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RN Pharmacology~2019 Exam 2

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Title : RN Pharmacology~2019 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 : 2019

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 reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?

Urine specific gravity 1.020.

BUN 15 mg/dL.

LDL 120 mg/dL.

Blood glucose 90 mg/dL.

Hint : Statins = ↓ LDL = goal met.

Correct Answers:

LDL 120 mg/dL.

Rationale :

Atorvastatin lowers LDL cholesterol; a decreased LDL level indicates effectiveness.

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2 : A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse, "I do not want to take this medication. I would prefer a natural therapy." Which of the following supplements should the nurse suggest the client discuss with the provider?

Black cohosh.

Garlic.

Fever few.

Saw palmetto.

Hint : Saw palmetto = prostate support.

Correct Answers:

Saw palmetto.

Rationale :

Saw palmetto is a herbal supplement commonly used to treat symptoms of BPH.

Distractor Analysis :

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3 : A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?

Tinnitus.

Hypotension.

Hypokalemia.

Bradycardia.

Hint : ACE inhibitors = watch BP.

Correct Answers:

Hypotension.

Rationale :

Lisinopril (ACE inhibitor) can cause vasodilation, leading to low blood pressure.

Distractor Analysis :

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4 : A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?

Laryngeal edema.

Nausea.

Insomnia.

Cardiac dysrhythmia.

Hint : Swelling + airway = emergency.

Correct Answers:

Laryngeal edema.

Rationale :

This is a serious sign of anaphylaxis, an allergic reaction to amoxicillin.

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5 : A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?

Expel the air bubble from the syringe prior to injection.

Apply firm pressure to the injection site following administration.

Insert the syringe needle halfway into the client's skin.

Administer the medication into the client's muscles.

Hint : No rub, no bubble expel = just firm pressure.

Correct Answers:

Apply firm pressure to the injection site following administration.

Rationale :

Enoxaparin is an anticoagulant—do not expel air bubble or massage. Apply pressure instead.

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6 : A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV.

Which of the following medications should the nurse expect to administer?

Fentanyl trans mucosal.

Lidocaine patch.

Morphine tablet.

Naloxone IV.

Hint : Breakthrough pain = fast fentanyl.

Correct Answers:

Fentanyl trans mucosal.

Rationale :

For breakthrough cancer pain after morphine, a rapid-onset opioid like fentanyl is appropriate.

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7 : A nurse accidentally administers the medication metformin instead of metoprolol to a client.

Which of the following actions should the nurse take?

Obtain the client's HDL level.

Monitor the client's thyroid function levels.

Collect the client's uric acid level.

Check the client's glucose level.

Hint : Wrong med? Check effect target.

Correct Answers:

Check the client's glucose level.

Rationale :

Metformin lowers blood sugar; monitor for hypoglycemia.

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8 : A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained- release capsule.

Which of the following statements by the client indicates an understanding of the teaching?

"I may sprinkle the medication in applesauce.".

"I can take my medication in the morning with my coffee.".

"I should limit my fluid intake while on this medication.".

I will need to have blood levels drawn.".

Hint : Theophylline = drug level checks.

Correct Answers:

I will need to have blood levels drawn.".

Rationale :

Theophylline has a narrow therapeutic range—monitor levels to avoid toxicity.

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9 : A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Hypomagnesemia.

Hypocalcemia.

Hyponatremia.

Hypokalemia.

Hint : Lithium + low Na = danger.

Correct Answers:

Hyponatremia.

Rationale :

Sweating during exercise increases sodium loss, raising lithium toxicity risk.

Distractor Analysis :

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10 : A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings is a therapeutic effect of naloxone?

Decreased blood pressure.

Decreased nausea.

Increased respiratory rate.

Increased pain relief.

Hint : Naloxone = better breathing.

Correct Answers:

Increased respiratory rate.

Rationale :

Naloxone reverses opioid-induced respiratory depression—restored breathing is the goal.

Distractor Analysis :

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1 : A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?

3 : A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?

4 : A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?

5 : A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?

6 : A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV.Which of the following medications should the nurse expect to administer?

7 : A nurse accidentally administers the medication metformin instead of metoprolol to a client.Which of the following actions should the nurse take?

8 : A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained- release capsule.Which of the following statements by the client indicates an understanding of the teaching?

9 : A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

10 : A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings is a therapeutic effect of naloxone?

6 : A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV.

Which of the following medications should the nurse expect to administer?

7 : A nurse accidentally administers the medication metformin instead of metoprolol to a client.

Which of the following actions should the nurse take?

8 : A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained- release capsule.

Which of the following statements by the client indicates an understanding of the teaching?