Pharmacology Final

Your pedi patient Kelsey Jones is prescribed Cetrizine (Zyrtec) syrup 5 mg. On hand you have a bottle labeled 1 mg/mL, how many teaspoons will the nurse give to Kelsey?

1 teaspoon

48. The client had 240 mL of milk, 180 mL of apple juice, and 120 mL of water with the 10 AM medications. What isthe total intake the nurse should document in ounces on the intake and output form?

18

The physician ordered 3/4-strength Isocal. The total volume is 100 mL. How many milliliters of water need to be mixed with Isocal?

25ml

83. A physician orders Normal Saline for a client to replace lost fluids due to poor oral intake. The order is for 1,000mL. of Normal Saline to be infused over 6 hours. The drop factor is 20 drops per ml. Calculate the number of drops per minute.

56

55. What household measure is equivalent to 15 mL of cough syrup? A. 1 tbsp B. 1 tsp C. 1 ounce

A. 1 tbsp

A child weighs 30 lb. How many kilograms does this child weigh? Round to the nearest hundredth. A. 13.64 B. 13.73 C. 13.84 D. 13.93

A. 13.64

42. The client is to receive famotidine 10 mg po ac for heartburn. When should this medication be administered? A. Before meals B. After meals C. Before bed D. Only as needed

A. Before meals

. When describing the use of anti- infective medications to treat urinary tract infections, which of the following would the nurse identify as the most common structure affected? A. Bladder B. Kidney C. Urethra D. Ureters

A. Bladder

40. A nurse caring for a client being treated with Nitrofurantoin (Macrodantin) for a urinary tract infection should ask the client specifically about resolution of which of the following symptoms during ongoing assessment? A. Burning during urination B. Bone pain C. Skeletal muscle pain D. Diminished reflexes

A. Burning during urination

39. After conducting an in-service program for a group of nurses about topical drugs used to treat skin disorders, the presenter determines that the teaching was successful when the group identifies which of the following as an appropriate use for topical enzymes? A. Chronic dermal ulcers B. Widespread psoriasis C. First degree sunburn D. Tinea Pedis

A. Chronic dermal ulcers

89. After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students identify which medication as producing the laxative effect by promoting water retention in the fecal mass and softening the stool? A. Docusate Sodium/ Colace B. Methylcellulose/Citrucel C. Psyllium/Metamucil D. Warfarin/Coumadin

A. Docusate Sodium/ Colace

25. A client is prescribed Donepezil (Aricept). The nurse would assess the client for which of the following as a possible adverse reaction? A. Headache B. Constipation C. Bradycardia D. Hyperglycemia

A. Headache

A nurse reviews a client's medical history for conditions that would contraindicate use of methotrexate. Which of the following would the nurse identify as a possible contraindication? A. Hepatic impairment B. Hypertension C. Cancer D. Vitamin B12 deficiency

A. Hepatic impairment

63. At a yearly physical examination, a client asks the nurse if it would be okay to take ginger to aid with digestion. Before telling the client it is okay to take ginger, which medical conditions should the nurse make sure the client does not have? A. Hypertension B. Diabetes C. Multiple Sclerosis D. Vitamin deficiency

A. Hypertension

When developing a plan of care for a patient with a skin lesion requiring topical therapy, which nursing diagnosis would the nurse most likely indetify? A. Impaired Skin Integrity B. Acute Pain C. Risk of activity intolerance D. Body image disturbance

A. Im[aired Skin Integrity

A client is to receive Erythropoetin (E-poetin alfa/Epogen). After administering the medication, the nurse integrates knowledge of which of the following? A. It is used to stimulate the production of erythrocytes B. It helps to stimulate the differentiation of leukocytes C. The drug promotes maturation of megakaryocytes D. It is used to stimulate production of thrombocytes

