Exam Mode Assessment

QLexNursing

RN Pharmacology~2023 Exam 2

Total Questions : 10

Guest

Questions Remaining : 10

Time Remaining :

End

Question Navigator Wizard !

No.

Indicators

Answered

Unanswered

Go to Question!

Wish you all the best!

Scroll Up or Down and Click on a Question to Navigate to !

Exam Details !

Title : RN Pharmacology~2023 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 : 120 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Medium

Instructions : Complete the exam within the time limit. Read each question carefully and select the correct answer.

Description : This exam assesses students' proficiency in dosage calculations, including drug conversions, IV flow rates, weight-based dosing, and safe medication administration. The format includes MCQs and calculation-based questions.

Exam Paused

Your exam is paused.

Time Remaining:

Exam Theme & Font Settings !

Adjust Font Size

Adjust Background Color

Dark Mode !

Confirm Your Action !

Are you sure you want to Switch to Another Layout ?!

Yes, Switch

1 : A nurse is administering medications to a client who weighs 132 lb. The prescription reads chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100 mg/mL. How many mL should the nurse give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Convert lb to kg → calculate mg → convert to mL.

Correct Answers:

Rationale :

132 lb ÷ 2.2 = 60 kg 60 kg × 50 mg = 3000 mg/day ÷ 4 doses = 750 mg/dose 750 mg ÷ 100 mg/mL = 7.5 mL

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 : A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads, 'filgrastim 5mcg/kg, subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Weight → dose → convert to mL.

Correct Answers:

Rationale :

198 lb ÷ 2.2 = 90 kg 90 kg × 5 mcg = 450 mcg ÷ 300 mcg/mL = 1.5 mL

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 : A nurse is preparing to administer the initial dose of penicillin G 1M to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?

Pallor

Dyspepsia

Bradycardia

Urticarial

Hint : Urticaria = itchy allergy alert.

Correct Answers:

Urticarial

Rationale :

🕹Urticaria(hives) is a classic early sign of an allergic reaction to penicillin G. It is characterized by raised, red, itchy wheals on the skin.

♦When giving Penicillin G, the nurse must stay alert for skin changes that might signal the onset of hypersensitivity reaction.

📌Pallor may accompany circulatory changes but isn't a primary allergic sign. Dyspepsia relates to digestion, not allergy

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 : 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+ = toxicity risk.

Correct Answers:

Hyponatremia

Rationale :

Lithium and sweating from exercise can cause sodium loss → hyponatremia.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

5 : A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Endocarditis

Kidney transplant

Seizures

Hypokalemia

Hint : Metro = anaerobic killer.

Correct Answers:

Endocarditis

Rationale :

Metronidazole is used for infections like endocarditis caused by anaerobic bacteria.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 : A nurse is caring for a client with gingivitis in the clinic.

Vital Signs 1 week ago:

Temperature 37 C (98.60 F) Heart rate 64/min

Respiratory rate 12/min

Blood pressure 1 18/72 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

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

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

"l will avoid consuming alcoholic beverages:

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

"I will rinse my mouth with saline every 2 hours while awake

Hint : Gum issue = soft diet.

Correct Answers:

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

Rationale :

Soft foods reduce irritation in clients with gingivitis.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

7 : A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication?

Increase in serum sodium

Decrease in urine output

Increase in heart rate

Decrease in blood pressure

Hint : DI treatment = pee less.

Correct Answers:

Decrease in urine output

Rationale :

Desmopressin reduces urine volume in diabetes insipidus—therapeutic response.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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

Nurses' Notes

3 months ago:

Client seen in provider's office for routine physical. Today:

Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void.

What actions should the nurse take? Select all that apply.

Advise the client to change positions slowly.

Check the client for orthostatic hypotension.

Advise the client to restrict potassium intake.

Monitor the client for dysrhythmias

Advise the client to take the medication before bedtime.

Hint : Dizziness? Think BP & rhythm.

Correct Answers:

Advise the client to change positions slowly.
Check the client for orthostatic hypotension.
Monitor the client for dysrhythmias

Rationale :

These assess and manage the effects of potential hypotension.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

9 : A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following finding should the nurse identify as the priority?

Urinary retention

Leg weakness

Hypotension

Temperature 39tc (102.2'F)

Hint : Epidural = watch BP closely.

Correct Answers:

Hypotension

Rationale :

Hypotension is a common and serious adverse effect of epidural anesthesia.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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

Nurses' Notes Day 1:

(0 / 65 Done)

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, "I'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.

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

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

you may initially notice an increase in involuntary movements."

"You can experience vivid nightmares."

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

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

Hint : Parkinson’s meds = nausea, dyskinesia, orthostatic hypotension, food effect.

Correct Answers:

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

Rationale :

Levodopa/carbidopa (common for Parkinson's) has these known effects.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Upgrade Required

You’ve Reached your free limit of 10 Questions.

Subscribe to Unlock all 64 Questions !

Upgrade & Unlock Now

Login Required

You’ve Reached the Free Preview Limit of 10 Questions.

Choose Different Exam

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Flag this Question !

Reason for Flagging:

Submit Exam Feedback

Your Feedback & Suggestions !

Rate the Exam (0 - 100%):

Confirm Submission

Are you sure you want to submit this exam? Once submitted, you will not be able to change your answers.

QLexNursing Calculator Click & Drag ×

(

)

Inv

sin^-1

cos^-1

tan^-1

log

deg

√

x²

x³

exp

Rnd

Ans