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NUR 2474 EXAM 2 NEWEST 2025 PHARMACOLOGY
FOR PROFFESIONAL NURSING ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ (RASMUSSEN)
NUR 2474 EXAM 2
A client with heart failure has been taking an angiotensin converting enzyme (ACE) inhibitor, a thiazide diuretic and a beta-blocker for several months comes to the clinic for evaluation. As part of the ongoing assessment of this client, the nurse will expect the provider to order which assessment? - CORRECT ANSWER -Serum electrolyte levels.
A provider has ordered captopril for a client and the nurse notes the client has a history f swelling of the tongue and lips after taking enalapril. Which action by the nurse is correct? - CORRECT ANSWER -Hold the dose and notify the provider (angioedema is a serious side effect of ACE inhibitors.
Which statement by the student nurse indicates the need for further teaching regarding the use of sucralfate and ciprofloxacin to treat peptic ulcer disease? - CORRECT ANSWER -Sucralfate may cause systemic side effects.
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A nursing student who is preparing to care for a postoperative client with DVT asks the nurse why the client must take heparin rather than warfarin. Which response by the nurse is correct? - CORRECT ANSWER -The onset of warfarin is delayed.
A client with COPD is prescribed tiotropium. After an initial dose, the client reports only mild relief within 30 minutes. What is the nurse's best response? - CORRECT ANSWER -You should see improved effect within the next week. (Titropium is long acting, usually once a day and and it may take several weeks to see full effect. Used for prevent prevention, not acute flare.
A client with diabetes develops hypertension. This will anticipate administering which type of medication to treat hypertension in this client? - CORRECT ANSWER -ACE inhibitors (or angiotensin II receptor blockers because they prevent and slow kidney disease in diabetes)
A client with asthma is admitted to an emergency department with a respiratory rate of 22, O2 saturation 90% on room air.The client reports using FLUTICASONE in inhaler 110 µg twice daily and two puffs of albuterol, 90 µg/puff every four hours for two days. The nurse will expect to administer, which medication's? - CORRECT ANSWER -IV. Glucocorticoids, nebulized, albuterol, and ipratropium, and oxygen.
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A client with chronic hypertension is admitted to the hospital.During the admission assessment, the nurse notes, a heart rate of 96, a blood pressure of 150/90 with bibasilar crackles, 2+ pitting edema of the ankles and distention of the JVD. What medication will the nurse expect the provider to order? - CORRECT ANSWER-Furosemide
The Ford ministering hydrochlorothiazide, the nurse reviewed the clients chart. Which laboratory value causes the nurse, the most concern? - CORRECT ANSWER -Elevated creatinine clearance.
Which of these effects associated with the use of protein pump inhibitors and older clients would be most concerning to the nurse? SATA. - CORRECT ANSWER -Osteoporosis (increased risk of osteoporosis related fractures with use of PPI) Mineral deficiencies
A client who is taking digoxin is admitted to the hospital for treatment of CHF, and the provider orders furosemide. The nurse notes by Bassler crackles, and a regular heart rate of 86, respiratory rate 22, and blood pressure of 130/82. Which laboratory value would be most concerning for the nurse? -
CORRECT ANSWER -Potassium: 3.0
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A client is taking gentamycin and furosemide. The nurse should counsel a client taking gentamycin furosemide to immediately report which symptoms? SATA - CORRECT ANSWER - Frequent nocturia Tinnitus - Ringing in the ear
A client who is receiving factor VIII concentrate to treat hemophilia a develops hives, low-grade temp elevation with a stuffy nose. What is the nurse's best response? - CORRECT
ANSWER-Give oral diphenhydramine (mild symptoms: hives,
itching, stuffy nose, coughing, and fever)
The nurse will be most concerned with which findings in the clients history preparing to take propranolol? - CORRECT ANSWER-Asthma (propanolol is a beta blocker and if used in asthma, it blocks their adrenergic impulse to the bronchial tree that causes bronchodilation. This means beta blockers increased bronchoconstriction, and therefore contraindicated and asthma.)
A client who recently started therapy with an HMG-COA reductase inhibitor asked the nurse, "how long will it take until I see an effect on my LDL cholesterol?" What is the nurse's best response? - CORRECT ANSWER -"A reduction will be seen within two weeks."
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