RN Pharmacology Exam 2
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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Q1: A nurse is caring for a client in the clinic.Vital signs1 week ago:Temperature 370 C (98.60 F)Heart rate 64/minRespiratory rate 12/minBlood pressure 118/72 mm HgToday.Temperature 37.20 C (98.90 F)Heart rate 82/minRespiratory rate 16/minBlood pressure 1 10/68 mm Hg Nurses notes1 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.
Q2: A nurse is caring for a client in a provider's office.Vital SignsTemperature 36.20 C (97.20 F) Respiratory rate 18/minHeart rate 74/minBlood pressure 118/68 mm Hg Sp02 96% on room airDay 7:Temperature 36.90 C (98.40 F) Respiratory rate 18/minHeart rate 86/minBlood pressure 98/66 mm HgSp02 97% on room air Nurses notesDay:1Client 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.
Q3: A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?
Q4: 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?
Q5: 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?
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