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RN Pharmacology 2023 Exam-2

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Exam Details

Title RN Pharmacology 2023 Exam-2

Type Nursing

Category RN Nursing Exams

Subcategory ATI Exams (RN)

Domain PHARMACOLOGY (RN ati)

Fragment N/A

Module RN-NURSING

Status active

Rating 95.00%

Attempts 15

Year 2025

Duration 180 min

Questions 10

Pass Score 90%

Difficulty Intermediate

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1 :
A nurse in a provider's office is caring for a client.

Vital Signs
Laboratory Results

Visit 1:

Temperature 36.7°C (98.1°F)

Heart rate 86/min

Respiratory rate 16/min

Blood pressure 132/88 mm Hg

SpO2 99% on room air

Visit 2:

Temperature 36.7°C (98.1°F)

Heart rate 82/min

Respiratory rate 18/min

Blood pressure 140/94 mm Hg

SpO2 98% on room air

Visit 2:

HgA1c 6.9% to 5.9%)

Fasting blood glucose 148 mg/dL (74 to 106 mg/dL)

For each category below, click to specify the medication the nurse should anticipate the provider to prescribe. Each finding may support more than 1 potential medication prescription.

Potential Medication Description	Blood pressure	Laboratory results
Losartan
Misoprostol
Moexipril
Metformin
Mesalamine
Liraglutide

Hint : 💉When blood pressure and glucose are both elevated, anticipate drugs that act on the renal system and metabolism.

Correct Answers

Losartan [ Blood pressure ]
Moexipril [ Blood pressure ]
Metformin [ Laboratory results ]
Liraglutide [ Laboratory results ]

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse is caring for a client on a medical-surgical unit.

Nurses' Notes
Medication Administration Record
Laboratory Results
Vital Signs

1930:

Client is receiving treatment for methicillin- resistant Staphylococcus aureus (MRSA) cellulitis on the right lower extremity. Vacuum-assisted wound therapy in place. Transparent dressing clean, dry, and intact.

2020:

Client reports itching all over torso, arms, and legs. Client appears flushed and is experiencing difficulty breathing.

2000:

Allergy to tazobactam

Current prescription:

Vancomycin 1250 mg/250 mL

0.9% sodium chloride infusing at 325 mL/hour

1945:

Vancomycin trough 11 mcg/mL (10 to 20 mcg/dL)

WBC count 14,350/mm3 (5,000 to 10,000/mm3)

1930:

Temperature 37.7°C (99.9°F)

Heart rate 84/min

Respiratory rate 20/min

Blood pressure 132/78 mm Hg

Pulse oximetry 96% on room air

2020:

Temperature 37.7°C (99.9°F)

Heart rate 115/min

Respiratory rate 22/min

Blood pressure 96/64 mm Hg

Pulse oximetry 92% on room air

Complete the following sentence by using the lists of options. The nurse should firstdue to the client's.

Hint : 🛑First step in suspected severe allergic reactions is to discontinue the offending agent.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 :
A nurse is caring for a client in the emergency department (ED).

Nurses' Notes
Past medical history
Vital Signs

0900:

Client arrives to ED via ambulance with 'tracing heart" that began at 0100. Reports no chest pain or dyspnea.

Alert and oriented to person, place, and time. Respirations are tachypneic. Breath sounds are clear to auscultation bilaterally SI, S2 auscultated. Tachycardic rate. Irregular rhythm. Non- pitting pedal edema bilaterally.

0930:

Client called for nurse and states, they feel "heaviness in my chest" and "l feel anxious" and "it's difficult to catch my breath." ECG: atrial fibrillation.

hypertension

heart failure

obstructive sleep apnea

hyperthyroidism

0900:

Temperature 36.5°C (97.7°F)

Heart rate 122/min

Respiratory rate 22/min

Blood pressure 132/68 mm Hg

Oxygen saturation 95% on room air

Pain level 0 on a scale of 0 to 10 scale

0930:

Temperature 36.5°C (97.7°F)

Heart rate 156/min

Respiratory rate 28/min

Blood pressure 110/62 mm Hg

Oxygen saturation 92% on room air

Pain level 5 on a scale of 0 to 10 scale

Drag 1 medication and 1 client finding to fill in each blank in the following sentence. The nurse should anticipate a provider prescription fordue to the clients.

