Custom: pharmacology practice assessment one

A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hours to a toddler who weighs 32 pounds. Available is amoxicillin 200 mg per 5 mL suspension. How many milliliters should the nurse administer? Round the answer to the nearest whole tenth.

5.5

A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast

Alendronate

A nurse is preparing to administer a medication to a client who states that looks different from the pill I usually take which of the following responses should the nurse make

Describe what the pill looks like

A nurse is teaching a client who has a new prescription for regular insulin NPH insulin. Which of the following instructions should the nurse include in the teaching

Keep the open bottle of insulin at room temperature

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose the client reports that the IV site it is and then he feels dizzy and short of breath. Which of the following actions should the nurse take first

Stop the infusion

A nurse in a public clinic is planning a health fair For older adult client in the community. In teaching medication safety which of the following foods should the nurse advisor clients to avoid when taking their prescriptions

Grapefruit juice

A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool age child. Which of the following actions should the nurse plan to take? select all that apply

• Apply to intact skin • apply the medication an hour before the procedure begins • cleanse the skin prior to procedure • use a visual pain rating scale to evaluate effectiveness of the treatment

A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many milliliters should the nurse administer per dose? round to the nearest 10th

0.2

A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many milliliters should the nurse administer? round to the nearest hundredth

0.25

A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer produce round the answer to the nearest whole number/tenth

0.4 mL

A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene

Documents medication administration prior to administering it

A nurse is preparing to administer morphine for milligrams IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take

Have another nurse witness the disposal of the extra medication

A hospice nurse is caring for a client who has terminal cancer and takes Pio morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios to the nurse document as the explanation for the situation

The client developed a tolerance to the medication

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hours to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

The nurse determines the prescription is insufficient to achieve the desired effect.

A nurse is caring for a client who has an infection in a prescription for gentamicin intermittent IV bolus every eight hours. 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 minutes after the dose

A nurse is administering Timolol eyedrops to a client who has glaucoma. Which of the following actions should the nurse take

Drop prescribed amount of medication into the conjunctival sack

A nurse is teaching a class about medication reconciliation. Which of the following information is the nurse include in the teaching

Provide a list of the clients current medications during the admission to a healthcare facility

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication

BUN 55 mg/dL

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first.

Check the clients vital signs

A nurse is caring for a four-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation

Offer the child a choice of taking the medication with juice or water

A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? Select all that apply

Publish journals • pharmacists • physicians desk reference

A nurse is assessing a client who is receiving IV vancomycin. The nurse knows a flushing of the neck and tachycardia. which of the following actions should the nurse take?

Decrease the infusion rate on the IV

A nurse is preparing to administer oral medication to a three month old infant. Which of the following actions should the nurse plan to take

Position a syringe to the side of the infants tongue

A nurse is preparing a client for surgery. Prior to administering the prescribed hydroxyzine the nurse should explain to the client that the medication is for which of the following indications. Select all that apply

• controlling emesis • diminishing anxiety • reducing the amount of narcotics needed for pain relief • drying secretions