NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE, Exams of Nursing

Download NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE and more Exams Nursing in PDF only on Docsity! NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS A client with narcolepsy has been prescribed dextroamphetamine (DextroStat). The client complains to the nurse that he cannot sleep well at night and does not want to take the medication any longer. Before making any specific comment, the nurse plans to investigate whether the client takes the medication at which proper time schedule? 1. 2 hours before bedtime 2. After supper each night 3. Just before going to sleep 4. At least 6 hours before bedtime 4. At least 6 hours before bedtime A client on the nursing unit has a prescription for dextroamphetamine (DextroStat) daily. The unit nurse collaborates with the dietitian to limit the amount of which item on the client's dietary trays? 1. Fat 2. Starch 3. Caffeine NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 4. Protein 3. Caffeine A client with Parkinson's disease has begun therapy with levodopa. The nurse determines that the client understands the action of the medication if he or she verbalizes that results may not be apparent for how long? 1. 1 week 2. 24 hours 3. 2 to 3 days 4. 2 to 3 weeks 4. 2 to 3 weeks A client is taking trihexyphenidyl hydrochloride for the treatment of Parkinson's disease. The nurse should assess for which adverse effect of this medication? 1. Diarrhea 2. Urinary retention 3. Urinary incontinence 4. Excessive perspiration 2. Urinary retention A client receiving therapy with carbidopa/levodopa (Sinemet) is upset and tells the home health nurse that his urine has turned a darker color since he started taking this medication. The client wants to discontinue its use. In formulating a response to his concerns, the nurse interprets that this change is indicative of which condition? 1. Developing toxicity 2. A harmless side effect of the medication 3. A result of taking the medication with milk 4. A sign of interaction with another medication 2. A harmless side effect of the medication A client with myasthenia gravis has difficulty chewing and has received a prescription for pyridostigmine (Mestinon). The nurse should check to see that the client takes the medication at what time? 1. With meals 2. Between meals 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. Fludarabine (Fludara) 4. Acetylcysteine (Mucomyst) 4. Acetylcysteine (Mucomyst) Meperidine hydrochloride (Demerol) has been prescribed for a client to treat pain. Which are side/adverse effects of this medication? Select all that apply. 1. Diarrhea 2. Tremors 3. Drowsiness 4. Hypotension 5. Urinary frequency 6. Increased respiratory rate 2. Tremors 3. Drowsiness 4. Hypotension A client is taking the prescribed dose of phenytoin (Dilantin) to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL. Which finding would be expected as a result of this laboratory result? 1. Hypotension 2. Tachycardia 3. Slurred speech 4. No abnormal finding 3. Slurred speech Page 5 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS The client arrives at the emergency department complaining of back spasms. The client states, "I have been taking two to three aspirin every 4 hours for the last week, and it hasn't helped my back." Since aspirin intoxication is suspected, the nurse should assess the client for which manifestation? 1. Tinnitus Page 6 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 2. Diarrhea 3. Constipation 4. Photosensitivity 1. Tinnitus A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol), 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication? 1. Uric acid level, 5 mg/dL 2. Sodium level, 140 mEq/L 3. Blood urea nitrogen level, 15 mg/dL 4. White blood cell count, 3000 cells/mm3 4. White blood cell count, 3000 cells/mm3 The nurse is caring for a client with severe back pain. Codeine sulfate has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication? 1. Monitor radial pulse. 2. Monitor bowel activity. 3. Monitor apical heart rate. 4. Monitor peripheral pulses. 2. Monitor bowel activity. The nurse has given medication instructions to a client receiving phenytoin (Dilantin). Which statement indicates that the client has an adequate understanding Page 7 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Discard the vial. 2. Place the vial in warm water. 3. Send the vial back to the pharmacy. 4. Shake the vial to dissolve the crystals. 2. Place the vial in warm water. Page 10 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS The nurse in a long-term care facility is reviewing the health care provider's (HCP) prescriptions on an assigned client. The nurse notes that the HCP prescribed ropinirole hydrochloride (Requip). The nurse determines that this medication has been prescribed to treat which condition in the client? 