A. It is used to stimulate the production of erythrocytes

3. A nurse administering potassium to a client should monitor the client closely for signs of hyperkalemia if the client is also taking which of the following medications? -A. Lisinopril (Prinivil) B. Metoprolol (Lopressor) C. Furosemide (Lasix) D. Amlodopine (Norvasc)

A. Lisinopril (Prinivil)

93. Which of the following antacids may have a laxative effect and should be used cautiously in clients who have chronic diarrhea? A. Magnesium Hydroxide/ Milk of Magnesia B. Calcium Carbonate/ Mylanta C. Aluminum Hydroxide/ ALternaGEL D. Imodium

A. Magnesium Hydroxide/ Milk of Magnesia

The nurse is preparing to administer vitamin B12 to a client. The nurse knows this drug is used for which of the following conditions? A. Pernicious anemia B. Hypertension C. Aplastic anemia D. Seizures

A. Pernicious anemia

74. A patient developed hives and itching after receiving a drug for the first time. Which instruction by the nurse is accurate? A. Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy. B. Explain to the patient that these are signs and symptoms of an anaphylactic reaction. C. Emphasize to the patient the importance to inform medical personnel that in the future a lower dosage of this drug is necessary. D. Instruct the patient that it would be safe to take the drug again because this instance was a mild reaction.

A. Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy.

71. A client has developed electrolyte imbalances. The nurse understands that which of the following would most likely contribute to the client's current situation? A. Vomiting B. Constipation C. Hypertension

A. Vomiting

85. Which action(s) will the nurse perform when preparing to administer a topical medication? A. Wash hands before and after wound care is complete B. Don sterile gloves and maintain a sterile field always for all wounds C. Maintain a dry skin and environment to promote wound healing D. If ordered dressing is unavailable, substitute any available dressing.

A. Wash hands before and after wound care is complete

99. Which of the following statements made by a client would alert the nurse to a possibility of an allergy to the measles vaccine? "My daughter is allergic to. A. gelatin B. peanut butter C. sugar D. corn

A. gelatin

69. After teaching a client how to administer eye drops, the nurse determines that additional teaching is necessary when the client states which of the following A. "I will check to make sure that the solution is clear." B "I will drop the solution into the nasal side of the lower eye sac." C. "I will be sure not to touch the tip of the dropper to the eye." D. "I will check the label to make sure it reads for "ophthalmic use."

B "I will drop the solution into the nasal side of the lower eye sac."

94. The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching? A. "I will avoid spicy foods" B. "I will eat small, frequent meals and a snack at bedtime" C. "Orange juice will aggravate my symptoms" D. "I will avoid foods that are high in fat content"

B. "I will eat small, frequent meals and a snack at bedtime"

88. The physician aminophylline 0.25 g The nurse located a vial of aminophyline 500 mg/20 mL. How many milliliters of medication should be added to the IV bag? A. 5 B. 10 C. 15 D. 20

B. 10

26. A nurse is providing education to a group of nursing students regarding recommended immunizations throughout the life span. What age groups should receive Human Papiloma Virus vaccine? A. 5-20 years old B. 11-26 years old C. at birth D. 17-25 years old

B. 11-26 years old

19. Which of the following antacids may produce constipation and should be used cautiously in clients who have chronic constipation? A. Magnesium Hydroxide/ Milk of Magnesia B. Calcium Carbonate/ Mylanta C. Magnesium Oxide/ Mag- Ox D. Sodium Bicarbonate/ Bell/ans

B. Calcium Carbonate/ Mylanta

A nurse is caring for a client with pseudomembranous colitis. The healthcare provider has prescribed loperamide. The nurse identifies which of the following as indicative of effectiveness A. Cessation of nausea B. Cessation of diarrhea C. Cessation of pain D. Cessation of rectal bleeding

B. Cessation of diarrhea

64. A nurse is preparing to initiate IV access for a client who is prescribed IV fluid therapy. After selecting the site, which of the following would the nurse do next? A. Place tape over the insertion site B. Cleanse the site according to facility policy C. Insert the needle while pulling the skin taut D. Check for blood flow

