Pharm (SATA)

Question 1 See full question 5m 12s The physician prescribes bupropion, 150 mg by mouth twice per day to treat symptoms of depression. The nurse has 75-mg tablets on hand. How many tablets should the nurse administer with each dose? Record your answer using a whole number. Your Response: 2 Correct response: 2 Explanation: The following formula is used to calculate the drug dosage: dose on hand/quantity on hand = dose desired/X. In this example, 75 mg/1 tablet = 150 mg/X X = 2 tablets Add a Note Question 2 See full question 4m 12s The nurse is instructing the client on insulin administration. The client is performing a return demonstration for preparing the insulin. The client's morning dose of insulin is 10 units of regular and 22 units of NPH. The nurse checks the dose accuracy with the client. The nurse determines that the client has prepared the correct dose when the syringe reads how many units? Record your answer using a whole number. Your Response: 32 Correct response: 32 Explanation: Clients commonly need to mix insulin, requiring careful mixing and calculation. The total dosage is 10 units plus 22 units, for a total of 32 units. Add a Note Question 3 See full question 4m 38s The primary care provider prescribes digoxin 0.15 mg by mouth daily, for a child. The pharmacy supplies the digoxin in liquid form at a concentration of 0.05 mg/mL. How much of the medication should the nurse administer at each dose? Record your answer using a whole number. Your Response: 3 Correct response: 3 Explanation: The following calculation shows how to determine the correct amount of medication: 0.15 mg/x = 0.05 mg/1 mL. 0.05x = 0.15 mL. x = (0.15/0.05) mL. x = 3 mL. Thus, the correct dosage will be contained in 3 mL of the drug in solution. Add a Note Question 4 See full question 5m 22s The nurse is caring for an older adult resident with a cough. The resident has standing orders for guaifenesin syrup 200 mg, P.O., every 4 hours. The nurse has a dosage of 100-mg/5-mL. Mark on the medicine cup the amount of syrup the nurse would pour. You Selected: Your selection and the correct area, market by the green box. Explanation: The correct formula to calculate a drug dosage is: Dosage = (Dose desired/Dose on hand) x Quantity Dosage = (200 mg/100 mg) x 5 ml Dosage = 10 ml Add a Note Question 5 See full question 1m 45s Betamethasone syrup 0.9 mg has been prescribed. It is available in a 0.6 mg/5 mL solution. How many milliliters should the nurse administer? Record your answer using one decimal place. Your Response: 7.5 Correct response: 7.5 Explanation: 0.9 mg/X = 0.6 mg/5 mL X = (0.9 mg/0.6 mg) x 5 mL X = 7.5 mL Add a Note Question 6 See full question 1m 47s A school-age child who has received burns over 60% of his body is to receive 2,000 mL of IV fluid over the next 8 hours. At what rate (in milliliters per hour) should the nurse set the infusion pump? Record your answer as a whole number. Your Response: 250 Correct response: 250 Explanation: 2,000 mL/8 hours = 250 mL/hour Add a Note Question 7 See full question 2m 25s A nurse is preparing to administer intravenous methylprednisolone sodium succinate to a child who weighs 44 lb (20 kg). The order is for 0.03 mg/kg intravenously daily. How many milligrams should the nurse prepare? Record your answer using one decimal place. Your Response: 0.6 Correct response: 0.6 Explanation: To perform this dosage calculation, the nurse would first convert weight to kg (in the United States): 44 lb x (1 kg/2.2 lb) = 20 kg. Then, the nurse would use this formula to determine the dose: 20 kg × 0.03 mg/kg = X X = 0.6 mg Add a Note Question 8 See full question 2m 22s A nurse is providing care to a neonate. Place the following steps in the order that the nurse would implement them to properly perform ophthalmia neonatorum prophylaxis. All options must be used. You Selected: Wash hands and put on gloves. Shield the neonate's eyes from direct light, and tilt the head slightly to the side that will receive the treatment. Gently raise the neonate's upper eyelid with the index finger and gently pull the lower eyelid down with the thumb. Instill the ointment in the lower conjunctival sac. Close and manipulate the eyelids to spread the medication over the eye. Repeat the procedure for the other eye. Correct response: Wash hands and put on gloves. Shield the neonate's eyes from direct light, and tilt the head slightly to the side that will receive the treatment. Gently raise the neonate's upper eyelid with the index finger and gently pull the lower eyelid down with the thumb. Instill the ointment in the lower conjunctival sac. Close and manipulate the eyelids to spread the medication over the eye. Repeat the procedure for the other eye. Explanation: Ophthalmia neonatorum prophylaxis