RN Pharmacology Online Practice B
A nurse is assessing a client who started a Rx for phenytoin 3 weeks ago. Which of the
following assessment findings should the nurse identify as an indication of a hypersensitivity to
the phenytoin?
A. Enlargement of the cervical lymph nodes
B. Diarrhea
C. Ringing in the ears
D. Alopecia
A.
A nurse is caring for a client who has a radial fracture and a new Rx for butorphanol. The nurse
should identify which of the following statements by the client indicates a contraindication for the
administration of butorphanol?
A. "I've been taking methadone to treat a heroin use disorder."
B. "My pain rating is at 7 on a 0 to 10 scale."
C. "My fingers are numb."
D. "I am allergic to peanuts."
A.
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A nurse is reviewing the lab results of a client who has been receiving injections of epoetin alfa
for the past 3 weeks. Which of the following lab findings should the nurse identify as an
indication that the treatment is effective?
A. Increased reticulocyte count
B. Decreased hemoglobin
C. Increased neutrophils
,D. Decreased triglycerides
A.
A nurse is planning to apply testosterone topical solution to a client. Which of the following
actions should the nurse take?
A. Cover the site with a transparent dressing after application.
B. Rub the solution in while wearing gloves.
C. Apply the medication to the client's axilla.
D. Dry shave the client's skin prior to application.
C.
A nurse is caring for a client who has a noted extravasation of an IV site following infiltration of
dopamine. After stopping the dopamine infusion, which of the following actions should the nurse
take next?
A. Inject phentolamine into the affected area.
B. Apply a cold compress to the site.
C. Aspirate dopamine from the IV cannula.
D. Photograph the site.
C.
A nurse is planning to perform a dressing change on a client's peripherally inserted central
catheter site. Which of the following actions should the nurse take?
A. Apply clean gloves when cleaning the site.
B. Document that the next dressing change is due in 14 days.
C. Measure the length of the external portion of the catheter.
D. Cleanse around the site for at least 20 seconds.
C.
A nurse in an emergency department is caring for a client who sustained multiple fractures in a
MVC. The client rates their pain as an 8 on a 0-10 scale. Which of the following pain meds
should the nurse expect to administer?
A. Ibuprofen PO
B. Pentazocine IM
C. Morphine IV
D. Fentanyl transdermal
C.
A nurse is assessing a client who began taking verapamil 3 days ago. Which of the following
findings should the nurse identify as an adverse effect of this med?
A nurse is assessing a client who has been taking levothyroxine for 3 months to treat
hypothyroidism. Which of the following findings should the nurse expect as an indication that the
medication is effective?
Cool skin
Weight loss
Thick nails
Decreased heart rate
weight loss
A nurse is teaching a client about how to use a nitro transdermal patch. Which of the following
instructions should the nurse include?
A. Apply the patch to a hairless area of skin.
B. Replace the patch twice a day.
C. Leave the patch off for 4 hr daily.
D. Apply the patch to the same area each day.
A.
A nurse in a long-term care facility is preparing meds for a group of clients. Which of the
following actions should the nurse take when following guidelines for safe medication
administration?
A. Return acetaminophen to the facility's stock bottle after a client refuses a dose.
B. Crush the client's verapamil extended-release tablet and administer in pudding.
C. Administer a client's cephalexin 30 min before it is scheduled.
D. Apply an estradiol transdermal patch to a female client's waistline.
C.
A nurse is teaching a client to self-administer NPH insulin and regular insulin in the same
syringe. Which of the. following instructions should the nurse include?
A. Discard any NPH insulin that is cloudy.
B. Shake the vial of NPH insulin to mix it.
C. Draw up the regular insulin into the syringe first.
D. Inject air into the regular insulin vial first.
C.
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