B. Cleanse the site according to facility policy

28. A client is prescribed Ferrous Sulfate. Which of the following adverse reactions should the nurse discuss with the client before the administration of the medication? A.Fatigue B. Dark stools C. Fluid Retention D. Bone Pain

B. Dark stools

A nurse monitoring a hospitalized client with a urinary tract infection notifies the physician if which of the following occur with medication therapy A. Increased fluid intake B. Decreased urinary output C. Diluted urine D. Improvement in UTI symptoms

B. Decreased urinary output

62. The nurse is assessing a patient with constipation. Which situation(s) would cause constipation? (Select all that apply.) A. Excessive fluid intake B. Diet low in fiber C. Iron supplements D. Use of morphine E. Diet low in cheese and dairy

B. Diet low in fiber C. Iron supplements D. Use of morphine

91. A client is prescribed Ferrous Sulfate. When providing client education about the use of the drug, which of the following statements is true? A. Always take the drug with a full glass of milk B. Drink citrus juice for increased absorption of the drug C. Avoid high fiber foods while taking the drug D. Take OTC antacids frequently to avoid heartburn

B. Drink citrus juice for increased absorption of the drug

The nurse is caring for a client with cystitis. Which adjunct therapy is the nurse most correct to suggest to keep bacteria from adhering to the wall of the bladder? A. Douching with vinegar and water B. Drinking cranberry juice C. Drinking apple cider vinegar D. Wiping from anus towards urethra

B. Drinking cranberry juice

57. When assessing a toddler for a possible ear infection, which of the following behaviors would the nurse note? A. Somnolence B. Ear tugging C. Diarrhea D. Increased appetite

B. Ear tugging

47. A nurse is discussing the possible adverse reactions that may occur with antineoplastic medications like methotrexate. Which of the following would the nurse discuss as an example of a long term adverse reaction? A. Hypertension B. Fertility problems C. Alopecia D. Nausea

B. Fertility problems

A nurse may use a topical antiseptic or germicide for which of the following reasons? A. To increase the number of bacteria on skin surfaces B. For washing hands before and after caring for clients C. On minor cuts and abrasions to foster increased risk of infection D. Nurses do not use topical antiseptics or germicides

B. For washing hands before and after caring for clients

77.A nurse is teaching a client about his prescribed potassium replacement therapy. The client is to continue taking the drug orally at home. After teaching the client about this therapy, the nurse determines that additional teaching is needed when the client states which of the following? A. "I'll take the drug immediately after a meal." B. If I have trouble swallowing the pill, I can break it in half." C. "I'll drink a full glass of water with the pill." D. "If I get the drug in liquid form, I can mix it with cold water or juice."

B. If I have trouble swallowing the pill, I can break it in half."

87. Which sign(s) and symptom(s) is/are consistent with dehydration? (Select all that apply.) A. Periorbital edema B. Increased hemoglobin and hematocrit C. Increased confusion D. Increased thirst E. Sluggish capillary refill times F. Skin tenting

B. Increased hemoglobin and hematocrit C. Increased confusion D. Increased thirst E. Sluggish capillary refill times F. Skin tenting

For a client who is receiving donepazil or memantine for AD, which of the following can the nurse recommend to the client's caregiver to decrease the client's risk for injury? A. Observe frequent drug holidays B. Keep the bed in a low position C. Decrease the drug dose if mobility worsens D. Allow the client to ambulate without assistance

B. Keep the bed in a low position

81.A 13-year-old child is receiving Strattera as treatment for ADHD. When developing the teaching plan for the parents, the nurse would include instructions to contact the healthcare provider if which of the following Occurs? A. Increased attentiveness B. Lack of social interaction C. Change in voiding pattern D. Improvement in behavior

