

Notify the provider of the medication administration.

Examine the client’s vital signs and condition.

Hint : Always assess before you act.

Correct Answers:

Examine the client’s vital signs and condition.

Rationale :

Assessing the patient is always the first step in the nursing process.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

7 : A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?

Return the remaining medication to the facility’s pharmacy.

Dispose of the remaining 'medication while another nurse observes.

Store the remaining halt of the pill in the automated medication dispensing system.

Place the remaining half of the pill in the unit-dose package.

Hint : Safety + accountability = witness the waste.

Correct Answers:

Dispose of the remaining 'medication while another nurse observes.

Rationale :

Controlled substances must be wasted with a witness.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

8 : A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Increased energy

Decreased ascites

Increased appetite

Decreased jaundice

Hint : Less belly fluid = drug is working.

Correct Answers:

Decreased ascites

Rationale :

Spironolactone is a potassium-sparing diuretic that helps reduce fluid accumulation in cirrhosis.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

9 : A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?

Ginkgo biloba

Valerian

Coenzyme QI O

Probiotics

Hint : Ginkgo = bleeding risk with blood thinners.

Correct Answers:

Ginkgo biloba

Rationale :

Ginkgo increases bleeding risk and is contraindicated with warfarin.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

10 : A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Memorize the gtt/min formula!

Correct Answers:

Rationale :

Formula: (Volume × Drop factor) ÷ Time = (100 mL × 15) ÷ 30 = 1500 ÷ 30 = 50 gtt/min

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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1 : A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

2 : A nurse is caring for a group of clients. Which of the following situations requires an incident report?

3 : A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures.The nurse should instruct the client to monitor for which of the following adverse effects?

4 : A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

5 : A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

6 : A nurse is reviewing a client's medication administration record and finds digoxin was administered to the client with a heart rate of 58/min. Which of the following actions should the nurse take first?

7 : A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?

8 : A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

9 : A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify that which of the following supplements is contraindicated for concurrent use with warfarin?

3 : A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures.

The nurse should instruct the client to monitor for which of the following adverse effects?