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KAPLAN PHARM A NGN KAPLAN PHARM A NGN, Exams of Nursing

KAPLAN PHARM A NGN A client is struggling with alcohol abuse and wants assistance to stop drinking. The nurse knows which medication will MOST likely be prescribed for the patient? 1. Diazepam 2. Dexamethasone 3. Docusate 4. Disulfiram - CORRECT ANSWER -4. Disulfiram causes a severe hypersensitivity to alcohol, used in treatment of alcohol use disorder in the motivated client Ten days after using beclomethasone nasal spray for seasonal allergies, a client reports to the nurse that even though the medication is being used correctly, only slight relief has been experienced. Which action by the nurse is the MOST important? 1. Review the correct procedure for administering the nasal spray 2. Contact the healthcare provider to change the dose of the medication 3. Remind the client that peak effect can take up to three weeks of regular use

Typology: Exams

2024/2025

Available from 07/03/2025

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KAPLAN PHARM A NGN
A client is struggling with alcohol abuse and wants assistance to stop drinking. The nurse
knows which medication will MOST likely be prescribed for the patient?
1. Diazepam
2. Dexamethasone
3. Docusate
4. Disulfiram - CORRECT ANSWER -4. Disulfiram
causes a severe hypersensitivity to alcohol, used in treatment of alcohol use disorder in the
motivated client
Ten days after using beclomethasone nasal spray for seasonal allergies, a client reports to
the nurse that even though the medication is being used correctly, only slight relief has been
experienced. Which action by the nurse is the MOST important?
1. Review the correct procedure for administering the nasal spray
2. Contact the healthcare provider to change the dose of the medication
3. Remind the client that peak effect can take up to three weeks of regular use
4. Educate the client about the strong effects of a high allergen level on sinuses. - CORRECT
ANSWER -3
- can take up to 3 weeks to achieve maximum effect
-clear nasal passages prior to use
-if nasal passages are blocked, client should be instructed to use decongestant prior to use of
corticosteroid nasal spray
The nurse instructs a client who is prescribed phenytoin sodium. The nurse determines
teaching is successful if client makes which statement?
1."If my urine changes color, I should go to the emergency department"
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KAPLAN PHARM A NGN

A client is struggling with alcohol abuse and wants assistance to stop drinking. The nurse knows which medication will MOST likely be prescribed for the patient?

  1. Diazepam
  2. Dexamethasone
  3. Docusate
  4. Disulfiram - CORRECT ANSWER - 4. Disulfiram causes a severe hypersensitivity to alcohol, used in treatment of alcohol use disorder in the motivated client Ten days after using beclomethasone nasal spray for seasonal allergies, a client reports to the nurse that even though the medication is being used correctly, only slight relief has been experienced. Which action by the nurse is the MOST important?
  5. Review the correct procedure for administering the nasal spray
  6. Contact the healthcare provider to change the dose of the medication
  7. Remind the client that peak effect can take up to three weeks of regular use
  8. Educate the client about the strong effects of a high allergen level on sinuses. - CORRECT ANSWER - 3
  • can take up to 3 weeks to achieve maximum effect
  • clear nasal passages prior to use
  • if nasal passages are blocked, client should be instructed to use decongestant prior to use of corticosteroid nasal spray The nurse instructs a client who is prescribed phenytoin sodium. The nurse determines teaching is successful if client makes which statement? 1."If my urine changes color, I should go to the emergency department"
  1. "I should avoid drinking alcohol while taking this medication"
  2. "There are no restrictions on my activity while taking this medication"
  3. "I can stop taking the medication if I develop an upset stomach" - CORRECT ANSWER - 2 The nurse learns a client has been taking simvastatin for seven months. Which statement by a colleague does the nurse correct?
  4. " I should take the client's blood pressure in a supine, sitting, and standing position"
  5. "I will check the laboratory values for both HDL and LDL and their ratio"
  6. " I will check the laboratory values for liver function tests"
  7. "I will ask the client if an eye exam has been completed since beginning the medication" - CORRECT ANSWER - 1. these assessments are not necessary A client with a history of asthma and bronchitis is prescribed montelukast. The nurse determines the client understands teaching about the medication when the client makes which statement?
  8. I will use the medication as needed when I have an asthma attack
  9. I need to take this medication first thing in the morning with breakfast
  10. It will take several weeks for the medication to lessen the effects of chronic asthma
  11. Montelukast prevents bacterial infections and is taken if I have an exacerbation of bronchitis - CORRECT ANSWER - 3 A client has a history of migraine headaches. The nurse recognizes which medication is used to treat the client's migraine headaches?
  12. Azithromycin
  13. Zolmitriptan
  14. Methylphenidate
  15. Methocarbamol - CORRECT ANSWER - 2
  1. bran
  2. citrus fruits
  3. fresh vegetables
  4. dairy products
  5. seafood - CORRECT ANSWER - 1,2,3, The nurse provides care for a client diagnosed with rheumatoid arthritis who reports cramping and abdominal discomfort after taking prescribed hydrocortisone. Which instruction by the nurse is BEST?
  6. You need to take hydrocortisone at the same time as your other medications
  7. Restrict your fluid intake when you take hydrocortisone
  8. Take hydrocortisone with food and not on an empty stomach
  9. Hydrocortisone should be taken at bedtime - CORRECT ANSWER - 3 The nurse understands which occurrence is an adverse effect or toxic effect of aspirin? (SATA)
  10. rash
  11. tinnitus
  12. nausea
  13. vomiting
  14. hypoventilation - CORRECT ANSWER - 2,3, Which instruction by the nurse is BEST to include when teaching a client about amlodipine?
  15. Report any swelling of face or extremities to healthcare provider
  16. You need to refrigerate this medication
  17. Report any weight loss to healthcare provider
  18. Photophobia is a common adverse effect that will diminish with repeated use. - CORRECT ANSWER - 1