involves the instillation of 0.5% erythromycin or 1% tetracycline ointment into a neonate's eyes. This procedure is performed to prevent gonorrheal conjunctivitis. Currently, Canada and the United States mandate that this treatment be given within 1 hour after birth to decrease the risk of permanent eye damage and blindness. Add a Note Question 9 See full question 3m 13s A nurse is assisting with the administration of erythromycin ointment to a neonate. Place the actions in the sequence in which the nurse would complete them. All options must be used. You Selected: Obtain a single-dose application tube. Pull down on the lower eyelid. Place a line of ointment into the conjunctival sac of the lower lid. Close the eye for several seconds. Wipe away any excess ointment after about 1 minute. Correct response: Obtain a single-dose application tube. Pull down on the lower eyelid. Place a line of ointment into the conjunctival sac of the lower lid. Close the eye for several seconds. Wipe away any excess ointment after about 1 minute. Explanation: Add a Note

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A nurse is providing care to a neonate. Place the following steps in the order that the nurse would implement them to properly perform ophthalmia neonatorum prophylaxis. All options must be used.

Wash hands and put on gloves. Tilt the head to the side receiving the treatment. Raise the upper eyelid; pull the lower eyelid down. Instill ointment in the lower conjunctival sac. Close and manipulate the eyelid to spread the drug. Repeat the procedure for the other eye.

Question 10 See full question 8m 26s A 5-year-old child has been placed on phenytoin for tonic-clonic seizures. The child weighs 42 lb (19.1 kg), and the maintenance dose prescribed for this child is 7.5 mg/kg/day. How many milligrams should the child receive each day? Record your answer using a whole number. Your Response: 143 Correct response: 143 Explanation: Determine the dose by multiplying the child's weight by the dose ordered: 19.1 kg x 7.5 mg = 143 mg/day. Add a Note Question 11 See full question 2m 41s The client is to receive theophylline 500 mg IV in 500 mL of normal saline solution to run over 4 hours. The tubing delivers 60 gtt/mL. The nurse should set the infusion pump to administer the solution at how many milliliters per hour? Record your answer using a whole number. Your Response: 125 Correct response: 125 Explanation: To administer IV fluids at 500 mL over 4 hours, the nurse must determine the number of milliliters to administer in 1 hour. To do so, divide 500 by 4 to arrive at 125 mL/h. Add a Note Question 12 See full question 10m 49s A client is admitted with a diagnosis of diabetic ketoacidosis. An insulin drip is initiated with 50 units of insulin in 100 ml of normal saline solution administered via an infusion pump set at 10 ml/hour. The nurse determines that the client is receiving how many units of insulin each hour? Record your answer using a whole number. Your Response: 5 Correct response: 5 Explanation: To determine the number of insulin units the client is receiving per hour, the nurse must first determine the number of units in each milliliter of fluid (50 units ÷ 100 ml = 0.5 units/ml). Next, multiply the units per milliliter by the rate of milliliters per hour (0.5 units × 10 ml/hr = 5 units). Add a Note Question 13 See full question 58s A client who is receiving a blood transfusion suddenly experiences chills and a temperature of 101° F (38° C) The client also has a headache and appears flushed. In what order, from first to last, should the nurse perform the actions? All options must be used. You Selected: Stop the blood infusion. Infuse normal saline to keep the vein open. Obtain a blood culture from the client. Send the blood bag and administration set to the blood bank. Correct response: Stop the blood infusion. Infuse normal saline to keep the vein open. Obtain a blood culture from the client. Send the blood bag and administration set to the blood bank. Explanation: The client is experiencing a septic reaction to the blood transfusion. The nurse first stops the infusion and notifies the health care provider (HCP) and blood bank; then the nurse uses an infusion of normal saline to keep the vein open, and follows by obtaining a sample of the client's blood for a blood culture. Lastly, the nurse sends the blood bag and the administration set to the blood bank for culture. Add a Note Question 14 See full question 2m 10s An adolescent client is using glargine and lispro to manage type 1 diabetes. The nurse reviews the prescription for sliding scale lispro (see exhibit). Lispro subcutaneous give units according to sliding scale: Blood glucose: 70 - 150 mg/dL (3.9 to 8.3 mmol/L) = 0 units 151-200 