B. Lack of social interaction

72. A nurse is providing care to a client with a MRSA (Methicillin Resistant Staph Aureus) skin infection. Which of the following would the nurse expect the primary health care provider to prescribe? A. Acyclovir/Zovirax B. Mupirocin/Bactroban C. Metronidazole/ Metro- Gel D. Ketoconozole/Nizoral

B. Mupirocin/Bactroban

49. The nurse should administer which of the following medications cautiously to clients with vitamin B12 deficiency as the prolonged use of these drugs decreases the body's ability to absorb vitamin B12? A. Metcloperamide (Reglan) B. Omeprazole (Prilosec) C. Promethazine (Phenergan) D. Sucralfate (Carafate)

B. Omeprazole (Prilosec)

86. The nurse is providing care for a client who is receiving Nexium (esomeprazole). The nurse recognizes this medication is effective by which of the following assessment findings? A. Patient voids 250 mL urine and reports feeling reduced bladder spasms. B. Patient denies abdominal pain or heartburn. C. Patient reports improvement in itching. D. Patient's white blood cell count is less than 10,000/mm3.

B. Patient denies abdominal pain or heartburn.

53. A client would like to use Carbamide Peroxide (Debrox) to remove cerumen from the ears and asks the nurse if this is okay. In which of the following situations should this medication not be used? A. Before ear surgery B. Perforated eardrum C. Congestion D. Dizziness

B. Perforated eardrum

A nurse suspects a client may have hypocalcemia based on which of the following? A. Positive Babinski's sign B. Positive Chvostek's sign C. Positive Homan's sign D. Positive Goodell's sign

B. Positive Chvostek's sign

18. After teaching a group of nursing students about central nervous system stimulant medications, the instructor determines that the teaching was successful when the students identify which of the following as a contraindication? A. Parkinson's Disease B. Severe Hypertension C. Age younger than 20 years D. Renal Dysfunction

B. Severe Hypertension

44. A nurse is caring for a client with iron deficiency anemia who is receiving liquid iron supplements. What information should the nurse include in the teaching plan for this client? A. Always mix the drug with milk B. Teeth may become stained-use a straw C. Stools may become loose and frequent D. Discontinue the drug when the symptoms resolve

B. Teeth may become stained-use a straw

66. A 10 year old child is receiving a central nervous stimulant as treatment for Attention Deficit Hyperactivity Disorder. When developing a teaching plan for the parents, the nurse would include instructions about recording which of the following periodically? A. Heart Rate B. Weight and Growth C. Voiding Pattern D. Sleeping Pattern

B. Weight and Growth

73. The nurse is instructing a patient to use a corticosteroid inhaler. Which statement by the patient indicates the need for further teaching? A. "I will rinse my mouth after I use this." B. "I will shake the inhaler before I use it." C. "I will use this when I'm lying in bed in the morning. D. "After I inhale, I will hold my breath and then breathe out slowly."

C. "I will use this when I'm lying in bed in the morning.

75. A physician prescribed 35 mg of a medication, IM, q4h, prn. The drug is available as 50 mg/mL. How many milliliters would the nurse give for each dose? If the client received six doses over 24 hours, how many total milliliters would the nurse give? A. 0.5:3 B. 0.6:36 C. 0.7:42

C. 0.7:42

54. A child weighs 88 Ib and has an order for morphine sulfate 7.5 mg subcutaneously every 8 hours prn. The recommended maximum dose for a child is 0.1 to 0.2 mg/kg/dose. What is the safe dosage range for this child? A. 2-4 mq B. 5-7 ma C. 4-8 mg D. 3-5 ma

C. 4-8 mg

45. During a visit, a client tells the nurse he has been taking an over the counter anti-diarrheal for occasional diarrhea. The nurse provides education to the client and determines the education has been successful when the client states he will contact the healthcare provider if the diarrhea is not resolved within which of the following time frames? A. 24 hours B 1 week C. 48 hours D. 72 hours

C. 48 hours

41. When reviewing a client's medical record, which condition would the nurse identify as contraindicating the use of Donepezil (Aricept)? A. Hyperglycemia B. Vitamin Deficiency C. Asthma D. Amnesia

