Pharmacology Exam V2 Latest

BSN 315 HESI RN Specialty Pharmacology Exam V2 (Latest Update 2024 / 2025) Questions & Answers | 100% Correct | Grade A - Nightingale

Question:

A client who is diagnosed with methicillin-resistant Staphylococcus aureus receives a prescription for vancomycin. Which assessment should the nurse perform to identify a potential adverse effect?

• Whisper test.
• Romberg test.
• Tactile discrimination.
• Skin turgor.

Answer:

Whisper test.

(Assesses hearing acuity and is related to potential ototoxicity. Vanco can cause damage to the inner ear.)

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Question:

The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea?

• Colchicine.
• Erythromycin.
• Naproxen.
• Labetalol.

Answer:

Colchicine.

(Associated with GI side effects, N/V/D can indicate toxicity.)

Question:

The mother of a newborn asks the nurse why her infant needs the vitamin K injection. Which information should the nurse provide?

• Bacteria that synthesize vitamin K are not present in the newborn's

intestinal tract.

• Oral vitamin K impedes the synthesis of clotting factors in the liver.
• The maternal diet is often deficient in vitamin K, so the infant is also

deficient in the vitamin.

• The synthesis of vitamin K is inadequate for 3 to 4 months in the newborn.

Answer:

Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.

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Question:

A client is receiving fentanyl via an epidural infusion. Which side effect should the nurse anticipate in the first 24 hours of epidural analgesia?

• Headache.
• Agitation.
• Urinary retention.
• Abdominal cramping and diarrhea.

Answer:

Urinary retention.

Question:

Which route should the nurse clarify with the healthcare provider prior to administering a drug with a high first-pass effect?

• Oral.
• Buccal.
• Sublingual.
• Intravenous.

Answer:

Oral.

(The first-pass effect occurs when hepatic metabolism decreases the bioavailability of a drug. Oral forms of medications are processed through the GI tract, absorbed through the small intestines, and undergo the first-pass effect in the liver in which some of the active ingredients are removed from the drug before it reaches the intended site of action.)

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Question:

The nurse should instruct a client to avoid which product while taking carisoprodol for muscle spasms?

• Aspirin products.
• Antacids.
• Alcoholic beverages.
• Dairy products.

Answer:

Alcoholic beverages.

Question:

Which side effects should the nurse monitor for a client who is receiving dexamethasone following neurosurgery? (Select all that apply.)

• Mood swings.
• Decreased appetite.
• Increased weight gain.
• Serum glucose level of 65 mg/dl.
• Delayed incisional wound healing.
• Serum hemoglobin level of 9 mg/dl.

Answer:

Mood swings Increased weight gain Delayed incisional wound healing Serum hemoglobin level of 9mg/dl.

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