Rasmussen NUR2407 2021 August All Quizzes Latest
NURS2407/NURS-2407/NURS 2407
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NUR2407 Pharmacology
Module 1 Quiz
The nurse is explaining to a new student nurse the nursing process. Which of the following is the correct order of this process?
Assessment, nursing diagnosis, planning, implementation, evaluation
Implementation, planning, evaluation, assessment, nursing diagnosis
Assessment, planning, nursing diagnosis, implementation, evaluation
Planning, assessment, nursing diagnosis, implementation, evaluation
Question 2The nurse receives a client with a risk for injury due to taking sedatives. This is included in what phase of the nursing process?
Nursing diagnosis
Implementation
Evaluation
Planning
Question 3The nurse has just given a dose of antibiotic. Which measurement checks for the highest plasma/serum concentration of the drug?
Albumin level
Trough level
Half-life level
Peak level
Question 4When entering the client’s room for assessment purposes, which of these things would be inappropriate by the nurse? (Select all that apply)
Agreeing to be friends on social media
The nurse shares his/her own date of birth
Taking a picture of the client’s wound and sharing it outside of work
Asking the client to share their name and date of birth
Knocking on the door
Handwashing
Question 5The nurse is explaining the disintegration of enteric coated tablets to a client. Where would the nurse teach that this occurs at in the body?
Stomach
Liver
Small intestines
Colon
NURS2407/NURS-2407/NURS 2407
NUR2407 Pharmacology
Module 2 Quiz
When reviewing the client’s list of medications, the nurse notes that two anticholinergics have been prescribed. Which of the client’s recent symptoms could be caused by excessive anticholinergic therapy? (Select all that apply.)
Light sensitivity due to dilated pupils
Hyperacidity and gastric reflux
Frequent loose stools
Tachycardia
Dry mouth
Question 2 A nurse is taking a history from a client admitted for medication related syncope. Which of these comments from the client needs to be reported to the provider? (Select all that apply.)
“I’m taking over the counter substitutes for the medicines I can’t affort.”
“I get my medicines from an online supplier, so I never run out of them, and refills are cheaper that way.”
“I don’t like to bother the doctor every time I need a medication refill, so sometimes I don’t.”
“My cardiologist never orders anything. He just tells my regular doctor what to order.”
“I just gave you my medication list the last time I was here!. Nothing has changed. Look it up!”
Question 3 Which teaching point is correct about the concept of “tolerance”?
Tolerance is a state where people become used to pain, and therefore need less pain medicine.
In tolerance, smaller drug doses are needed to achieve prior effects because the body develops an increased responsiveness to the drug.
Tolerance occurs in slow metabolizers. Slow metabolism leads to prolonged sedation.
In tolerance, larger drug doses are needed to achieve prior effects because the body develops a reduced responsiveness to the drug.
Question 4 The provider is considering starting a diabetic client on valproic acid for nerve pain this week. During the health history, the client tells the nurse, “I drink a six pack of beer daily and two to three six packs on weekends.” What is the priority nursing action?
Reassure the client that beer and valproic acid are compatible.
Obtain a lab order to assess the current level of valproic acid.
Seek an order for liver function labs to see if valproic acid would be safe for the client.
Tell the client his alcoholism is causing his nerve pain, so medicine won’t help.
Question 5The client diagnosed with a general anxiety disorder is prescribed alprazolam. Which information should the clinic nurse discuss with the client?
Tell the client to avoid foods that are high in vitamin K.
Tell the client to expect rigidty as a side effect.
Explain to the client that this medication is intended for short-term use only.
Instruct the client to take the medication before driving to avoid transit anxiety.
NURS2407/NURS-2407/NURS 2407
NUR2407 Pharmacology
Module 3 Quiz
Question 1Aspirin could be detrimental in which of these situations? (Select all that apply.)
Client is also pregnant
Client also has rheumatoid arthritis
Client is a child with a fever
Client also takes anticoagulants
Client also has a peptic ulcer
Question 2The nurse is preparing to administer lithium to a client with bipolar disorder whose lithium level is 2.0 mEq/L. What symptoms might the nurse expect to see? (Select all that apply.)
Pacing
Slurred speech
Drooling
Unsteady gate
Hunger
Irregular heart rate
Question 3Sumatriptan is ordered for an elderly client experiencing a migraine. The nurse understands that triptans are contraindicated in which condition?
Chronic lung disease
Irritable bowel syndrome
Cerebrovascular insufficiency
Narcotic dependency
Question 4A client with persistent pain due to cancer is brought to the emergency department by his spouse. Upon assessment, the nurse notes pinpoint pupils and a respiratory rate of 6 breaths per minute. The nurse should immediately prepare for administration of which medication?
Naloxone
Flumazenil
Methamphetamine
Acetylcysteine
Question 5A client who started an antidepressant 1 week ago tells his nurse, “I really don’t think this medication is helping me.” Which response by the nurse would be most appropriate?
“It can take weeks for antidepressants to work. How are you doing?”
“Why do you think the medication is not helping you?”
“What were you hoping would happen?”
“You need to come to the clinic so we can discuss this.”