mg/dL (8.4 to 11.1 mmol/L) = 1 unit 201-250 mg/dL (11.2 to 13.9 mmol/L) = 2 units 251-300 mg/dL (14 to 16.7 mmol/L) = 3 units 301-350 mg/dL (16.8 to 19.4 mmol/L) = 4 units Call for blood glucose > 350 (19.4 mmol/L) In addition give 1 unit for every 15 grams of carbohydrate. The morning blood glucose is 202 mg/dL (11.2 mmol/L) and the client is going to eat 2 carbohydrate exchanges. The nurse has the client administer how many units of lispro? Record your answer using a whole number. Your Response: 4 Correct response: 4 Explanation: Each carbohydrate food exchange has 15 grams of carbohydrate. Two units are needed to cover the current blood glucose, and 2 units are needed to cover the anticipated carbohydrate intake. Add a Note Question 15 See full question 43s A nurse is preparing to give an IM injection into the left leg of a 2-year-old client. Indicate the area where the nurse will administer this injection. You Selected: Your selection and the correct area, market by the green box. Explanation: The nurse should administer this IM injection in the vastus lateralis, located in the child's thigh. To give the injection, the nurse should first divide the distance between the greater trochanter and the knee joints into quadrants and then inject in the center of the upper quadrant. Add a Note Question 16 See full question 3m 12s A child with nephrosis is placed on prednisone. The dose is 2 mg/kg per day to be administered twice a day. The child weighs 25 lb (11.3 kg). How many milligrams will the child receive at each dose? Record your answer using one decimal place. Your Response: 11.3 Correct response: 11.3 Explanation: Add a Note Question 17 See full question 1m 57s The nurse is preparing to administer a 75% strength tube-feeding formula. The full-strength formula is available. To prepare 500 ml of feeding, the nurse would plan to dilute how many milliliters of the full-strength formula with water? Record your answer as a whole number. Your Response: 125 Correct response: 375 Explanation: To determine the amount of formula to use, multiply the 500 ml of full-strength formula by 75% (0.75): 500 ml X 0.75 = 375 ml. Add a Note Question 18 See full question 55s An 8-year-old child was recently hospitalized at a child psychiatric unit for inattention and acting out behavior at school and home. His provider prescribed the methylphenidate patch to control his attention deficit hyperactivity disorder symptoms, and inpatient unit staff worked with him on behavioral control measures. During his first office visit after his discharge from the hospital, the office nurse discovers that the boy has been taking off his patch during the day, which is causing problems at school and at home. In which order of priority from first to last should the nurse take the actions? All options must be used. You Selected: Explore the child's reasons for removing the patch during the day rather than at the end of the day. Explore the parents' attitudes about the medication administration in general and their child's medication in particular. Explain to the family, in terms the child can understand, the benefits of his medication in dealing with school and home problems he is experiencing. Have the provider discuss with the child and parents a trial of a different medication. Correct response: Explore the child's reasons for removing the patch during the day rather than at the end of the day. Explore the parents' attitudes about the medication administration in general and their child's medication in particular. Explain to the family, in terms the child can understand, the benefits of his medication in dealing with school and home problems he is experiencing. Have the provider discuss with the child and parents a trial of a different medication. Explanation: First, the child's reasons for removing the patch need to be explored to determine what needs to be done to solve the problem of inadequate medication administration. Since the child is probably heavily influenced by his parents' attitudes about taking medications, their attitudes need to be addressed next to determine if they openly or subtly oppose the medication or its method of administration. Once the knowledge of the child's and parent's feelings about medication are known, education can be offered to be sure the child understands how the medication can help him cope better in school and home. If the child continues to take off his patch or demonstrates an allergic response to the patch, or if it is determined that his parents are not supportive of the patch, discussion of a trial of another medication to treat the child's symptoms should occur. Add a Note Question 19 See full question 36s When preparing to insert an IV catheter to administer fluids to a client who is going to surgery, the nurse selects the median cubital vein. Identify the location of the median cubital vein on the accompanying illustration. You Selected: Your selection and the correct area, market by the green box. Explanation: The median cubital vein is located in the approximate center of the antecubital space. Add a Note