1. Depression 2. Diabetes mellitus 3. Coronary artery disease 4. Parkinsonian syndrome 4. Parkinsonian syndrome A client is receiving phenobarbital sodium (Luminal) for the treatment of a seizure disorder. Which finding on the nursing assessment would indicate that the client is experiencing a common side effect of this medication? 1. Drowsiness 2. Hypocalcemia 3. Blurred vision 4. Seizure activity 1. Drowsiness A client with suspected opioid overdose has received a dose of naloxone hydrochloride (Narcan). The client subsequently becomes restless, starts to vomit, and complains of abdominal cramping. The blood pressure increases from 110/72 mm Hg to 160/86 mm Hg. The nurse provides emotional support and reassurance while administering care to the client, knowing which piece of information? 1. The client may next become suicidal. 2. These are signs of opioid withdrawal. Page 11 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. These effects will last only a few moments. 4. The client may otherwise sign out against medical advice. 2. These are signs of opioid withdrawal. The nurse is preparing to give a postcraniotomy client medication for incisional pain. The family asks the nurse why the client is receiving codeine sulfate and not Page 12 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. 0.9% sodium chloride (normal saline) 4. 5% dextrose and 0.45% sodium chloride 3. 0.9% sodium chloride (normal saline) The nurse has given instructions for taking codeine sulfate to a client with a severe headache. Which statement by the client indicates the teaching has been effective? 1. "I should increase fluid intake." 2. "I should maintain a low-fiber diet." 3. "I should avoid all exercise to prevent lightheadedness." 4. "I should avoid the use of stool softeners to prevent diarrhea." 1. "I should increase fluid intake." A client experiencing spasticity as a result of spinal cord injury has a new prescription for dantrolene (Dantrium). Before administering the first dose, the nurse checks to see if which baseline study has been done? 1. Liver function studies 2. Renal function studies 3. Otoscopic examination 4. Blood glucose measurements 1. Liver function studies The client with a head injury is experiencing signs of increased intracranial pressure (ICP), and mannitol (Osmitrol) is prescribed. The nurse administering this medication expects which as an intended effects of this medication? Select all that apply. Page 15 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Increased diuresis 2. Reduced intracranial pressure 3. Increased osmotic pressure of glomerular filtrate 4. Reduced tubular reabsorption of water and solutes 5. Reabsorption of sodium and water in the loop of Henle Page 16 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Increased diuresis 2. Reduced intracranial pressure 3. Increased osmotic pressure of glomerular filtrate 4. Reduced tubular reabsorption of water and solutes The nurse has a prescription to give dexamethasone (Decadron) by the intravenous (IV) route to a client with cerebral edema. How should the nurse prepare this medication? 1. Diluting the medication in 500 mL of 5% dextrose 2. Preparing an undiluted direct injection of the medication 3. Diluting the medication in 1 mL of lactated Ringer's solution for direct injection 4. Diluting the medication in 10% dextrose in water and administering it as a direct injection 2. Preparing an undiluted direct injection of the medication The nurse who is caring for a client with myasthenia gravis has a prescription to perform an Enlon (Tensilon) test. After obtaining edrophonium (Enlon), the nurse should be certain that which also is available at the bedside? 1. Atropine sulfate 2. Protamine sulfate 3. Calcium gluconate 4. Magnesium sulfate 1. Atropine sulfate After review of the client's laboratory values, the nurse notes that a phenytoin Page 17 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. Pancreatic enzyme studies 4. Complete blood cell count 4. Complete blood cell count Dantrolene sodium (Dantrium) has been administered to a client with a spinal cord injury. The nurse determines that the client is experiencing an adverse effect of the medication if which is noted? Page 20 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Dizziness 2. Drowsiness 3. Abdominal pain 4. Lightheadedness 3. Abdominal pain The nurse notes that a client taking ergotamine tartrate (Cafergot) is having the intended effects of therapy if the client states relief from which symptom? 1. Cough 2. Diarrhea 3. Backache 4. Headaches 4. Headaches A client who has been taking phenytoin (Dilantin) for seizure control has a serum phenytoin drug level of 8 mcg/mL. The nurse should make which interpretation about this value? 