Exam Mode Assessment

End

No.

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

Day 1:

Client is seeing provider for routine medical checkup. Client reports shortness of breath and edema in legs. Provider prescribes digoxin 0.125 mg PO daily for heart failure. Client has no known allergies. Day 10: Follow-up visit with provider. Client indicates they have noticed an increase in daily urinary output since last visit. Client states, "I am not having as much difficulty breathing, and my legs are not as swollen."

Day 1:

Temperature 36.9°C (98.4°F)

Heart rate 106/min

Blood pressure 120/76 mm Hg

Respiratory rate 22/min

Day 10:

Temperature 36.3°C (97.3°F)

Heart rate 82/min

Blood pressure 110/66 mm Hg

Respiratory rate 20/min

Day 1:

Potassium level 4.2 mEq/L (3.5 to 5 mEq/L)

Day 10:

Potassium level 3.2 mEq/L (3.5 to 5 mEq/L)

Digoxin level 0.8 ng/mL (0.8 to 2 ng/mL)

For each potential client finding, click to specify if the finding is expected or unexpected for the client following their prescribed therapy. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Potential Finding	Expected	Unexpected
Current heart rate
Reported urinary concern
Digoxin level
Reported current leg findings
Current potassium level

Hint : 🧠Compare each finding with signs of improved heart failure status and safe digoxin monitoring.

Correct Answers

Current heart rate [ Expected ]
Reported urinary concern [ Expected ]
Digoxin level [ Expected ]
Reported current leg findings [ Expected ]
Current potassium level [ Unexpected ]

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Distractor Analysis :

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2 :
A nurse is preparing to administer a medication to a client.

1100:

Client has history of type 2 diabetes mellitus and hypertension. Client admitted for pneumonia. Client reports occasional productive cough, headache, and rates their pain as 4 on a scale of 0 to 10. Respirations are even and non-labored. Scattered rhonchi in bilateral lung fields. Heart rate regular.

1200:

Temperature 38.2°C (100.8°F)

Heart rate 104/min

Respiratory rate 20/min

Blood pressure 90/70 mm Hg

Oxygen saturation 97% on room air

1200:

Capillary glucose 64 mg/dL (74 to 106 mg/dl)

1100:

Metoprolol extended release 50 mg PO twice daily, administer the first dose at noon.

Insulin aspart 10 units subcut before meals, administer the first dose at noon.

Complete the following sentence by using the lists of options. The nurse should first address the client'sfollowed by the client's.

Hint : 🚨Address the abnormal finding that creates the most immediate safety risk before giving scheduled medications.

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

0620:

Client admitted to the ED with reports of crushing chest pain, shortness of breath, and nausea and vomiting. Client reports symptoms began approximately 45 minutes ago while eating breakfast. 12-lead ECG performed and shows ST-segment elevation in 4 leads.

0630:

Two 18-gauge IV catheters inserted into right and left forearm.

0623:

Blood pressure 138/78 mm Hg

Heart rate 98/min

Respiratory rate 18/min

Temperature 37.2°C (99°F)

Oxygen saturation 95% on room air

0640:

Blood pressure 136/80 mm Hg

Heart rate 96/min

Respiratory rate 20/min

Temperature 37.2°C (99°F)

Oxygen saturation 96% on room air

0625:

Troponin 0.67 ng/mL (less than 0.03 ng/mL)

Which of the following medications would the nurse expect the physician to prescribe for this client? Select All That Apply.

Answer Options

Morphine

Heparin

Digoxin

Aspirin

Dopamine

Hint : 🧠Choose medications used to treat acute coronary occlusion and chest pain.

Correct Answers:

No Correct Answers Available !

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1400:

Client is admitted for the management of deep vein thrombosis of their lower extremity. Client has received IV anticoagulant therapy.

1600:

Client is scheduled for discharge. Will provide education to the client about the self-administration of medication.

1400:

Discharge to home.

Enoxaparin 40 mg subcut twice daily for 2 weeks.

Use prefilled syringes.

Client to self-administer.

Nursing to provide education to client about self-administration of medication before discharge.

Select the 3 statements the nurse should make.

Answer Options

"Pinch up a skin area before injection."

"Inject the medication in your upper arm muscle."

"Inject the medication at a 90-degree angle."

"Expel the air bubble in the syringe before administration."

"Rub the injection area after administration."

"Rotate injection sites."

Hint : 🧠Focus on safe subcutaneous anticoagulant injection technique.

Correct Answers:

No Correct Answers Available !

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5 :
A nurse in an emergency department (ED) is caring for a female client.

1100:

Client reports muscle weakness and tingling in their hands and face. Client is alert to person, place, time, and situation. Speech clear. Heart rate irregular. Radial pulse +3 bilateral. Respirations even and nonlabored. Scattered rhonchi posterior bases. Abdomen rounded and nondistended. Bowel sounds hyperactive in all 4 quadrants. Skin warm dry and intact. Capillary refill less than 2 seconds. Turgor elastic. No edema present.