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Question 20 See full question 1m 19s A nurse enters a client's semiprivate room and prepares to administer the 0900 medications. Place the following steps in chronological sequence indicating the measures to take in order to safely administer these medications. All options must be used. You Selected: Check the client's medication administration record (MAR) for the 0900 medications. Obtain the correct unit-dose medications. Confirm the client's identity. Open the unit-dose packages. Administer the medications. Correct response: Check the client's medication administration record (MAR) for the 0900 medications. Obtain the correct unit-dose medications. Confirm the client's identity. Open the unit-dose packages. Administer the medications. Explanation: Following sequential steps helps ensure safe medication administration. The nurse would first check to see which medications the client is due to receive at 0900 and then obtain them. Next, the nurse would confirm the client's identity in the semiprivate room according to facility protocol. Once the client is properly identified, the nurse would open the drug packages at the bedside, administer the medications to the client, and document administration. Add a Note Question 21 See full question 1m 23s A nurse is teaching a client to use a metered-dose inhaler (MDI) to administer bronchodilator medication. Indicate the correct order of the steps from first to last the client should take to use the MDI appropriately. All options must be used. You Selected: Shake the inhaler immediately before use. Breathe out through the mouth. Activate the MDI on inhalation. Hold the breath for 5 to 10 seconds and then exhale. Correct response: Shake the inhaler immediately before use. Breathe out through the mouth. Activate the MDI on inhalation. Hold the breath for 5 to 10 seconds and then exhale. Explanation: When using inhalers, clients should first shake the inhaler to activate the MDI, and then breathe out through the mouth. Next, the client should activate the MDI while inhaling, hold the breath for 5 to 10 seconds, and then exhale normally. Add a Note Question 22 See full question 1m 3s The nurse is taking care of a client who has an I.V. infusion pump. The pump alarm rings. What should the nurse do in order from first to last? All options must be used. You Selected: Silence the pump alarm. Assess the client's access site for infiltration or inflammation. Assess the tubing for hindrances to flow of solution. Determine if the infusion pump is plugged into an electrical outlet. Correct response: Silence the pump alarm. Assess the client's access site for infiltration or inflammation. Assess the tubing for hindrances to flow of solution. Determine if the infusion pump is plugged into an electrical outlet. Explanation: Silencing the alarm will eliminate a stress to the client and allow the nurse to focus on the task at hand. The nurse should then assess the access site to note if the needle is inserted in the vein or if there is tissue trauma, infiltration, or inflammation. Next, the nurse should check for kinks in the tubing. Finally, the nurse can plug the pump into the wall to allow the battery to become recharged. Add a Note Question 23 See full question 1m 17s The nurse is preparing the morning insulin for a diabetic client on the unit. The order is for 20 units of Humulin 70/30. The nurse knows that this dose contains a mixture of intermediate-acting insulin and fast-acting insulin. How many units of intermediate-acting insulin does this dose contain? Record your answer using a whole number. Your Response: 14 Correct response: 14 Explanation: Recall that Humulin 70/30 insulin contains both intermediate-acting insulin and fast-acting insulin. The 70 and 30 represent the percentages of each kind (the first number always pertains to the percentage of intermediate-acting insulin; the second, to the fast-acting insulin). Therefore, to calculate the amount of intermediate-acting insulin, the nurse must multiply the total number of units to be given by 0.7: 0.7 X 20 units = 14 units of intermediate-acting insulin. Add a Note Question 24 See full question 5m 20s Indicate on the illustration the area that correctly identifies the position of the distal tip of a central line that is inserted into the subclavian vessel. You Selected: Your selection and the correct area, market by the green