C. Asthma

59. The physician ordered a client to receive 1000 mL D5 NS to infuse over 24 hours. Which solution should the nurse obtain from the supply cart? A. D 5% W Rationale: NSS 0.9 % B. D 5% 0.45% NS C. D 5% 0.9% NS D. NSS 0.9 %

C. D 5% 0.9% NS

24. A child weighs 18 kg and has an order for azithromycin 10 mg/kg po stat. The recommended dosage is 10mg/kg/day. The oral suspension is dispensed as 200 mg in 5 mL. How many milliliters should the nurse administer in one dose? A 4.3 B 4.4 C 4.5 D. 4.6

C. D.5

4. After teaching a group of nursing students about otic medications, the instructor determines that the teaching was successful when the group identifies which of the following medications as being used to aid in the removal of cerumen? A. Cipro HC Otic B. Floxin Otic C. Debrox D. Acetasol HC

C. Debrox

Which is a common adverse of magnesium-based antacid preparations? A. Heartburn B. Constipation C. DIarrhea D. Rebound indigestion

C. Diarrhea

50. A 4-year-old child is hospitalized with the diagnosis of tonsillitis and bilateral otitis media. The nurse is preparing to administer eardrops. When instilling the eardrops, the nurse will pull the earlobe? A. Upward and back B. Sideways and down C. Downward and back D. Sideways and up

C. Downward and back

37. A nurse is assessing a client receiving a continuous IV infusion. The nurse suspects that the client is developing fluid overload based on assessment of which of the following? A. Weight Loss B. Decreased Blood Pressure C. Dyspnea D. Hypernatremia

C. Dyspnea

43. A nurse is providing care to a client taking a central nervous system stimulant medication. The nurse assesses the client closely for which of the following as a possible adverse reaction? A. Bradycardia B. Hyperglycemia C. Dyspnea D. Hypoglycemia

C. Dyspnea

65. The use of an infusion pump or controller still requires nursing supervision and frequent monitoring of the IV infusion to monitor for signs of infiltration. Assessment of which of the following at the infusion site would lead the nurse to suspect that infiltration is occurring? A. Necrosis B. Warmth C. Edema D. Itching

C. Edema

84. Antidiarrheals are contraindicated in clients whose diarrhea is associated with which of the following organisms? A. Staphylococcus aureus B. Enterococcus C. Escherichia coli D. Pseudomonas

C. Escherichia coli

79. A nurse would suspect that a client is taking amphetamines based on the assessment of which of the following? A. Decrease in blood pressure B. Sleepiness C. Euphoria D. Decrease in breathing

C. Euphoria

70.A client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows. (Note: "BG" is Accuchecks every 6 hours BG 0-80 mg/dL, give 1 BG 81-100 mg/dL, O units subcutaneously BG 101-150 mg/dL, 2 units subcutaneously BG 151-200 mg/dL, 3 units subcutaneously BG 201-250 mg/dL, units subcutaneously BG 251-300 mg/dL, 8 units subcutaneously and call healthcare provider >300, call healthcare provider At 6 AM, the client's Accucheck reading was 129 mg/dL. What would be the correct actions by the nurse? A. Call the healthcare provider B. Give 1 amp of D50 and call the healthcare provider C. Give 2 units Humulin R D. Give 2 units NPH insulin

C. Give 2 units Humulin R

80. Vaccines containing live organisms are not administered to clients who are immunocompromised. Which of the following vaccines contains live organisms? A. Flu vaccine B. HPV C. MMR Il D. Pneumococcal

C. MMR Il

58. A nurse is administering IV fluid and electrolyte therapy to a client. The nurse reviews the client's laboratory test results. Which result would the nurse immediately report to the primary health care provider? A. Calcium 8.8 mEq/L B. Magnesium 2.0 mEq/L C. Potassium 2.7 mEq/L D. Sodium 140 mEq/L