1. A toxic level 2. An inadequate drug level 3. The low end of therapeutic range 4. The high end of therapeutic range 2. An inadequate drug level A client has a medication prescription for phenytoin (Dilantin) to be administered Page 21 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS by the intravenous route. After drawing up the medication, the nurse notes the presence of precipitate in the syringe. Which action should the nurse take? 1. Discard the syringe and begin again. 2. Add sterile water to dissolve the precipitate. 3. Draw up an additional 1 mL of normal saline into the syringe. 4. Chart the medication as "not given," and write a note in the medical record. Page 22 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS Benztropine mesylate (Cogentin) is prescribed for a client with a diagnosis of Parkinson's disease. What statement by the client indicates that the client needs additional information about the medication? 1. "I will avoid driving if I get drowsy or dizzy." 2. "I'll watch my urinary output and look for signs of constipation." 3. "I will sit in the sun for an hour a day to enhance medication effectiveness." 4. "I will call the health care provider (HCP) if I have difficulty swallowing or if I start vomiting." 3. "I will sit in the sun for an hour a day to enhance medication effectiveness." A client has received a dose of dimenhydrinate (Dramamine). The nurse evaluates the effect of the medication by noting whether the client obtained relief from what symptom? 1. Chills 2. Headache 3. Ringing in the ears 4. Nausea and vomiting 4. Nausea and vomiting A home health nurse visits a client who suffered a back injury. On review of the health care provider's prescriptions, the nurse notes that codeine sulfate has been prescribed for the client, and the nurse provides instructions to the client regarding the medication. Which statement, if made by the client, indicates an understanding of health measures related to the medication? 1. "The medication is not addicting." Page 25 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 2. "I should watch out for diarrhea as a side effect." 3. "I should increase my fluid intake while taking this medication." 4. "I need to be sure to eat foods that are low in fiber to prevent diarrhea." 3. "I should increase my fluid intake while taking this medication." Phenytoin (Dilantin), 100 mg to be given orally three times daily, has been prescribed to a client for seizure control. The home health nurse visits the client Page 26 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS and provides instructions regarding the medication. Which statement, if made by the client, would indicate an understanding of the instructions? 1. "I will use a soft toothbrush to brush my teeth." 2. "It's okay to break the capsules to make it easier for me to swallow them." 3. "If I forget to take my medication, I can wait until the next dose and eliminate that dose." 4. "If my throat becomes sore, it's a normal effect of the medication, and it's nothing to be concerned about." 1. "I will use a soft toothbrush to brush my teeth." Dexamethasone (Decadron) intravenously is prescribed for the client with cerebral edema. The nurse prepares the medication for administration and plans to perform which action? 1. Mix the medication in 1000 mL of 5% dextrose. 2. Prepare an undiluted direct injection of the medication. 3. Mix the medication in 100 mL of lactated Ringer's solution. 4. Dilute the medication in lactated Ringer's solution and administer as a direct injection. 2. Prepare an undiluted direct injection of the medication. The nurse has the following prescription for a postcraniotomy client, "dexamethasone (Decadron) 4 mg by the intravenous (IV) route now." How does the nurse administer the medication? 1. IV push over 1 minute 2. IV push over 4 minutes Page 27 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS The nurse has a prescription to administer diazepam (Valium) 5 mg by the intravenous (IV) route to a client. The nurse should administer the medication over a period of at least how long? 1. 15 seconds 2. 30 seconds 3. 1 minute Page 30 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 4. 5 minutes 3. 1 minute A client is receiving anticonvulsant therapy with phenytoin (Dilantin). To monitor for adverse effects of this medication, the nurse assesses the results of which laboratory test? 1. Serum sodium 2. Serum potassium 3. Blood urea nitrogen 4. Complete blood count (CBC) 4. Complete blood count (CBC) A client who was started on anticonvulsant therapy with clonazepam (Klonopin) tells the nurse of increasing clumsiness and unsteadiness since starting the medication. The client is visibly upset by these manifestations and asks the nurse what to do. The nurse's response is based on which understanding? 