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NLN Practice Pharm Exam Question AndAnswer Latest Update
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) - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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
• It is important that you avoid sun exposure - ✔✔a. Maximum effectiveness may take two to four weeks
of continued therapy
Which of these parameters should a nurse monitor in a client who is taking furosemide (Lasix)?
• Respiratory rate
• Blood pressure
• Pulse oximetry
• Babinski reflex - ✔✔b. Blood pressure
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