NLN Practice Pharm Exam Questions And Answers 2022/2023
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Course
NLN Practice Pharm
Institution
NLN Practice Pharm
A client who has renal failure has all of these prescriptions. Which on should a nurse question? (single answer)
• Ampicillin sodium (omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - Answer - d. Tobramycin sulfate (Nebcin)
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NLN Practice Pharm Exam
A client who has renal failure has all of these prescriptions. Which on should a nurse question? (single answer)
• Ampicillin sodium (omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - Answer - d. Tobramycin sulfate (Nebcin)
A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied
in a vial that contains 300 mg/2 mL. How many milliters should a nurse administer to the
client? (single answer)
• 0.6
• 0.75
• 1.3
• 1.5 - Answer - c. 1.3
A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose; a nurse should
• Ensure culture and sensitivity specimens have been obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - Answer - a. Ensure culture and sensitivity specimens have been obtained
An 18-month-old child who weights 37 lb (17kg) has a temperature of 103 F (39.4 C). A physician orders acetaminophen (Tylenol) 15 mg/kg. How many milligrams should a nurse administer?
• 120
• 148
• 200
• 255 - Answer - d. 255
A nurse is assessing a client who is taking glyburide (DiaBeta). Which of these client manifestations who indicate the need for FURTHER assessment prior to administering the scheduled dose of the medication?
• Cool, wet skin
• Elevated blood pressure
• Frequent urination • Blurred vision - Answer - a. Cool, wet skin
Which of these statements, if made by a client who is receiving warfarin sodium (Coumadin), should indicate to a nurse that the client has a correct understanding of the
medication instructions?
• I will shave with an electric razor. • I will increase my intake of green vegetables.
• I will use unwaxed dental floss twice daily.
• I will decrease my daily dose if I feel fatigued. - Answer - a. I will shave with an electric razor.
A nurse should instruct a client who has been taking fentanyl (Duragesic) for several weeks to • Taper this medication slowly when discontinuing its use
• Increase the dosage when pain persists for several hours
• Limit physical activity while on this medication
• Vigorously rub medication into skin - Answer - a. Taper this medication slowly when discontinuing its use
A nurse should observe a client who is taking captopril (Capoten) for adverse effects, which include
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough - Answer - d. Persistent cough
Which of these changes should a nurse expect to observe if a client has a therapeutic effect to amlodipine (Norvasc)?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain - Answer - b. Decreased blood pressure
A nurse should observe a client who is taking a calcium channel blocker for side effects,
which include
• Hypertension
• Urinary retention
• Weight loss
• Diplopia - Answer - d. Diplopia
A nurse should recognize that enoxaparin (Lovenox) is CONTRAINDICATED in a client who has a history of
• Congestive health failure
• Kidney stones
• Bleeding disorder
• Asthma - Answer - c. Bleeding disorder
A nurse is teaching a client who has osteoarthritis about naproxen (Naprosyn). The nurse should include which of these instructions?
• Maximum effectiveness may take two to four weeks of continued therapy • The medication may be taken with aspirin to improve pain relief. • You will need to carefully monitor your blood sugar levels
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