The nurse provides medication education to a client receiving lovastatin. Which information is most important for nurse to include?

  1. Notify healthcare provider if you experience muscle pain
  2. This medication may damage your kidneys
  3. Take the medication with a large glass of grapefruit juice
  4. If you miss a dose, double the medication the following day - CORRECT ANSWER - 2 A client asks the nurse," How does lovastatin work?" What is the nurse's best response?
  5. "lovastatin prevents reabsorption of bile acids into the small intestine
  6. "lovastatin prevents an enzyme in the liver from making more cholesterol"
  7. "lovastatin is a vitamin that increases the activity of lipoprotein lipase"
  8. lovastatin is a fibric acid agent that activates lipoprotein lipase" - CORRECT ANSWER - 2 The nurse provides care for a client diagnosed with schizophrenia who is taking chlorpromazine. When providing medication education to the client, the nurse includes with information about which common adverse effects?
  9. Insomnia and Restlessness
  10. Abnormal motor movements and dry mouth
  11. Weight loss and increased libido
  12. Hypertension and Dyspnea - CORRECT ANSWER - 2 The nurse in the cardiac rehabilitation unit knows the maintenance dose of oral digoxin for adults is in which range?
  13. 1-3mg
  14. 0.5-1mg
  15. 3.5-5mg
  16. 0.125-0.5mg - CORRECT ANSWER - 4 (Part 1)

The nurse provides care for a client with a new diagnosis of active tuberculosis. The nurse anticipates which medications will be prescribed for this client's treatment?

  1. Ramipril and ibuprofen
  2. Ibandronate and Remeron
  3. Isoniazid and Rifampin
  4. Risperidone and Imipramine - CORRECT ANSWER - 3 The nurse provides care for a client admitted with a diagnosis of diabetic ketoacidosis. The nurse anticipates which type of insulin will be prescribed?
  5. rapid-acting insulin
  6. long-acting insulin
  7. short-acting insulin
  8. intermediate-acting insulin - CORRECT ANSWER - 3 short-acting insulin is appropriate to give IV versus rapid, long, and intermediate. symptoms of DKA are altered LOC, dehydration, kussmaul respirations, abdominal pain, nausea, vomiting, and fruity-smelling breath. A client is prescribed morphine sulfate 4mg IV q4h PRN for pain after surgery. The nurse assesses the client 30 minutes after giving the medication for a report of 8 out of 10. The client's vital signs are BP 172/88, Pulse 92/min, Respirations 22/min. Which action by the nurse is the most appropriate?
  9. Notify healthcare provider to increase the dose
  10. Tell the client to cough and deep breathe
  11. Suggest the client listen to music
  12. Assess the client's IV site - CORRECT ANSWER - 4 Which nursing measure is included in the teaching plan for a client regarding the use of beclamethasone?
  13. Instruct the client to drink copious amounts of water before taking beclomethasone
  14. Instruct the client on proper use of the inhaler
  1. Instruct client to discontinue beclomethasone if there is no therapeutic response in 2 weeks.
  2. Instruct client to take beclomethasone during an acute asthma attack - CORRECT ANSWER - 2 A client reports multiple watery bowel movements after taking a prescribed antibiotic after several days. The client is prescribed loperamide. It is MOST important for the nurse to follow up on which client statement?
  3. "My mouth is so dry and I feel really dizzy"
  4. "I am checking my bowel movements for blood"
  5. "I will stop taking the antibiotic until this diarrhea stops"
  6. "This medication makes me feel very drowsy and sleepy" - CORRECT ANSWER - 3