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RN Pharmacology~2019 Exam 3

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Title : RN Pharmacology~2019 Exam 3

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 a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

Hypothyroidism

History of alcohol use disorder.

Recurrent headaches.

BP 92/60 mm Hg

Hint : Liver + Tylenol + Alcohol = 🚫

Correct Answers:

History of alcohol use disorder.

Rationale :

Acetaminophen is hepatotoxic, and alcohol use increases the risk of liver damage.

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2 : A nurse is assessing a client who has hypomagnesemia. Which of the following medications should the nurse prepare to administer?

Protamine sulfate

Flumazenil

Acetyl cysteine.

Calcium gluconate.

Hint : Mg low? Think Ca Gluconate.

Correct Answers:

Calcium gluconate.

Rationale :

Calcium gluconate is given to treat severe hypomagnesemia.

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3 : A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

Albuterol.

Indomethacin.

Nitroglycerin.

Furosemide.

Hint : Sildenafil + Nitro = NO GO.

Correct Answers:

Nitroglycerin.

Rationale :

Sildenafil + nitrates = severe hypotension risk.

Distractor Analysis :

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4 : A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility.

Which of the following actions should the nurse take?

Review the adverse effects of the medication with the client.

Compare the current and newly prescribed medications and note any discrepancies.

Send a list of the prescribed medications to the client's pharmacy.

Include the medications the client received during surgery on the client’s medication list.

Hint : Reconcile = compare current + new meds.

Correct Answers:

Compare the current and newly prescribed medications and note any discrepancies.

Rationale :

Medication reconciliation involves checking for omissions, duplications, and interactions.

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5 : A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

The charge nurse.

The quality improvement committee.

The nurse who identifies the error.

The nurse who caused the error.

Hint : Own the error = file the report.

Correct Answers:

The nurse who identifies the error.

Rationale :

The person who made the error is responsible for completing the report.

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6 : A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication?

Blurred vision.

Constipation.

Weight loss.

Bruising.

Hint : Clopidogrel = bleeding watch.

Correct Answers:

Bruising.

Rationale :

Clopidogrel is an antiplatelet drug—bruising may indicate bleeding risk.

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

Peripheral edema.

Alopecia.

Tinnitus.

Drowsiness.

Hint : Watch for CNS effects with SSRIs.

Correct Answers:

Drowsiness.

Rationale :

Paroxetine (SSRI) can cause sedation, especially early in treatment.

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8 : A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "l forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Propranolol.

Isosorbide mononitrate.

Pantoprazole.

Montelukast.

Hint : Asthma + non-selective beta-blocker = 🚫

Correct Answers:

Propranolol.

Rationale :

Propranolol is a non-selective beta-blocker that can worsen bronchospasm in asthma.

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9 : A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?

File an incident report.

Determine factors that led to the omission.

Assess the client for adverse reactions.

Report the missed dosage to the client’s provider.

Hint : Missed dose? Check the patient first.

Correct Answers:

Assess the client for adverse reactions.

Rationale :

Patient safety first. Always assess before reporting.

Distractor Analysis :

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10 : A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take?

Dilute the medication with milk.

Give the medication with a caffeinated beverage.

Administer the medication through a straw.

Provide an antacid with the medication.

Hint : Iron stains—use a straw.

Correct Answers:

Administer the medication through a straw.

Rationale :

Using a straw prevents tooth staining from liquid iron.

Distractor Analysis :

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Total Questions: 10

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Ans

RN Pharmacology~2019 Exam 3

No.

1 : A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

2 : A nurse is assessing a client who has hypomagnesemia. Which of the following medications should the nurse prepare to administer?

3 : A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

4 : A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility.Which of the following actions should the nurse take?

5 : A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

6 : A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication?

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

8 : A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "l forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

9 : A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?

10 : A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take?

4 : A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility.

Which of the following actions should the nurse take?