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RN PHARMACOLOGY A RELIAS A ACTUAL EXAM
2024-2025 ALL VERSIONS (1, 2 & 3) QUESTIONS AND
ANSWERS (JUST RELEASED)
RN Pharmacology A EXAM 1 A client is brought to the emergency department for accidental warfarin [coumadin] overdose.The nurse determines that the client has no apparent signs of bleeding. Which action should the nurse take next?
- obtain a stat PTT level
- administer protamine sulfate
- type and cross match the patient's blood
- draw a stat blood level for PT or INR - ANSWER-d. draw a stat blood level for PT or INR
In which of the following situations should the nurse prepare to administer protamine sulfate?
- a patient on warfarin with an INR of 4 and tarry stools
- a patinet on warfarin with a PT of 12seconds and bleeding from a laceration
- a patient on a heparin drip with aPTT >120 seconds and active GI bleed
- A patient on a heparin drip with a PTT of 60 seconds and pink tinged urine.(side effect of
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heparin) - ANSWER-c. a patient on a heparin drip with aPTT >120 seconds and active GI bleed
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2 A client is starting sildenafil (viagra) for the treatment of pulmonary hypertension. which of these medications can cause a serious reaction if they are taken with sildenafil?
- nitroglycerin, an antianginal
- clopidigrel, an antiplatelet
- simvastatin, an antilipemic
- coenzyme Q an herbal remedy
- doxazosin, an alpha blocker - ANSWER-a. nitroglycerin, an antianginal
- doxazosin, an alpha blocker
Atenolol (tenormin) has been prescribed for a client who is recovering from a recent heart attak. The nurse would consult the provider before giving the medicine in which of these situations? select all that apply
- pulse 52
- BP 108/86
- respirations of 32 with wheezes
- blood glucose 50
- tension headache
- parkinsonian tremors - ANSWER-a. pulse 52
- respirations of 32 with wheezes
- blood glucose 50 2 / 4
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A client presents in the clinic with concerns of having taken his dabigitran ( Pradaxa ) twice this morning. Realizing that this is a new oral anticoagulant (NOAC), what should the nurse do next?select all that apply a seek advice from the physician
- ask the client to share how the overdose happened
- have the client eat a spinach salad
- have the lab check astat INR
- calm the client by explaning that the medication has a 12 hour half life
- assess for signs of active bleeding - ANSWER-a seek advice from the physician
- ask the client to share how the overdose happened
- calm the client by explaning that the medication has a 12 hour half life
- assess for signs of active bleeding
In preparing to administer albuterol (proventil) and beclomethasone ( Beconase) inhalers to an asthmatic client what is most important for the nurse to remember?
- change the schedule, because these medications should not be administered concurrently
- Administer the albuterol first, wait 5 minutes and then administer the beclomethasone
- call the prescriber, because these medications are the same 3 / 4
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- Administer the beclomethasone before breakfast and the albuterol after breakfast -
ANSWER-b. Administer the albuterol first, wait 5 minutes and then administer the beclomethasone
because albuterol will dilate the bronchioles so that you system can then better absorb the long acting beclomethasone
A hospital patient receives codeine as an antitussive. What type of client could be harmed by cough suppression?
- a client with asthma
- a client with reflux and impaired swallowing who aspirates
- A client with loose stools
- a client who is allergic to bee stings - ANSWER-b. a client with reflux and impaired swallowing
who aspirates
A patient with a pneumonia related cugh has been advised to add guaifenesin to the regimen of antibiotics. The client asks about the purpose of the drug. How should the nurse's respond?
- guaifenesin will potentiate the antibiotics you are taking to fight the infection
- guaifenesin will relieve any pain associated with your cough
- guaifenesin will help dry your secretions so that you produce less mucus with your cough
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