Exam (elaborations)
Green NCLEX-Pharmacology Exam 2024/2025 Questions With Completed & Verified Solutions.
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- Walden University
Green NCLEX-Pharmacology Exam 2024/2025 Questions With Completed & Verified Solutions.
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Green NCLEX-PharmacologyA client is receiving pyridostigmine bromide to control the symptoms of myasthenia gravis.
Which assessment will the nurse include in the client's plan of care? - ANS - clear speech
\When developing a written nursing care plan for a client receiving chemotherapy for treatment
of cancer, the nurse writes, "Assess each voiding for hematuria." The administration of which
type of chemotherapeutic agent would prompt the nurse to add this assessment? - ANS -
cyclophosphamide
\Which intervention is most important for a nurse to implement prior to administering atropine
PO? - ANS - Determine the presence of 5 to 35 bowel sounds/min.
\A chemotherapeutic regimen with doxorubicin HCl is being planned for a client recently
diagnosed with cancer. What diagnostic test results should the nurse review prior to initiating
this treatment? - ANS - ECG
\For which clients should the nurse withhold the initial dose of a cyclooxygenase 2 (COX-2)
inhibitor until notifying the health care provider? (Select all that apply.)
a) A middle-aged adult with a history of tinnitus while taking aspirin
b) A middle-aged adult with a history of polycystic ovarian disease
c) An older adult with a history of a skin rash while taking glyburide (DiaBeta)
d) An adolescent with a history of an anaphylactic reaction to penicillin
e) An older adult with a history of gastrointestinal upset while taking naproxen sodium
(Naprosyn)
f) An adolescent at 34 weeks of gestation experiencing 1+ pitting edema - ANS - c, d, f
**Cox2 inhibitors are contracindicated for those who are allergic to sulfa drugs, aspiring and
NSAIDS
\A client with mild parkinsonism is started on oral amantadine. Which information will the nurse
include in the client's teaching plan? - ANS - Dopamine in the central nervous system is
increased.
\The apical heart rate of an infant receiving digoxin for congestive heart failure is 80 beats/min.
Which intervention should the nurse implement first? - ANS - Obtain a serum digoxin level.
\A client is receiving oral griseofulvin for a persistent tinea corporis infection. Which client
statement indicates to the nurse an understanding of the medication regimen? - ANS - "I might
feel some tingling in my fingers."
**Common s/e are tingling of hands/feet, n/v, dizziness, upset stomach, fatigue and flushing
\The nurse is preparing a teaching plan for a client who has received a new prescription for
levothyroxine sodium. Which instruction should be included? - ANS - Contact your health care
provider if your daily pulse rate exceeds 100 beats/minute.
\A child is being treated with mebendazole for pinworms. What dietary information will the nurse
relay to the client's mother? - ANS - high fat diet
, \A 3-year-old boy is admitted to the emergency department after ingesting an unknown amount
of phenobarbital elixir prescribed for his brother's seizure disorder. Which nursing action should
the nurse take first? - ANS - Take the child's vital signs.
\A client who is receiving chlorpromazine HCl to control his psychotic behavior also has a
prescription for benztropine. When teaching the client and/or significant others about these
medications, what should the nurse explain about the use of benztropine in the treatment plan
for this client? - ANS - the benztropine is used to control extrapyramidal symptoms.
\A client with HIV who was recently diagnosed with tuberculosis (TB) asks the nurse, "Why do I
need to take all of these medications for TB?" What information should the nurse provide? -
ANS - Multiple drugs prevent the development of resistant organisms.
\A 42-year-old client is admitted to the emergency department after taking an overdose of
amitriptyline in a suicide attempt. Which drug should the nurse plan to administer to reverse the
cardiac and central nervous system effects of amitriptyline? - ANS - sodium bicarbonate
\A client with trichomoniasis (Trichomonas vaginalis) receives a prescription for metronidazole.
Which instruction is most important for the nurse to include in this client's teaching plan? - ANS -
Avoid alcohol consumption.
\The nurse is reviewing prescribed medications with a client who is preparing for discharge. The
client asks the nurse why the oral dose of an opioid analgesic is higher than the IV dose
received during hospitalization. Which response is best for the nurse to provide? - ANS - Oral
forms of drugs must pass through the liver first, where more of the dose is metabolized.
\The health care provider prescribes oral contraceptives for a client who wants to prevent
pregnancy. Which information is the most important for the nurse to provide to this client? - ANS
- Take one pill at the same time every day for the entire pack of pills.
\A client is receiving antiinfective drug therapy for a postoperative infection. Which complaint
should alert the nurse to the possibility that the client has contracted a superinfection? - ANS -
My mouth feels sore.
\Which assessment datum indicates to the nurse that a dose of granisetron administered IV
prior to chemotherapy has had the desired effect?c - ANS - Client denies nausea
\A 6-year-old child is admitted to the emergency department with status epilepticus. The parents
report that the seizure disorder has been managed with phenytoin, 50 mg PO bid, for the past
year. Which drug should the nurse plan to administer? - ANS - diazepam
\A client receives a prescription for theophylline PO to be initiated in the morning after the dose
of theophylline IV is complete. The nurse determines that a theophylline level drawn yesterday
was 22 mcg/mL. Based on this information, which action should the nurse take first? - ANS -
Hold the theophylline dose and notify the health care provider.
\the nurse is assessing a client receiving an antipsychotic medication. Which extrapyramidal
symptom is a permanent and irreversible adverse effect of long-term phenothiazine
administration? - ANS - tardive dyskinesia
\The nurse is reviewing a client's laboratory results before a procedure in which a
neuromuscular blocking agent is prescribed. Which finding should the nurse report to the health
care provider? - ANS - hypokalemia
**low K levels enhance the effects of NMBDs
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