C. Potassium 2.7 mEq/L

What is the rationale for the nurse applying gentle pressure to the inner corner of the eyelid after instilling eyedrops? A. Provides comfort to client B. Decreases pain to client C. Prevents systemic effects D. Maintains introcular pressure

C. Prevents systemic effects

Trimethoprim/sulfamethoxazole (Bactrim). The nurse would warn the client about which of the following common gastrointestinal adverse reactions? A. Ileus B. Hypertension C. Pseudomembranous colitis D. Dry mouth

C. Pseudomembranous colitis

31. The nurse notifies the primary health care provider because client assessment reveals a sign of leukopenia. What sign indicates leukopenia? A. DVT B. Clear mucus secretions C. Swollen sore throat D. Coffee- ground emesis

C. Swollen sore throat

96. A provider has diagnosed a female client with a urinary tract infection. Which of the following medications does the nurse anticipate the prescriber to prescribe? A. Mupirocin B. Metoprolol C. Trimethoprim and Sulfamethoxazole D. Phenergan

C. Trimethoprim and Sulfamethoxazole

60.A nurse is preparing to administer an immunologic medication that produces active immunity. Which of the following might the nurse be administering? A. Antibodies B. Antigens C. Vaccines D. Immune Globulin

C. Vaccines

82. A client is receiving estrogen therapy. When teaching the client about this therapy, the nurse would inform the client about which of the following as a possible adverse reaction? A. Hyperglycemia B. Hypoglycemia C. Weight gain D. Bone pain

C. Weight gain

After Nitrofurantoin/ Macrodantin is administered to a client with an acute bacterial urinary tract infection, assessment reveals dyspnea, chest pain, cough, fever, and chills. Which of the following actions should the nurse take first? A. Monitor the client for chest tightness B. Offer fluids to the client at regular intervals C. Withhold the drug and contact the primary health care provider D. Place the client in a low Fowlers position

C. Withhold the drug and contact the primary health care provider

95. A nurse is caring for a female client who states she has a 28-day cycle. Which two hormones are influential in the female fertility cycle? A. prolactin and cortisol B. gonadotropin and insulin C. estrogen and progesterone D. testosterone and growth hormone

C. estrogen and progesterone

97.A client who is prescribed phenazopyridine is distressed seeing reddish-orange colored urine. Which response by the nurse would be most appropriate? A. "We should call the physician immediately." B. "We will have to get a urine specimen for urinalysis." C. "You will need to drink only milk to clear this up." D. "This discoloration is a normal effect of the medication."

D. "This discoloration is a normal effect of the medication."

56. The client is to receive kanamycin sulfate 1 q po q6h for 5 days. What is this dose of medication in milligrams? A 1 B 10 C. 100 D. 1000

D. 1000

90. The physician ordered a total of 1500 mL of NS to infuse at 75 mL/hour with a drop factor of 20 gtt/mL. How many drops per minute will be administered? A 10 B. 15 C. 20 D. 25

D. 25

The nurse is instructing client's about the importance of taking the shingles (Zostirvax) vaccine. Which client would benefit from this vaccine? A. A 24-year old pregnant client B. A 17-year-old client who will be attending college and living in a dormitory C. A 32-year old client who has never had chicken pox D. A 65-year-old client who had chicken pox when he was 12 years old

D. A 65-year-old client who had chicken pox when he was 12 years old

32. A client is prescribed a topical corticosteroid. Which of the following would be appropriate for the nurse to do? A. Clean the area with an antiseptic before application B. Rub the drug vigorously into the skin and surrounding area C. Place a sterile cloth over the site immediately after application D. Apply the drug sparingly to the affected area

D. Apply the drug sparingly to the affected area

5. While conducting a health promotion presentation for a local group of women who are in their 30's and 40's, one of the women asks the nurse, "I've heard horror stories about menopause. Are their any herbal products that can help?" Which of the following would the nurse include in the response? A. Saw Palmetto B. Digitalis C. Feverfew D. Black Cohosh