1115:

Labs, vital signs, and ECG were obtained. Urinalysis collection is pending. Client is being transferred to the medical-surgical unit.

1100:

Temperature 36.4°C (97.5°F)

Heart rate 58/min

Respiratory rate 20/min

Blood pressure 98/64 mm Hg

Oxygen saturation 97% on room air

1115:

Temperature 36.4°C (97.5°F)

Heart rate 64/min

Respiratory rate 22/min

Blood pressure 104/70mm Hg

Oxygen saturation 96% on room air

1130:

Sodium 140 mEq/L (136 to 145 mEq/L)

Potassium 6 mEq/L (3.5 to 5 mEq/L)

BUN 18 mg/dL (10 to 20 mg/dL)

Creatinine 0.8 mg/dL (0.5 to 1 mg/dL)

Hgb 14 g/dL (12 to 16 g/dL)

Hct 45% (37% to 47%)

1130:

ECG: Peaked T waves with absent P waves. Rate is 58/min.

For each potential provider prescription, click to specify if the prescription is appropriate or inappropriate for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Provider Prescription	Appropriate	Inappropriate
Administer insulin IV.
Administer potassium chloride IV.
Administer calcium gluconate IV.
Administer sodium polystyrene rectally.
Administer hydralazine IV.

Hint : 🤦‍♂️Prioritize treatments that protect the heart and lower dangerous serum potassium.

Correct Answers

Administer insulin IV. [ Appropriate ]
Administer potassium chloride IV. [ Inappropriate ]
Administer calcium gluconate IV. [ Appropriate ]
Administer sodium polystyrene rectally. [ Appropriate ]
Administer hydralazine IV. [ Inappropriate ]

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6 :
A nurse is teaching a class about administering IV fluids to treat dehydration. Which of the following findings should the nurse include in the teaching as an indicator of effective treatment of dehydration?

Hypotension

Reports thirst

Increased BUN

Moist mucous membranes

Hint : 💦Look for the assessment finding that shows improved fluid balance.

Correct Answers:

No Correct Answers Available !

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7 :
A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following findings should the nurse instruct the client to report as an adverse effect of the medication?

Epigastric pain

Weight gain

Tinnitus

Decreased LDL level

Hint : 🧠Watch for pain that may suggest a serious biliary or pancreatic complication.

Correct Answers:

No Correct Answers Available !

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8 :
A nurse is reviewing the medical record for a client who has a new prescription for phenytoin. Which of the following statements from the medical record should the nurse identify as a contraindication for the administration of phenytoin?

The client has a history of cholecystitis.

The client takes ibuprofen.

The client has a history of sinus bradycardia.

The client takes vitamin B12 supplements.

Hint : 👀Focus on the condition involving abnormal cardiac conduction.

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9 :
A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

"The TPN contains medication that will help your digestive tract absorb nutrients."

"The TPN will provide nutrients while your bowels have time to rest."

"The TPN will help keep your bowels clear in case you need surgery."

"The TPN will stimulate your appetite so that you'll be able to eat more food."

Hint : 🧠Focus on nutrition that bypasses the digestive tract.

Correct Answers:

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10 :
A nurse is providing discharge teaching to a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?

"Monitor your skin for bruising."

"Expect to experience diarrhea while taking this medication."

"Inject the medication into a large muscle."

"You will need to have your INR checked weekly."

Hint : 🩸Focus on the teaching point related to bleeding risk.

Correct Answers:

No Correct Answers Available !

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Total Questions: 10

Choose Different Exam !

RN Proctored Pharmacology 2023 Exam-10

No.

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

Correct Answers

2 : A nurse is preparing to administer a medication to a client.

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

Answer Options

4 : A nurse is caring for a client.

Answer Options

5 : A nurse in an emergency department (ED) is caring for a female client.

Correct Answers

6 : A nurse is teaching a class about administering IV fluids to treat dehydration. Which of the following findings should the nurse include in the teaching as an indicator of effective treatment of dehydration?

7 : A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following findings should the nurse instruct the client to report as an adverse effect of the medication?

8 : A nurse is reviewing the medical record for a client who has a new prescription for phenytoin. Which of the following statements from the medical record should the nurse identify as a contraindication for the administration of phenytoin?

9 : A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

10 : A nurse is providing discharge teaching to a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?

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

2 :
A nurse is preparing to administer a medication to a client.

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

4 :
A nurse is caring for a client.

5 :
A nurse in an emergency department (ED) is caring for a female client.

6 :
A nurse is teaching a class about administering IV fluids to treat dehydration. Which of the following findings should the nurse include in the teaching as an indicator of effective treatment of dehydration?

7 :
A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following findings should the nurse instruct the client to report as an adverse effect of the medication?

8 :
A nurse is reviewing the medical record for a client who has a new prescription for phenytoin. Which of the following statements from the medical record should the nurse identify as a contraindication for the administration of phenytoin?

9 :
A nurse is teaching a client who has a new prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?

10 :
A nurse is providing discharge teaching to a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?