RN Pharmacology 2024 Actual Exam with NGN Styled Questions Complete And Verified

RN Pharmacology 2024 Actual Exam with NGN Styled Questions Complete And Verified A client with myasthenia gravis has become frequently complaining of weakness and fatigue. The physician plans to identify whether the client is responding to an overdose of the medication or a worsening of the disease. A tensilon test is performed. Which of the following would indicate that the client is experiencing an overdose of the medication? A Temporarily worsening of the condition. B Improvement of the weakness and fatigue. C No change in the condition. D Complaints of muscle spasms. Question 2 A client with juvenile pilocytic astrocytoma who is receiving Dexamethasone (Decadron) 4mg/IV every 6 hours to relieve symptoms of right arm weakness and headache. Which of the following assessment will concern the nurse most? A Blood glucose level of 280 mg/dl. B Daily weight gain of 0.5 kg. C Client no longer recognizes the family member. D Client still complains of headache. Question 1 A client is who is receiving edrophonium chloride suddenly is complaining of abdominal cramps and the nurse observes the client is experiencing increased perspiration and salivation. The nurse makes sure the availability of which of the following? A Levodopa. B Methylphenidate hydrohloride (Ritalin). C Atropine sulfate. D Carbamazepine (Tegretol). Question 4 A nurse is instructing a client regarding Carbidopa-levodopa (Sinemet) for the treatment of Parkinson's disease. The nurse tells the client that which of the following is a side effect of the medication? A Difficulty performing a voluntary movement. B Increased blood pressure. C Increased heart rate. D Itchiness of the skin. Question 5 A nurse is giving dietary instructions to a client receiving levodopa. Which of the following food items should be avoided by the client? A Goat yogurt. Question 3 B Whole grain cereal. C Asparagus. D Apples. Question 6 Biperiden hydrochloride (Akineton) is added to a list of antiparkinsonian medications that an elderly client is taking. Which of the following instructions made by the nurse that needs further learning? A To avoid smoking, alcohol and caffeine. B To use ice chips, candy or gum for dry mouth. C Walking in the morning to have a daily source of direct sunlight. D Eating foods rich in fiber and increase fluid intake. Question 7 The nurse is giving instructions to a client receiving Phenytoin (Dilantin). The nurse concludes that the client has a sufficient knowledge if the client states that: A "Wearing a medical alert tag is not required". B "Alcohol is permitted in while taking this medication". C "I can take the medicine with milk". D D. "Have the serum phenytoin level taken before giving the medication". Question 8 A 17-year-old client is taking Phenytoin (Dilantin) for the treatment of seizures. Phenytoin blood level reveals to be 25 mcg/ml. Which of the following symptoms would be expected as a result of the laboratory result? A No symptoms, because the value is within the normal range. B Hypoglycemia. C Tachycardia. D Nystagmus. Question 9 A client is prescribed with Carbamazepine (Tegretol) for the treatment of bipolar disorder. Which of the following laboratory results indicates that the client is experiencing a side effect of this medication? A Neutrophil count of 1,200/mm3. B Platelet count of 160,000/mm3. C Uric acid level of 4mg/dl. D SGPT (ALT) level 50 units per liter of serum. Question 10 A female client who has a history of seizure went to a health care facility to ask the nurse regarding the use of birth control pills while on phenytoin therapy. The nurse correctly states to the client that: A Taking phenytoin decreases the effectivity of the birth control pills. B Pregnancy is not allowed while taking phenytoin. C There is no known interaction between these medicines so there is nothing to worry about. D To discontinue phenytoin and proceed with the oral contraceptive. Question 11 Phenobarbital (luminal) is given to a client for a short treatment of anxiety. Which of the following results would indicate a therapeutic serum range of the medication? A 5-10 mcg/ml. B 15-40 mcg/ml. C 45-65 mcg/ml. D 50-90 mcg/ml. Question 12 A pediatric client went to the emergency room complaining of right upper quadrant abdominal pain, nausea, and vomiting. Upon the interview of the nurse to the mother, the client has been taking a long-term use of acetaminophen. An overdosage of the medication is suspected. Which of the following medication should be readily available? A Naltrexone (ReVia). B Urea (Ureaphil). C Acetylcysteine (Mucomyst). D Valproic acid (Depakene). A client with bell's palsy tells the nurse that acetaminophen (Tylenol) is taken daily as prescribed by the physician. Which laboratory value would indicate a toxicity of the medication? A Blood urea nitrogen of 60 mg/dl. B Total bilirubin of 1.5 mg/dl. C Alkaline phosphatase of 120 IU/L. D Direct bilirubin of 0.3 mg/dl. Question 14 A nurse is caring for a client with a history of overdosage of aspirin. The nurse suspects which of the following can be an early sign of aspirin toxicity? A Unsteady gait. B Drowsiness. C Confusion. D Tinnitus. Question 15 Meperidine hydrochloride (Demerol) is given to a client who is experiencing post- operative pain. Which of the following are the side effects of the medication, except? A Tremors. Question 13 B Diarrhea. C Urinary retention. D Hypotension. Question 16 Codeine sulfate is prescribed to a client with a severe back pain. Which of the following side effect is associated with this medication? A Hypertension. B Urinary frequency. C Constipation. D Hyperactivity. Question 17 Mannitol (Osmitrol) an osmotic diuretic which is contraindicated to which conditions? Select all that apply A Pulmonary edema. B Narrow-angle glaucoma. C Heart failure. D Chemotherapy. E Hyponatremia. A client with tonic-clonic seizure is receiving Phenobarbital (Luminal) and Valproic acid (Depakene). The nurse tells the client that: A Valproic acid decreases phenobarbital metabolism. B Valproic acid increases phenobarbital metabolism. C There is no interaction between the two. D Increase the dosage of the two medications. Question 19 A nurse is providing instructions to a client is taking Doxapram (Dopram). Which of the following statements made by the client needs further instructions? A "I need to take the medication before meals". B "I need to take the medication at bedtime". C "I need to avoid drinking coffee". D "I will not chew or crush long acting form of the medications". Question 20 Diazepam (Valium) is prescribed to a client with alcohol withdrawal. Which of the following statements made by the client indicates an understanding of the treatment regimen? A "This medication causes a blurring of vision". Question 18 B "This medication will cause a decrease platelet and white blood cell count in my blood". C "I'll have my physician to lower my dosage once I started to feel okay". D "Drinking grapefruit can decrease the side effects with this medication".