D. Black Cohosh

35. A nurse is teaching a client who is prescribed eye drops as treatment for glaucoma. The nurse emphasizes the importance of therapy to reduce intraocular pressure to prevent which of the following? A. Headache B. Corneal tears C. Ocular Infections D. Blindness

D. Blindness

61. A nurse is caring for a client being treated with antineoplastic medications. The client is at risk for thrombocytopenia due to bone marrow suppression. The nurse would assess the client for which of the following? A. Concentrated urine B. Frequent micturition C. Pain on urination D. Bloody urine

D. Bloody urine

46. A nurse is caring for a client with iron deficiency anemia who is receiving FeoSol (iron) supplements. What information should the nurse include in the teaching plan for this client? A. Frequency of urination will increase B. Soreness of the throat might occur C. Itching of the throat might occur D. Constipation is expected and treatable

D. Constipation is expected and treatable

67. A nurse identifies a nursing diagnosis of Constipation for a client receiving iron supplements. Which remedy would be appropriate to promote resolution of this problem? A. Increase the intake of milk and dairy products B. Take antacids after consuming meals C. Perform vigorous exercises D. Consume a diet high in fiber

D. Consume a diet high in fiber

23. A nurse is educating a client undergoing treat for a genitourinary tract bacterial infection on an outpatient basis. What instructions would the nurse offer to the client as part of the client teaching plan? A. Notify the primary health care provider if symptoms are relieved B. Discontinue the therapy if symptoms vanish C. Decrease fluid intake if symptoms subside D. Increase fluid intake to at least 2,000 ml. per day

D. Increase fluid intake to at least 2,000 ml. per day

The nurse would monitor a client who is receiving caffeine for which of the following? A. Decrease in heart rate B. Decrease in urinary output C. Feeling of euphoria and well being D. Increase in heart rate

D. Increase in heart rate

2. A group of nursing students are preparing a chart to illustrate the various functions of immunomodulating drugs. The instructor determines the student's chart should be successful after noting which function are correlated with filgrastim(Neupogen)? A. Promotes proliferation of thrombocytes B. Stimulates differentiation of ervthrocytes C. Stimulates production of megakarocytes D. Promotes production of leukocytes

D. Promotes production of leukocytes

27. A client is prescribed a central nervous system stimulant medication for respiratory depression. Before administering the medication, which of the following would be most important for the nurse to assess? A. Gastrointestinal Status B. Reflexes C. Pupil Check D. Respiratory Rate

D. Respiratory Rate

76. What adverse reaction could occur with prolonged use of topical antibiotics? A. Eczema B. Psoriasis C. Cellulitis D. Superinfection

D. Superinfection

51. Which of the following would cause the nurse to intervene for a patient taking Protonix (pantoprazole)? A. The client takes the medication an hour before breakfast. B. The client orders eggs and bacon for breakfast. C. The client drinks a glass of orange juice when taking the medication. D. The client chews the medication before swallowing.

D. The client chews the medication before swallowing.

52. After teaching a group of nursing students about delirium and how it differs from dementia, the instructor determines that the teaching was successful when the students identify which of the following about delirium? A. Memory is significantly impaired B. Environmental changes are needed for safety C. The onset occurs very slowly D. The onset occurs very suddenly

D. The onset occurs very suddenly

68. The client is to receive clonidine 600 mcg po daily. The medication is available as clonidine 0.2 mg per tablet. How many tablets should the client receive daily? A. 1/2 B. 1 C. 2 D.3

D.3

30. The physician's order reads: give the patient Heparin Sodium 4,000 units SQ now. The medication label reads: Heparin Sodium 10,000 units per mi. How many milliliters will the nurse give to the patient? A. 0.2 mL B. 0.4 mL C. 0.5 mL D. 0.6 mL

b. 0.4