1. These symptoms probably result from interaction with another medication. 2. These symptoms usually occur when the client takes the medication with food. 3. These symptoms are most severe during initial therapy and decrease or disappear with long-term use. 4. These symptoms indicate that the client is experiencing a severe adverse reaction to the medication. 3. These symptoms are most severe during initial therapy and decrease or disappear with long-term use. A client is having the dosage of clonazepam (Klonopin) adjusted. The nurse Page 31 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS should plan to perform which action? 1. Weigh the client daily. 2. Monitor blood glucose levels. 3. Institute seizure precautions. 4. Observe for areas of ecchymosis. Page 32 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS A client has a prescription for valproic acid (Depakene) 250 mg once daily. To maximize the client's safety, the nurse should plan to schedule the medication at what time? 1. At bedtime 2. With lunch 3. After breakfast 4. Before breakfast 1. At bedtime A client taking carbamazepine (Tegretol) asks the nurse what to do if a dose is inadvertently missed. The nurse responds that which action should be taken? 1. Withhold until the next scheduled dose. 2. Withhold and call the health care provider (HCP). 3. Take the dose as long as it is not close to the time for the next dose. 4. Withhold until the next scheduled dose, which should then be doubled. 3. Take the dose as long as it is not close to the time for the next dose. The nurse has given medication instructions to a client beginning anticonvulsant therapy with carbamazepine (Tegretol). The nurse determines that the client understands the use of the medication if he or she makes which statement? 1. Use sunscreen when outdoors. 2. Drive a car as long as it is not at night. 3. Keep tissues handy because of excess salivation. 4. Discontinue the medication if fever or sore throat occurs. Page 35 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Use sunscreen when outdoors. A client with vascular headaches is taking ergotamine (Cafergot). The home health nurse should periodically assess him or her for which finding? 1. Hypotension 2. Constipation Page 36 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. Dependent edema 4. Cool, numb fingers and toes 4. Cool, numb fingers and toes The nurse is caring for a client with myasthenia gravis who has received edrophonium (Enlon) by the intravenous route to test for myasthenic crisis. The client asks the nurse how long the improvement in muscle strength will last. The nurse's response is based on the understanding that the effects have a duration of approximately how long? 1. 5 minutes 2. 10 minutes 3. 30 minutes 4. 60 minutes 3. 30 minutes A client began taking amantadine (Symmetrel) approximately 2 weeks ago. The nurse determines that the medication is having a therapeutic effect if the client exhibits which finding? 1. Decreased voiding 2. Decreased blood pressure 3. Decreased rigidity and akinesia 4. Decreased white blood cell count 3. Decreased rigidity and akinesia A client has been prescribed a cough formula containing codeine sulfate. The nurse Page 37 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 4. Trigeminal neuralgia Carbamazepine (Tegretol) has been prescribed for a client, and the client asks the nurse about the action of the medication. The nurse's response should incorporate which information as a primary effect of this medication? 1. Anticonvulsant effect 2. Prevention of cellular division Page 40 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. Decrease in intraocular pressure 4. Interference with DNA production 1. Anticonvulsant effect The health care provider (HCP) writes a prescription for carbamazepine (Tegretol) for a client who was admitted to the hospital. The nurse contacts the HCP to verify the prescription if which condition is noted in the assessment data? 1. Hypertension 2. Tonic-clonic seizures 3. Trigeminal neuralgia 4. Bone marrow depression 4. Bone marrow depression Carbamazepine (Tegretol) has been prescribed for a client. The nurse should tell the client that which blood test will be done periodically while the client is taking this medication? 