RN Pharmacology Online Practice 2023 A

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Free RN Pharmacology Online Practice 2023 A Questions

1.

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. Which of the following statements by the client should indicate to the nurse an understanding of the teaching?

  • "I will drink a glass of milk when I take the risedronate."
  • "I will take the risedronate 15 minutes after my evening meal."
  • "I should take an antacid with the risedronate to avoid nausea."
  • "I should sit up for 30 minutes after taking the risedronate."

Explanation

Correct Answer Is:
D. "I should sit up for 30 minutes after taking the risedronate."
Explanation
Risedronate is a bisphosphonate used to treat osteoporosis. A key instruction when taking risedronate is to remain upright (sitting or standing) for at least 30 minutes after taking the medication. This is to help prevent esophageal irritation, which can occur if the medication is taken lying down. The client should not lie down for 30 minutes to ensure the medication is absorbed properly and to reduce the risk of esophageal damage.
2.

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication?

  • Troponin
  • Total cholesterol
  • Creatinine
  • Thyroid stimulating hormone

Explanation

Correct Answer Is:
B. Total cholesterol
Explanation
Clozapine is an atypical antipsychotic that can cause metabolic side effects, including increased cholesterol and triglyceride levels. It's important for the nurse to monitor the client's lipid profile, including total cholesterol, to assess for potential cardiovascular risks. Clients on clozapine are at an increased risk for metabolic syndrome, which includes elevated cholesterol, weight gain, and changes in glucose metabolism.
3.

A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an effect of the medication?

  • Difficulty seeing in the dark
  • Pinpoint pupils
  • Blurred vision
  • Excessive tearing

Explanation

Correct Answer Is:
C. Blurred vision
Explanation
Atropine is an anticholinergic medication that causes pupil dilation (mydriasis) by blocking the action of acetylcholine on the muscles controlling the iris. This dilation of the pupil can lead to blurred vision, particularly when focusing on nearby objects. The effects of atropine on the eye are temporary but may last several hours.
4.

A client is prescribed a second dose of IV ceftriaxone postoperatively. The nurse notes urticaria and dyspnea. Which of the following actions should the nurse prioritize?

  • Administer oxygen.
  • Administer diphenhydramine.
  • Notify the charge nurse.
  • Discontinue the infusion.

Explanation

Correct Answer Is:
D. Discontinue the infusion.
Explanation
The client is experiencing signs of an allergic reaction, including urticaria (hives) and dyspnea (difficulty breathing). The first and most important action is to discontinue the infusion to prevent further exposure to the allergen (ceftriaxone). This action will help to stop the progression of the reaction and prevent severe outcomes such as anaphylaxis.
5.

A nurse at an urgent care clinic is collecting a history from a client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?

  • "I have tendonitis, so I haven't been able to exercise."
  • "I take a stool softener for chronic constipation."
  • "I take medicine for my thyroid."
  • "I am allergic to sulfa."

Explanation

Correct Answer Is:
A. "I have tendonitis, so I haven't been able to exercise."
Explanation
Ciprofloxacin, a fluoroquinolone antibiotic, has a black box warning regarding the risk of tendonitis and tendon rupture, particularly in older adults or those who have pre-existing tendon issues. The nurse should identify tendonitis as a contraindication or caution for using ciprofloxacin due to the increased risk of tendon injury, especially with physical activity or weight-bearing exercises.
6.

A nurse is assessing a client 1 hour after administering morphine for pain. Which of the following findings should the nurse identify as the best indication that the morphine has been effective?

  • The client's vital signs are within normal limits.
  • The client has not requested additional medication.
  • The client is resting comfortably with eyes closed.
  • The client rates pain as 3 on a scale of 0 to 10.

Explanation

Correct Answer Is:
D. The client rates pain as 3 on a scale of 0 to 10.
Explanation
The best indication of the effectiveness of pain medication like morphine is the client’s pain rating. A reduction in pain intensity, as indicated by a lower pain score (e.g., from a higher number to 3 on a 0-10 scale), directly reflects the medication’s effectiveness in managing the client’s pain.
7.

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following information should the nurse include in the teaching?

  • Decreases stomach acid secretion
  • Neutralizes acids in the stomach
  • Forms a protective barrier over ulcers
  • Treats ulcers by eradicating H. pylori

Explanation

Correct Answer Is:
C. Forms a protective barrier over ulcers
Explanation
Sucralfate is a medication used to treat peptic ulcer disease. It works by forming a protective barrier over the ulcer, which helps to shield it from stomach acid, allowing the ulcer to heal. Sucralfate does not neutralize stomach acids or decrease acid secretion but rather acts locally to protect the ulcerated area.
8.

A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

  • 60 gtt/min
  • 80 gtt/min
  • 100 gtt/min
  • 120 gtt/min

Explanation

Correct Answer Is:
C. 100 gtt/min
Explanation

Calculation:

gtt/min=Volume (mL)×Drop factor (gtt/mL) ÷Time (min)

=400×15 ÷ 60=6000 ÷ 60=100

9.

A nurse is providing teaching to a client who has depression and a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching?

  • "I should start to feel better within 24 hours of starting this medication."
  • "I will be sure to follow a strict diet to avoid foods with tyramine."
  • "I will continue to take St. John's Wort to increase the effects of the medication."
  • "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication."

Explanation

Correct Answer Is:
D. "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication."
Explanation
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression. One important consideration when taking fluoxetine is the potential interaction with nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, which can increase the risk of bleeding, especially when taken with SSRIs. Acetaminophen is generally considered safer for pain relief because it does not have the same blood-thinning effects as NSAIDs.
10.

A nurse is preparing medication instructions for a client who is receiving end-of-life care and their family. The client has a prescription for fentanyl patches. Which of the following information regarding the manifestations and use of fentanyl should the nurse include in the instructions?

  • Respiratory depression as a result of fentanyl use will cause a need for an at-home nefazodone prescription.
  • Removing the patch will immediately reverse any adverse effects of fentanyl.
  • An increase in urinary output should be expected.
  • Taking a stool softener daily will be needed.

Explanation

Correct Answer Is:
D. Taking a stool softener daily will be needed.
Explanation
Fentanyl, a potent opioid, is often prescribed for pain management in end-of-life care. One common adverse effect of opioid use, including fentanyl, is constipation. Therefore, the nurse should instruct the client and their family to use a stool softener daily to help manage this side effect. Stool softeners are commonly used alongside opioids to reduce the discomfort of constipation.

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