Hint : 💓Treatment should target the primary cardiac cause behind the symptoms like dyspnea or anxiety.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 :
A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

"Drink the elixir using a straw to prevent staining your teeth."

"Take the medication with an antacid if it upset our stomach."

"Increase your fiber intake to prevent constipation."

"Increase your intake of dairy products to increase the absorption of this medication."

"Stop taking the medication if your stools become green or black."

Hint : 🧃This supplement may stain teeth and slow your gut—so protect both.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

5 :
A nurse is teaching a client who has a new prescription for cromolyn. Which of the following information should the nurse include in the teaching?

“Cromolyn is used to prevent your condition from occurring."

“Cromolyn will assist with dilating the bronchioles in your lungs."

"Cromolyn should be administered 1 hour after exercising."

“Cromolyn should take effect within 5 minutes."

Hint : 🗓️This drug is meant for long-term prevention, not quick relief.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

6 :
A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?

Hypoglycemia

Bone loss

Hemolytic anemia

Liver toxicity

Hint : 🦴Think about long-term effects on bone tissue when using corticosteroids.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

7 :
A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following findings should the nurse identify as an adverse effect?

Respiratory rate 18/min

Weight gain of 0.7 kg (1.5 lb) in 24 hrs

Decreased blood glucose level

Temperature of 35.9°C (96.6°F)

Hint : ⚖️Sudden increases in fluid weight can indicate TPN complications.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

8 :
A nurse is caring for a client who is receiving ketorolac IV to treat postoperative pain. Which of the following findings should the nurse identify as an adverse effect of this medication?

Thrombocytosis

Drowsiness

Hypoglycemia

Excessive tearing

Hint : 😪This medication may affect alertness, especially after surgery.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

9 :
A nurse is assessing a client who has a urinary tract infection and is taking sulfamethoxazole-trimethoprim. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?

Insomnia

Wheezing

Photosensitivity

Hallucinations

Hint : 👃Breathing changes are often early signs of drug allergy.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

10 :
A nurse is teaching a client who is taking methotrexate and has stomatitis. Which of the following statements by the client indicates an understanding of the teaching?

“I should avoid eating foods that contain vitamin C."

“I will continue to floss my teeth after each meal."

“I will limit my alcohol intake to two drinks per day."

“I should rinse my mouth with a warm salt solution."

Hint : 🧼Gentle cleansing methods promote comfort in cases of oral inflammation.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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Ans

1 : A nurse in a provider's office is caring for a client.

Correct Answers

2 : A nurse is caring for a client on a medical-surgical unit.

3 : A nurse is caring for a client in the emergency department (ED).

4 : A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

5 : A nurse is teaching a client who has a new prescription for cromolyn. Which of the following information should the nurse include in the teaching?

6 : A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?

7 : A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following findings should the nurse identify as an adverse effect?

8 : A nurse is caring for a client who is receiving ketorolac IV to treat postoperative pain. Which of the following findings should the nurse identify as an adverse effect of this medication?

9 : A nurse is assessing a client who has a urinary tract infection and is taking sulfamethoxazole-trimethoprim. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?

10 : A nurse is teaching a client who is taking methotrexate and has stomatitis. Which of the following statements by the client indicates an understanding of the teaching?

1 :
A nurse in a provider's office is caring for a client.

2 :
A nurse is caring for a client on a medical-surgical unit.

3 :
A nurse is caring for a client in the emergency department (ED).

4 :
A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

5 :
A nurse is teaching a client who has a new prescription for cromolyn. Which of the following information should the nurse include in the teaching?

6 :
A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?

7 :
A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following findings should the nurse identify as an adverse effect?

8 :
A nurse is caring for a client who is receiving ketorolac IV to treat postoperative pain. Which of the following findings should the nurse identify as an adverse effect of this medication?

9 :
A nurse is assessing a client who has a urinary tract infection and is taking sulfamethoxazole-trimethoprim. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?

10 :
A nurse is teaching a client who is taking methotrexate and has stomatitis. Which of the following statements by the client indicates an understanding of the teaching?