box. Explanation: The distal tip of a central line lies in the superior vena cava or right atrium. Add a Note Question 25 See full question 2m 20s A nurse is assigned the care of a child who is prescribed activated charcoal dosing 1 gram/kg orally via NG tube once. The child weighs 51 pounds. The package insert reads "dilute 20-30 grams in 240 mL of water." How many grams of activated charcoal should the nurse administer to the child? Record your answer using a whole number. Your Response: 23 Correct response: 23 Explanation: Convert child's weight to kilograms (2.2 lb = 1 kg): 51 lb ÷ 2.2 lb/kg = 23.13 kg Multiply child's weight in kilograms by the dose: 23.13 kg x 1 gram/kg = 23.13 grams of activated charcoal Add a Note Question 26 See full question 4m 29s The nurse is assisting the client in filling a pillbox. A client has been prescribed indomethacin for the treatment of gouty arthritis. The orders state 25 mg t.i.d. for first 5 days, then increase by 25 mg per dose at weekly intervals until the daily dose reaches a maximum of 250 mg. The client is on week 3 of treatment and has tolerated the medication without any incident thus far. By week 3, what would the daily dose of medication be? Record your answer using a whole number. Your Response: 225 Correct response: 225 Explanation: First, determine the first week's daily dosage: 25 mg X 3 = 75 mg. This dosage is increased by 25 mg per dose to equal the second week's daily dosage: (25 mg + 25 mg) X 3 = 150 mg. The dosage is then increased by an additional 25 mg to equal the third week's daily dosage: (25 mg + 25 mg + 25 mg) X 3 = 225 mg. Add a Note Question 27 See full question 1m 39s The nurse is caring for a diabetic adolescent who admits to consuming many simple sugars and carbohydrates at a graduation party. The parents brought the client to the emergency room with unusual behavior. The serum glucose level was 375 mg/dL. The health care provider provided a coverage schedule: 150 to 200 mg/dL—2 units of Humulin R. 201 to 250 mg/dL—4 units of Humulin R. 251 to 300 mg/dL—6 units of Humulin R. 301 to 350 mg/dL—8 units of Humulin R. 351 to 399 mg/dL—10 units of Humulin R. Over 400 mg/dL—call the health care provider. Mark the amount of insulin the nurse should draw into the low-dose insulin syringe. You Selected: Your selection and the correct area, market by the green box. Explanation: The adolescent's blood sugar is 375 mg/dL, thus falling within the 10 unit range (351 to 399 mg/dL). The nurse would drawn up 10 units of Humulin R to administer as per health care provider's orders. Add a Note Question 28 See full question 3m 29s A client who is experiencing an exacerbation of ulcerative colitis is receiving IV fluids that are to be infused at 125 mL/h. The IV tubing delivers 15 gtt/mL. How quickly should the nurse infuse the fluids in drops per minute to infuse the fluids at the prescribed rate? Record your answer using a whole number. Your Response: 31 Correct response: 31 Explanation: To administer I.V. fluids at 125 mL/h using tubing that has a drip factor of 15 gtt/mL, the nurse should use the following formula: 125 mL/60 min × 15 gtt/1 mL = 31 gtt/min. Add a Note Question 29 See full question 2m 12s A nurse is preparing to administer an intramuscular injection in the deltoid muscle. In which anatomical location would the nurse administer this injection? You Selected: Your selection and the correct area, market by the green box. Explanation: To locate the deltoid muscle, find the lower edge of the acromion process and the point on the lateral arm in line with the axilla. The needle should be inserted 1 to 2 inches (usually two or three fingerbreadths) below the acromion process, and at a 90° angle, or slightly angled, toward the process. Add a Note Question 30 See full question 2m 7s A nurse is about to administer a client's morning dose of insulin. The client's order is for 5 units of regular insulin and 10 units of NPH (neutral protamine Hagedorn) insulin given as a basal dose. The client also is to receive an amount prescribed from the medium-dose sliding scale (shown image) based on morning blood glucose levels. The nurse performs a bedside blood glucose measurement and the result is 264 mg/dL (264 mmol/L). How many total units of insulin would the nurse administer to the client? Record your answer using a whole number. Your Response: 21 Correct response: 21 Explanation: The basal dose for this client is 5 units of regular insulin and 10 units of NPH insulin. The medium-dose sliding scale indicates that, based on the glucose reading of 264 mg/dL (264 mmol/L), the client should receive an additional 6 units of regular insulin, totaling 21 units (5 units + 10 units + 6 units = 21 units).

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