Pharm practice exam

The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond?

"Collecting this information allows us to develop a personalized plan of care to meet your needs."

A client admitted to the hospital asks the nurse whether it would be acceptable for the client to bring food from home to eat that better meets the client's cultural preferences. What is the nurse's best response?

"Food from home is fine as long as it does not violate hospital policy or contradict the prescribed diet."

Which nursing intervention reflects culturally appropriate care when addressing a client?

"Good morning, Mr. Smith. I am your nurse, John."

Which misconception is common in clients in pain?

"I will get addicted to pain medications."

A registered nurse assigns the task of tracheostomy suctioning of a client to the licensed practical nurse (LPN). The LPN informs the nurse that the LPN has never performed the procedure on a client. Which is the most appropriate response from the registered nurse?

"I will help you in performing the procedure on the client."

A nurse is teaching a client about the proper use of herbs and supplements. Which statement should be included?

"The product may take a longer time to be effective."

A client is admitted to the hospital and the nurse is attempting to complete an admission assessment. The client reports that the spiritual healer will be coming in soon and is upset by the admission questions. What is the most appropriate response by the nurse?

"We can wait for your healer to come and then work together to answer these questions."

The unlicensed assistive personnel reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond?

"What type of food did your family prepare for you, and does it have special meaning?"

The nurse is preparing to draw up a medication that is supplied in a glass ampule. Place, in order, the steps the nurse will take. Use all options.

1. Wrap a small gauze pad around the neck of the ampule. 2. Break off the top of the ampule. 3. Attach the filter needle to the syringe. 4. Withdraw the medication. 5. Discard the filter needle. 6. Attach a sterile administration device to the syringe.

A client has been prescribed 300 mg of an oral antibiotic. It is available in 200 mg tablets. How many tablets will the nurse administer? Record your answer using one decimal place.

1.5

A pediatric client has a fever for which the provider has prescribed ibuprofen 200 mg orally every 6 hours. The instructions on the bottle indicate there is 100 mg/5ml. How many milliliters should the nurse give? Record your answer using a whole number.

10

What angle do you give a intradermal shot?

15 degrees

The nurse has a prescription to administer 25 mg of furosemide IV to a client. The drug is supplied in a vial 40 mg/4 ml. How many milliliters will the nurse administer of the medication? Record your answer using one decimal place.

2.5

Ibuprofen 250mg /tsp is ordered for your patient. The ordered does is 160mg. How many ml would you administer?

3.2 ml

A nurse is taking care of a 56-year-old man with end-stage liver disease. The nurse has a prescription to give 20 g of lactulose every 6 hours to treat the client's hepatic encephalopathy. On hand, the nurse has containers of lactulose that have 30 g in 45 ml. How many milliliters is the nurse going to administer every 6 hours to the client?

30 mL

A physician has ordered peak and trough levels of a medication. When would the nurse schedule the trough level specimen?

30 minutes before the next dose

f penicilln G 440 mg IV q 6 hours If the Penicilln G is available as 100 mg/ml,what would you draw up for the dose?

4.4 ml

What angle do you give a subcutaneous shot?

45-90 degrees (A 90-degree angle is used for an average-sized patient; a 45-degree angle may be used for thin)

A medication comes in powederd form and needs to be reconstituted. Directions: to reconstitute add 3.5 ml of sterile water, shake well. The final concentration is 180 mg/ml. If the patient is to receive 150 mg IV what volume will ou administer?

8.3

The patient is to receive tube feedings. The order reads: give patient 1/2 can ensure with each meal and 3/4 can HS. Follow each can with 50cc of water. Each can contains 280cc. How much fluid does the patient receive in 24hours?

830 cc

What angle do you give a intramuscular shot?

90 degrees

Which client admitted to the emergency department might require the nurse to include interventions aimed at addressing culture shock in the plan of care?

A client who recently immigrated and fell from a ladder

Based on religious practices, which client would be most likely to defer to her husband when making health care decisions?

An Islamic woman

The nurse discovers that a recently admitted client does not speak the same language as the nurse. Which action would the nurse take?

Arrange for a trained language interpreter.

The nurse is assessing an older adult who immigrated at the age of 3 years. The client speaks the dominant language and lives in a neighborhood with many households from the country of origin. Which action by the nurse is most appropriate?

Ask the client about special cultural beliefs or practices.

A nurse gives a client 0.25 mg of digoxin instead of the prescribed dose of 0.125 mg. What should the nurse do next?

Assess the client and notify the client's physician.

After graduating from an accredited program in nursing and successfully passing the NCLEX, the nurse must take which action to obtain the legal right to practice?

Be licensed by the State Board of Nursing

A client who does not speak the dominant language is admitted to the hospital. Which cultural intervention would be most appropriate by the nurse?

Call for an interpreter who is familiar with health care.

The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse?

Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).

A father, mother, grandmother, and three school-age children have immigrated to the United States. The nurse needs to provide medication education to the grandmother, who does not speak the dominant language. Which strategy will the nurse use to convey health information to the client?

Engage the services of a trained interpreter.

The nursing process includes step(s)? Select all that apply.

Evaluate Assess Plan

Classification of illness can occur with cultural practice. What is an example of an unnatural illness?

Evil forces caused a client to develop schizophrenia.