NURS2407/NURS-2407/NURS 2407
NUR2407 Pharmacology
Module 5 Quiz
Assignment Content
Question 1A nurse is caring for a client with an infection that is being treated with tobramycin. Which of the following findings would most concern the nurse?
Proteinuria
Concentrated urine
Decreased blood urea nitrogen (BUN)
Decreased white blood cell count
Question 2Which of these clients would be most at risk for an allergic reaction to a penicillin injection?
A client who reports a history of a mild rash from penicillin taken 7 years ago.
A client who has a history of asthma triggered by food allergies
A client who had a hypotensive episode following a stress treadmill study with contrast
A client who reports an episode of hives after taking grape flavored acetaminophen
Question 3The nurse is caring for a client receiving gentamicin intravenously. What condition would most concern the nurse?
Frequent voiding
Ringing in the ears
Ear pain
Loss of appetite
Question 4A client, who is taking rifampin, telephones the nurse to say, “My urine and saliva have looked orange-red for the past 2 days.” Select the nurse’s best response.
“This is a typical, temporary effect of the drug. Do you want to have your labs checked anyway?”
“Continue the drug for another week to see if the color worsens.”
“This is consistent with an allergic response, and the drug should be stopped.”
“Stop the drug immediately to protect against hepatic harm.”
Question 5A client has just received a prescription for a 10-day course of penicillin for the treatment of strep throat. What client education is essential for the nurse to provide?
The entire course of the drug should be taken to prevent the re-emergence of a resistant strain.
The medication should be discontinued if diarrhea occurs.
The medication should be discontinued when symptoms resolve to prevent emerging allergies.
Family members and close contacts should also receive treatment.
NURS2407/NURS-2407/NURS 2407
NUR2407 Pharmacology
Module 6 Quiz
Question 1The nurse is caring for a client who comes to the clinic with tinea corporis, for which the prescriber orders clotrimazole. What education about this medication should the nurse provide?
“Continue the therapy for at least 1 week after the symptoms have cleared up.”
“Sun exposure will negate the drug’s effects.”
“This drug is effective after a single application.”
“Use the medication over the entire body once a week for 1 month.”
Question 2A campus nurse is teaching a group of college students about safe use of oral contraceptives. Which of these groups should be counseled to avoid the use of oral contraceptives?
Women who have given birth
Women who smoke heavily
Women who have had an intrauterine device (IUD) in the past
Women who had an abortion
Question 3The nurse manages care for a client with diabetes who takes metformin. Which laboratory result would cause the nurse to question the prescription?
Decreased platelets
Increased iron
Elevated creatinine
Decreased hemoglobin
Question 4When metronidazole is a component of the H. pylori treatment regimen, what instructions should the client receive?
Take the drug with food.
Avoid any alcoholic beverages.
Take the drug on an empty stomach.
Avoid foods containing tyramine.
Question 5A public health nurse is providing client education for a client who is being treated for scabies. The client has been prescribed 5% permethrin cream to eradicate the scabies. What instruction about applying the cream should the nurse provide?
“Apply cream once over body, but not head, wrap with gauze, rinse after 8-12 hours.”
“Apply permethrin cream to your hair. Cover with a shower cap. Leave in place for 16 hours.”
“Apply cream once, cover yourself from head to toe and rinse after 10 minutes.”
“Apply lotion, covering head to toe every day for 7 to 10 days. Shower after 30 minutes”
NURS2407/NURS-2407/NURS 2407
NUR2407 Pharmacology
Module 9 Quiz
Question 1A client, who has been seeing multiple doctors, reports that she is taking lisinopril and another antihypertensive medication, the name of which she can’t recall. What type of antihypertensive is contraindicated when people are taking angiotensin-converting enzyme (ACE) inhibitors due to risk of compound effects?
Beta blockers
Potassium-sparing diuretics
Calcium channel blockers
Thiazide diuretics
Question 2A client with stable angina is starting treatment with nifedipine. The client’s spouse asks how nifedipine alleviates chest pain. How should the nurse respond?
“It increases the heart rate and contractility.”
“It helps the heart propel blood forward by reducing aortic blood pressure.”
“It improves cardiac circulation through vasoconstriction.”
“It reduces platelet aggregation.”
Question 3While preparing to administer a scheduled dose of digoxin, the nurse finds a new lab result showing a digoxin level of 0.7 ng/mL. What action should the nurse take?
Check the patient’s apical pulse, and if it is within a safe range, administer the digoxin.
Withhold the drug and notify the prescriber immediately.
Administer Digibind to counteract the toxicity.
Hold the drug for an hour and reassess the level.
Question 4A client has been taking digoxin 0.25 mg, and furosemide 40 mg, daily. Upon routine assessment by the nurse, the client states, “I see yellow halos around the lights.” The nurse should perform which of the following actions based on this assessment?
Consult the provider then request a digoxin and potassium level check.
Document the findings and reassess in 1 hour.
Continue to monitor the patient for heart failure.
Withhold the next dose of furosemide.
Question 5A client is brought to the emergency department for an accidental warfarin overdose. The nurse determines that the client has no apparent signs of bleeding. Which action should the nurse take next?
Obtain a stat prothrombin time (PT) or international normalized ratio (INR).
Administer protamine sulfate.
Type and cross-match the client’s blood.
Obtain a stat partial thromboplastin time (PTT).
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