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Custom Pharm NUR 300G-02-Smith-Spr 25 Final

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Title : Custom Pharm NUR 300G-02-Smith-Spr 25 Final

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : PHARMACOLOGY (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 210 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Pharmacology questions tailored for RN students.

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1 :
A nurse is planning care for a patient who has seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select All that Apply.)

Platelet count

Liver function tests (LFTs)

PTT

Ammonia levels

Thyroid function tests

Hint : 💡Think about the organ systems and lab markers tied to bleeding risk, liver safety, and encephalopathy.

Correct Answers:

No Correct Answers Available !

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2 :
A nurse is caring for a patient on IV heparin therapy whose aPTT is 40 seconds. Which of the following actions should the nurse plan to take?

Respiratory acidosis

Administer protamine sulfate

Continue the current infusion rate

Increase the heparin infusion rate

Hint : 🕰️Compare the measured aPTT to the usual therapeutic range for heparin.

Correct Answers:

No Correct Answers Available !

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3 :
A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

Shake the container vigorously before each dose.

Check the child's blood pressure.

Be sure the has not eaten within the hour.

Perform mouth care.

Hint : 🎯Focus on what makes a suspension different from a solution regarding dose accuracy.

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4 :
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemoly reaction?

Client report of low back pain

Distended neck veins

A productive cough

Client report of tinnitus

Hint : 🧩Match the reaction type that causes intravascular destruction with pain near the kidneys.

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5 :
A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?

"I will stop taking this medication if I develop itching."

"I will double my dose, if I miss one."

"I should take this medication on an empty stomach between meals."

"I will take this medication until my sore throat goes away."

Hint : 🧩Identify the statement that recognizes a potential allergic reaction and acts safely.

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6 :
A nurse is educating a patient with heart failure on how to manage their condition at home with prescribed medications, digoxin and furosemide, which of the following statements by the patient shows correct understanding of the medication management?

I will weigh myself daily and report any weight gain of more than 2 pounds in a day to my doctor.

I can stop taking my furosemide if I feel dizzy or lightheaded.

If I miss a dose of digoxin, I should double up on the next dose to catch up.

I should avoid eating foods high in potassium while taking these medications.

Hint : 📉Think about the earliest, most sensitive home sign of fluid overload.

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7 :
A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 ml. How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : 🧷Convert the label to mg/mL first, then divide the ordered dose by that number.

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8 :
A patient is receiving vancomycin therapy. When should the nurse schedule the collection of blood samples to measure the peak and trough levels of vancomycin?

Collect the peak level 30 minutes after the end of the infusion and the trough level just before the next dose.

Collect both peak and trough levels 2 hours after the infusion ends.

Collect both peak and trough levels 1 hour before the next dose.

Collect the peak level immediately before the next dose and the trough level 1 hour after the infusion.

Hint : ⏳Tie the trough to the next dose and the peak to shortly after infusion ends.

Correct Answers:

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9 :
A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose.

Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose.

Draw a trough level at 0900 and a peak level at 2100.

Draw a peak level at 0900 and a trough level at 2100.

Hint : 🕰️Link the trough to just-before the next dose and the peak to shortly after the infusion ends.

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10 :
A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was Inadvertently administered to another client. Which of the following actions should the nurse take first?

Check the client's vital signs.

Fill out an occurrence form.

Notify the client's provider.

Administer the medication to the correct client.

Hint : 🧩Think ABCs/safety first before communication and documentation steps.

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Total Questions: 10

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Ans

Custom Pharm NUR 300G-02-Smith-Spr 25 Final

No.

1 : A nurse is planning care for a patient who has seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select All that Apply.)

2 : A nurse is caring for a patient on IV heparin therapy whose aPTT is 40 seconds. Which of the following actions should the nurse plan to take?

3 : A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

4 : A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemoly reaction?

5 : A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?

6 : A nurse is educating a patient with heart failure on how to manage their condition at home with prescribed medications, digoxin and furosemide, which of the following statements by the patient shows correct understanding of the medication management?

8 : A patient is receiving vancomycin therapy. When should the nurse schedule the collection of blood samples to measure the peak and trough levels of vancomycin?

9 : A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

10 : A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was Inadvertently administered to another client. Which of the following actions should the nurse take first?

1 :
A nurse is planning care for a patient who has seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select All that Apply.)

2 :
A nurse is caring for a patient on IV heparin therapy whose aPTT is 40 seconds. Which of the following actions should the nurse plan to take?

3 :
A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

4 :
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemoly reaction?

5 :
A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?

6 :
A nurse is educating a patient with heart failure on how to manage their condition at home with prescribed medications, digoxin and furosemide, which of the following statements by the patient shows correct understanding of the medication management?

8 :
A patient is receiving vancomycin therapy. When should the nurse schedule the collection of blood samples to measure the peak and trough levels of vancomycin?

9 :
A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

10 :
A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was Inadvertently administered to another client. Which of the following actions should the nurse take first?