1. Lipase level 2. Amylase level 3. Ammonia level 4. Complete blood cell (CBC) count 4. Complete blood cell (CBC) count A nurse is transcribing a prescription for antibiotic therapy for a client with bacterial meningitis. The nurse understands that the medication that will be prescribed for the client will have which characteristic? Page 41 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Metabolizes slowly 2. Acts within minutes to hours 3. Crosses the blood-brain barrier 4. Excretes readily and easily in the urine 3. Crosses the blood-brain barrier Page 42 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. History of falls 2. Use of assistive devices 3. Postural (orthostatic) vital signs 4. Degree of exhibited intention tremor 3. Postural (orthostatic) vital signs The nurse is caring for a client with Parkinson's disease who is taking oral benztropine mesylate (Cogentin) daily. What is the priority nursing assessment for the client? 1. Intake and output 2. The prothrombin time 3. The pupillary response 4. The partial thromboplastin time 1. Intake and output A client with a diagnosis of trigeminal neuralgia is started on a regimen of carbamazepine (Tegretol). The nurse provides instructions to the client about the side/adverse effects of the medication. Which client statement indicates an understanding of the side/adverse effects of the medication? 1. "I will report a fever or sore throat to my health care provider." 2. "I must brush my teeth frequently to avoid damage to my gums." 3. "If I notice ringing in my ears that doesn't stop, I'll seek medical attention." 4. "If I notice a pink color to my urine, I will stop the medication and call my health care provider (HCP)." Page 45 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. "I will report a fever or sore throat to my health care provider." A home care nurse visits a client at home. Clonazepam (Klonopin) has been prescribed for the client, and the nurse teaches the client about the medication. Which client statement indicates that further teaching is necessary? 1. "My drowsiness will decrease over time with continued treatment." 2. "I should take my medicine with food to avoid any stomach problems." Page 46 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. "I can take my medicine at bedtime if it tends to make me feel drowsy." 4. "If I experience slurred speech, this problem will disappear in about 8 weeks." 4. "If I experience slurred speech, this problem will disappear in about 8 weeks." A client who is taking phenytoin (Dilantin) for a seizure disorder is being admitted to the hospital because of an increase in seizure activity. The client reports severe vomiting for the last 24 hours and inability to take phenytoin during that time. The nurse anticipates that the health care provider will most likely prescribe which medication? 1. Phenobarbital (Luminal) 2. Clonazepam (Klonopin) 3. Valproic acid (Depakene) 4. Fosphenytoin sodium (Cerebyx) 4. Fosphenytoin sodium (Cerebyx) The nurse teaches the wife of a client who is receiving levodopa/carbidopa (Sinemet) to avoid pyridoxine (vitamin B6) medications. Which statement by the wife indicates an understanding of the instructions? 1. "Vitamin B6 reverses the effectiveness of levodopa, meaning a higher dose is needed." 2. "Vitamin B6 will change perspiration and urine to a dark color, which may stain clothing." 3. "Levodopa competes with vitamin B6 for absorption in the intestine, blocking absorption." 4. "The two medications in combination will cause the blood sugar to Page 47 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS of the medication Meperidine hydrochloride (Demerol) is prescribed for a client with pain. What should the nurse monitor for as a side/adverse effect of this medication? 1. Diarrhea 2. Bradycardia 3. Hypertension Page 50 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 4. Urinary retention 4. Urinary retention The nurse is caring for a client receiving morphine sulfate for pain. Because this medication has been prescribed for this client, which nursing action should be included in the plan of care? 1. Encourage fluids. 2. Monitor the client's temperature. 3. Maintain the client in a supine position. 4. Encourage the client to cough and deep breathe. 4. Encourage the client to cough and deep breathe. A nurse is caring for a client who has been taking hydrocodone for the last 3 months. Which side/adverse effects of this medication should the nurse assess the client for? 1. Tachycardia and hypertension 2. Diarrhea and abdominal cramping 3. Psychological and physical dependence 4. Increased respiratory rate and bronchospasm 3. Psychological and physical dependence A nurse is reviewing the results of a test on a sample drawn from a child who is receiving carbamazepine (Tegretol) for the control of seizures. The results indicate a serum carbamazepine level of 10 mcg/mL. The nurse analyzes the results and anticipates that the health care provider (HCP) will note which prescription? Page 51 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Discontinuation of the medication 2. An increased dose of the medication 3. A decreased dose of the medication 4. Continuation of the presently prescribed dosage 4. Continuation of the presently prescribed dosage Page 52 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS A nurse preparing to administer carbamazepine (Tegretol) notices each of the following items on the client's breakfast tray. Which item should be a cause for concern and should be removed from the tray? 1. Carton of milk 2. Scrambled eggs 3. Grapefruit juice 4. Toast with honey 3. Grapefruit juice The nurse is told that the result of a serum carbamazepine (Tegretol) level for a child who is receiving the medication for the control of seizures is 10 mcg/mL. Based on this laboratory result, the nurse anticipates that the health care provider (HCP) will document which prescription? 