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    Exam Review

    1. A charge nurse is planning an in-service for new graduate nurses on safety considerations related to drug therapy. Which consideration(s) should the charge nurse plan to include in the teaching? Select all that apply.(SATA)
      A)Contraindications
      B)Drug toxicities
      C)Available reversal agents
      D)Client preferences
      E)Drug-food interactions
    2. The nurse is planning discharge education for a client who was prescribed oxycodone. Which information should the nurse plan to include?
      A)Maintain bedrest when taking this medication
      B)Change positions slowly to minimize dizziness
      C)An increased respiratory rate is expected
      D)Take with meals to minimize diarrhea
    3. What is an indication for glucagon-like peptide-1 (GLP-1) agonists?
      A)Hypersensitivity to the drug
      B)Gastroparesis
      C)Medullary thyroid carcinoma
      D)Type 2 diabetes
    4. A client intentionally overdosed on an opioid drug. What is an appropriate nursing action?
      A)Administer flumazenil
      B)Encourage ambulation
      C)Assess the airway
      D)Request a sedative
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    Exam Review

    1. The nurse is caring for a client who developed hives after taking the first dose of a newly prescribed medication. How should the nurse interpret this finding?
      A)The client experienced an adverse reaction.
      B)The client experienced drug toxicity.
      C)The drug produced a therapeutic effect.
      D)The drug has not reached a steady state.
    2. The nurse performed an assessment on a client. Which finding is considered subjective data?
      A)The client verbalizes fear of injecting insulin.
      B)The client is crying when talking to the nurse.
      C)The client has a healing wound on their foot.
      D)The client's blood glucose level is 98 mg/dL.
    3.  Drugs with a ▾ narrow therapeutic index require close monitoring due to the risk for ▾ toxicity
      Dropdown 1:
      Option 1: narrow
      Option 2: toxicity
      Dropdown 2:
      Option 1: narrow
      Option 2: toxicity
    4. How does methimazole work in the body?
      A)Inhibits the synthesis of thyroid hormones
      B)Inhibits development of female sex hormones
      C)Replaces endogenous thyroid hormones
      D)Promotes development of female sex hormones
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    Exam Review

    1. Medical History: Thyroidectomy 6 months ago, seasonal allergies Current Medications: Levothyroxine Current Visit: Client presents to clinic with diarrhea, excessive sweating, and muscle pain; reports occasional palpitations started about 1 week ago. Client Profile Nursing Notes Name: Christopher Brown Age: 36 years Provider. M. Jensen, M.D. Allergies: Shellfish Code Status: Full code Weight: 88 ka (194 lb) Review the electronic health record. Which clinical finding(s) indicate levothyroxine toxicity? Select all that apply.(SATA)
      A)Occasional palpitations
      B)Seasonal allergies
      C)Muscle pain
      D)Excessive sweating
      E)Diarrhea
    2. A nurse is providing education to a client with a new prescription for pioglitazone. What statement by the client demonstrates understanding of the information?
      A)"This drug should make me feel full."
      B)"This drug may cause flatulence."
      C)"This drug can damage my liver."
      D)"This drug may cause weight loss."
    3. The nurse instructs a client who is receiving their first dose of tramadol. Which statement(s) by the client indicates the need for further education? Select all that apply.(SATA)
      A)"I will focus on drinking more water to prevent constipation."
      B)"I will move quickly when changing from lying to standing."
      C)"If my pain does not improve, I will let someone know."
      D)"After my pain is gone, I can walk to the bathroom by myself."
      E)"I will request my next dose once my pain is severe."
    4. The nurse is planning to administer morphine to an adult client. Which clinical finding should concern the nurse?
      A)The client has a pain level of 10/10
      B)The client has an addiction to opioids
      C)The client's blood pressure is 150/90
      D)The client is experiencing loose stools
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    Exam Review

    1. What information should be included when educating a client on repaglinide?
      A)Hypoglycemia is a common side effect.
      B)Bruising may occur when taking this medication.
      C)Take this medication at night before bed.
      D)Stop taking if you experience hyperglycemia.
    2. The nurse is caring for a group of clients. Which client has the greatest risk for decreased drug metabolism?
      A)A client with a low serum albumin
      B)A client diagnosed with renal failure
      C)A client with slowed gastric emptying
      D)A client with cirrhosis of the liver
    3. Which clinical finding is most concerning for a client who is prescribed octreotide?
      A)lleus
      B)Sinusitis
      C)Vomiting
      D)Headache
    4. The nurse is caring for a group of clients. Which situation describes prophylactic therapy?
      A)A client received a medication to prevent nausea from occurring.
      B)A client received a medication to replace insulin in their body.
      C)A client received a medication to treat a diagnosed infection.
      D)A client received a medication to slow the progression of arthritis.
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    Exam Review

    1. Which are therapeutic effects of acetaminophen? Select all that apply.(SATA)
      A)Antacid
      B)Anti-inflammatory
      C)Analgesic
      D)Antidiarrheal
      E)Antipyretic
    2. A nurse observes a new diabetic client self-administer insulin lispro for the first time, following client teaching. For each client behavior, click to specify whether the behavior demonstrates effective learning or that further teaching is required.
      Effective LearningFurther Teaching Required
      Massages the site after removing the needle.✓
      Injects insulin into abdomen at 45-90 degree angle.✓
      Checks blood glucose immediately prior to injection.✓
      Shakes insulin to mix it uniformly.✓
      Utilizes correct insulin syringe for injection.✓
      Selects site different from previous injection site.✓
    3. What describes a drug's duration of action?
      A)The time period that a drug elicits a therapeutic response.
      B)The maximum therapeutic effect of a drug.
      C)The moment when the drug stops producing an effect.
      D)The point at which a drug is excreted from the body.
      E)Antipyretic
    4. For each nursing action listed, click to specify whether the action should be completed before administration or after administration of insulin.
      Before AdministrationAfter Administration
      Check client's blood glucose level✓
      Assess client at the time of peak effect✓
      Identify client using 2 identifiers✓
      Document time and injection site✓
    Page 5 of 15

    Exam Review

    1. Which factor can affect how a client responds to a drug?
      A)Pharmacy location
      B)Client's financial status
      C)Client's diet
      D)Type of insurance
    2. A client who is taking metformin presents to the clinic reporting feeling unwell. Which clinical finding is most concerning to the nurse?
      A)Diarrhea
      B)Shallow breathing
      C)Nausea
      D)Metallic taste
    3. The nurse provided oral glucose to a client with diabetes. Which step of the clinical judgement measurement model (CJMM) did the nurse utilize?
      A)Recognize cues
      B)Generate solutions
      C)Take action
      D)Evaluate outcomes
    4. Which age-related change will impact the pharmacokinetic process of distribution in an older adult?
      A)Decreased gastric pH
      B)Decreased levels of microsomal enzymes
      C)Fewer intact nephrons
      D)Decrease percentage of total body water
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