Phamarcology Nursing School RN

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Sample questions from Phamarcology Nursing School RN

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client receiving IV gentamicin reports new ringing in both ears. Which action should the nurse take first?

   • A.Encourage the client to increase fluid intake
   • B.Hold the next dose and notify the provider
   • C.Document the finding as an expected effect
   • D.Administer the dose with food

   Rationale: Tinnitus can indicate gentamicin-related ototoxicity, which may progress to permanent hearing loss, so the dose should be held and the provider notified. Giving the dose or dismissing the symptom risks further injury. Fluids do not prevent this adverse effect; monitor hearing and renal function during aminoglycoside therapy.

2. 2.Refer to the client's chart. Which actions should the nurse take now? Select all that apply.

   • A.Notify the provider of the findings
   • B.Administer vitamin K immediately without an order
   • C.Assess for bleeding, including urine and stool
   • D.Continue the dose because the client has no visible bleeding
   • E.Hold the scheduled warfarin dose

   Rationale: The INR has risen from 2.4 to 5.8, and new bruising is present, so holding warfarin, notifying the provider, and assessing for bleeding are appropriate. Vitamin K may be prescribed depending on bleeding severity and INR, but the nurse should not administer it without an order. Continuing warfarin despite the elevated INR increases hemorrhage risk.

3. 3.A provider prescribes digoxin 0.125 mg PO daily for a client with heart failure. The client's apical pulse is 54/min. What should the nurse do?

   • A.Hold the dose and notify the provider
   • B.Administer the medication and recheck the pulse in 1 hour
   • C.Give the medication with an antacid
   • D.Ask the client to walk before administering

   Rationale: A pulse of 54/min is below the usual adult hold parameter of 60/min for digoxin, so the dose should be withheld and the provider notified. Giving the dose could worsen bradycardia. An antacid can impair absorption, and activity is not a safe way to raise the pulse before administration.

4. 4.During discharge teaching for a client starting insulin glargine, which statement indicates correct understanding?

   • A.I will skip glargine whenever my meal is delayed
   • B.I will use glargine to treat a sudden episode of hypoglycemia
   • C.I will mix glargine with my regular insulin in the same syringe
   • D.I will take glargine at the same time each day as prescribed

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which actions are appropriate for the nurse to take? Select all that apply.

   • A.Maintain IV access with compatible fluid using new tubing
   • B.Assess airway, breathing, and circulation
   • C.Document the onset and characteristics of the reaction
   • D.Stop the infusion of the suspected medication
   • E.Restart the medication at a slower rate without contacting the provider

   Answer and rationale are in the full material.