1. Discontinuation of the medication 2. A decrease of the dosage of the medication 3. An increase of the dosage of the medication 4. Continuation of the presently prescribed dosage 4. Continuation of the presently prescribed dosage A client reports frequent use of acetaminophen (Tylenol) for relief of headaches and other discomforts. The nurse should evaluate which diagnostic data to determine if the client is at risk for toxicity? 1. Chest x-ray 2. The electrocardiogram Page 55 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 3. The liver function studies 4. The upper gastrointestinal x-ray results 3. The liver function studies The nurse is assisting in the care of a client who is being evaluated for possible myasthenia gravis. The health care provider gives a test dose of edrophonium (Enlon). Evaluation of the results indicates that the test is positive. Which would be the expected response noted by the nurse? Page 56 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 1. Joint pain for the next 15 minutes 2. An immediate increase in blood pressure 3. An increase in muscle strength within 1 to 3 minutes 4. Feelings of faintness or dizziness for 5 to 10 minutes 3. An increase in muscle strength within 1 to 3 minutes The nurse is assisting in the care of a client with myasthenia gravis who is receiving pyridostigmine (Mestinon). Which medication should the nurse plan to have readily available should the client develop cholinergic crisis because of excessive medication dosage? 1. Vitamin K 2. Atropine sulfate 3. Protamine sulfate 4. Acetylcysteine (Mucomyst) 2. Atropine sulfate A client with myasthenia gravis becomes increasingly weaker. The health care provider (HCP) injects a dose of edrophonium (Enlon) to determine whether the client is experiencing a myasthenic crisis or a cholinergic crisis. The nurse expects that the client will have which reaction if in cholinergic crisis? 1. No change in the condition 2. Complaints of muscle spasms 3. An improvement of the weakness 4. A temporary worsening of the condition Page 57 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 4. Blood urea nitrogen (BUN), 19 mg/dL 3. White blood cell count, 3200 cells/mm3 A nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the client is experiencing a side effect of the medication based on which finding? 1. Distended jugular veins Page 60 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 2. Bounding peripheral pulses 3. No bowel movement in 3 days 4. Change in blood pressure from 120/60 to 140/80 mm Hg 3. No bowel movement in 3 days A nurse is assisting in the care of a client being discharged on phenytoin (Dilantin), 100 mg three times daily, for seizure control. When providing client teaching about this medication, the nurse should be sure to include which points? Select all that apply. 1. Break the capsules so they are easier to swallow. 2. Use a soft toothbrush while taking this medication. 3. If a dose is missed, just wait until the next one is due. 4. Alcohol should be avoided while taking this medication. 5. The medication may turn the client's urine pink, red, or brown. 6. Sore throat is a common side effect of the medication and is nothing to worry about. 2. Use a soft toothbrush while taking this medication. 4. Alcohol should be avoided while taking this medication. 5. The medication may turn the client's urine pink, red, or brown. The nurse is providing instructions to an adolescent prescribed phenytoin (Dilantin) for the control of seizures. Which statement by the adolescent indicates a need for further teaching regarding the medication? 1. "The medication may cause acne or oily skin." Page 61 of 62 3 NCLEX RN PHARMACOLOGY FINAL EXAM STUDY GUIDE WITH CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 BEST EXAM SOLUTION GRADED A+ FOR EXCELLENT PASS 2. "Drinking alcohol may affect the medication." 3. "If my gums become sore and swollen I need to stop the medication." 4. "Birth control pills may not be effective when I take this medication." 3. "If my gums become sore and swollen I need to stop the medication." Page 62 of 62