A client inquires about the use of herbal therapy. Which statement by the nurse is most accurate?

Herbs can have side effects and can interact with prescription medications."

An older adult client with hypokalemia is being discharged to the home of a caregiver. Which information should the nurse include in the family teaching?

Include more bananas in the diet.

What population is at greatest risk for hypertension?

Indigenous Australian, Maori and Pacific Islander peoples

The nurse prepares to administer an intravenous medication. Which action should the nurse perform when administering a medication from an ampule?

Insert the tip of the filter needle into the center of the ampule and invert the ampule.

Which flow sheet provides the health care provider with information on an ongoing record of fluid loss?

Intake and output graphic sheet

Given with a 20- to 25-gauge needle, but oil-based or more viscous (thick) medications are given with an 18- to 21-gauge needle. Average needle lengths for children range from 5/8 to 1 inch, and needles for adults range from 1 to 1.5 inches.

Intramuscularly shot

The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a shaman performing a healing ritual for the client. What action would be the most appropriate by the nurse?

Leave the room and return when the shaman is finished.

In which way can nurses develop cultural self-awareness?

Objectively examine one's own beliefs, values, and practices.

What might a nurse need to do to ensure the continuation of his or her nursing license?

Obtain continuing education credits.

A nurse brings a client the prescribed dose of medication and finds that the client is not in the unit. What should the nurse do in this case?

Return the medication to the medication cart or medication room.

A registered nurse is convicted of stealing narcotics from the medical-surgical unit. Which action might be taken against this RN's nursing license?

Revoking of the nursing license

A client is taking a diuretic that increases her urinary output. What would be an appropriate nursing diagnosis on which to base an educational plan?

Risk for Deficient Fluid Volume

A client with dark skin color who has jaundice has been admitted to the health care facility. Which body area is the best place to assess jaundice?

Sclera

A Hispanic single parent is having difficulty finding employment due to a lack of a car and speaking primarily Spanish. Which factor is a barrier to health care?

Spanish as primary language

A client taking a diuretic twice daily for treatment of hypertension reports being awakened often by a full bladder. What teaching regarding the diuretic will the nurse provide?

Take it before 6:00 p.m. at night.

A nurse needs to withdraw a prescribed medication from an ampule and administer it to a client. Which action should the nurse perform to ensure that all the medication is equally distributed when withdrawing?

Tap the top of the ampule before withdrawing the medicine.

Which pharmacological consideration should the nurse consider when applying a medication patch to a client?

The nurse is to use gloves to apply and wash hands after.

A client continues to complain of pain despite receiving medication. The family states, "In our culture it is acceptable to complain out loud." What would be the best response by the nurse?

Tell me more about your cultural beliefs.

The RN promotes a safe environment.The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?

The RN promotes a safe environment.

The nurse is assessing a client for pain and suspects that the client's culture may be affecting the pain response. What nonverbal indicator of pain would the nurse expect to observe?

The client is holding pressure on the abdomen when speaking.

A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse's license to practice nursing?

The nurse's license may be revoked or suspended.

Upon admission, the client noted practicing Orthodox Judaism. Upon receiving the meal tray, the client states, "I cannot eat this. Please remove the tray." Which item on the tray is the client referring to because of kosher dietary laws?

a baked pork chop with gravy

A physician orders a placebo for a client. What is a placebo?

an inactive substance given in place of a drug

A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state?

applying for a reciprocal license in the new state

A client loses consciousness after strenuous exercise and needs to be admitted to a health care facility. The client is diagnosed with dehydration. The nurse knows that the client needs restoration of:

electrolytes.

Usually 0.01 to 0.1 mL. These injections are used mostly for diagnostic purposes, such as testing for allergies or tuberculosis, and for local anesthesia. In general, choose a tuberculin or 1-mL syringe with a 25- or 27-gauge needle that is 3/8 to 5/8 inches long

intradermal shot

Antiseptic

is a chemical that inhibits growth of microorganism without killing for living objects

Phlebitis

is inflammation of a vein; vein irritation

Disinfectant

is topical antibiotic for non living objects to kill microorganisms

Infiltration

is when the IV turns the arm red and medication is leaking into the skin around it. It feels cool to touch.

A client who follows a vegetarian diet should include which foods to maintain a healthy diet?

legumes and vegetables

Which consideration should a nurse prioritize relating to the use of herbs and supplements by a client?

potential interactions with drugs

What would be considered a "right" of drug administration? Select all that apply.

right documentation right dose right drug right client

The spouse of a client asks the nurse whether the spouse may bring in a cream from home to apply to the client's skin. The spouse says, "Whenever anyone gets sick, we always use this cream." The nurse interprets this as:

ritual

The nurse should instruct an Islamic female client who is reluctant to undergo pelvic examination from an assigned male health care provider to:

seek a female health care provider to perform the examination.

Doses are usually 0.5 to 1 mL. In general, use a 25-to 27-gauge, 1/2 to 5/8 inch needle

subcutaneous shot

The nurse is preparing to withdraw liquid medication from an ampule for injection into an IV. What is the appropriate action for the nurse to take when withdrawing the medication?

use a filter needle to withdraw the medication

Penicillin G 440 mg iV q 6 hours . The safe dose range is 25-50 mg./kg/dose. The child weight is 12 kg. Is this dose safe, yes or no?

yes