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KAPLAN PHARM INTEGRATED EXAM | NEWEST ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | 100% PASS | 2025 UPDATE! The nurse instructs a client with a diagnosis of epilepsy who is prescribed phenytoin sodium. The nurse determines teaching is successful if the client makes which statement? 1. If my urine changes color, | should go to the emergency department. 2. | should avoid drinking alcohol while taking this medication. 3. There are no restrictions on my activities when | begin this medication. 4. | can stop taking the medication if | develop an upset stomach. | VVV¥ Correct Answer > 2. | should avoid drinking alcohol while taking this medication. A client diagnosed with venous thromboembolism (VTE) is prescribed warfarin at discharge. The nurse provides education about the medication and determines the client understands the teaching if the client makes which statement? 1. | will need to have blood drawn periodically to ensure my dosing is effective. 2. | should expect some abdominal cramping and tarry stools. 3. | should increase the intake of leafy green vegetables in my diet. 4. If | experience headache or joint pain | should take aspirin or ibuprofen. - VV¥ Correct Answer > 1. | will need to have blood drawn periodically to ensure my dosing is effective. The nurse provides teaching to the client and family about antibiotic therapy with gentamicin. Which 3 statements are correct for the nurse to include when providing education about the medication? 1. Your health care team will carefully monitor your urine output while you are on this medication. 2. It is important to infuse this medication as rapidly as possible and it may cause some discomfort. 3. We will be drawing blood immediately before you receive every dose of medication. 4. Report any changes with you hearing or increased dizziness to a nurse or HCP immediately. 5. We need to obtain your weight every day to help guide your therapy. 6. The pharmacist will use the peak levels of the medication to determine your next dose. 7. Any adverse effects you may experience are completely reversible. 4. Educate the client about the strong effects of a high allergen level on sinuses - VV Correct Answer > 3. Remind the client that the peak effect can take up to 3 weeks of regular use The nurse on the postsurgical unit reminds another nurse that both potassium chloride injectable concentrate and IV promethazine are "high alert" medications. The nurse understands that a "high alert" classification has which meaning? 1. Both medications increase the alertness of clients, so they can cough and deep breathe more effectively. 2. The medications stimulate the higher centers of the brain to overcome the sedative effects of anesthesia. 3. The medications can pose a risk to clients if extra care is not used in their storage and administration. 4. Both medications are dangerous and only used in rare emergency situations - VVV¥ Correct Answer > 3. The medications can pose a risk to clients if extra care is not used in their storage and administration. The nurse provides medications teaching for a client with a diagnosis of hypertension who is prescribed a clonidine patch. Which statement is most important for the nurse to include in the teaching? 1. If you develop a dry mouth or become dizzy, notify the HCP immediately. 2. Apply the patch to a clean, dry, hairless site on the upper arm, outer arm, or upper chest. 3. Remove the patch before you swim or take a shower or tub bath. 4. Remove the old patch and apply a new patch at the same time every other day. - VVV¥ Correct Answer > 2. Apply the patch to a clean, dry, hairless site on the upper arm, outer arm, or upper chest. The nurse provides care for a client with asthma. Which medication prescription would the nurse question for a client with asthma? 1. Albuterol 2. Hydrocodone 3. Theophylline 4. Ipratropium - VVV Correct Answer > 2. Hydrocodone The nurse teaches a client about the use of a stool softener following surgery. Which instruction is most important for the nurse to include? 1. If you experience constipation, take this medication each evening. 2. It is very important for you to drink plenty of liquids while you are taking this medication. 3. Take the medication 3 times a day for as long as you feel you need it. 4. Swallow the medication with a full glass of water and remain upright for 30 minutes. - VVV Correct Answer > 4. Swallow the medication with a full glass of water and remain upright for 30 minutes. A client receives aminophylline 400 mg every 6 hours. The ampule contains 500 mg in 20 mL of fluid. How many mL does the client receive in 24 hours? = VW Correct Answer > 64 mL The nurse provides care for a client diagnosed with a degenerative joint disease. The nurse reviews the client's home medications and notes the client takes acetaminophen and celecoxib. The nurse is most concerned if the client makes which statement? 1. My urine is dark even though | drink plenty of fluids. 2. | should avoid drinking alcohol when | take this medication. 3. | need to check the ingredients in the cold medicine | take. 4. | take an NSAID for my joint pain. - VV¥ Correct Answer > 1. My urine is dark even though | drink plenty of fluids. The nurse provides medication teaching for a client prescribed spironolactone for treatment of hypertension. The nurse determines that further teaching is necessary if the client makes which statement? 1. | will continue to include milk, yogurt, and other dairy products in my diet. 2. | have decreased the number of oranges, bananas, and apricots in my diet. 3. | will use a salt substitute instead of iodized salt. 4. | have decreased the amount of broccoli, potatoes, and leafy green vegetables in my diet. 5. | limit my fluids so | don't have to run to the bathroom. 6. | should notify the HCP if | experience muscle weakness or heart palpitations. - V/V Correct Answer > 3, 5 The nurse teaches a client diagnosed with type 1 diabetes mellitus how to administer both regular and intermediate acting insulin in one syringe. Which actions by the client indicate the client understands how to correctly administer these medications? 1. The client removes the vials from the refrigerator and places them under hot running water. 2. The client vigorously shakes the vial of intermediate acting insulin before withdrawing the prescribed amount. 3. The client administers the injection deep into the vastus lateralis muscle. 4. The client draws up the regular insulin first, and then the intermediate acting insulin. - VVV¥ Correct Answer > 4. The client draws up the regular insulin first, and then the intermediate acting insulin. The nurse provides care for a client with a diagnosis of depression who has been receiving fluoxetine for 8 months. The client reports, "Since | have been on the medicine | feel less depressed, but | have been having frightening dreams and | want to stop taking it." Which response by the nurse is most appropriate? 1. Fluoxetine does not cause sleep disturbances. It must be something else. 2. The dosage of medication must be reduced gradually or you may experience severe adverse effects. 3. Stop taking it and I'll call the HCP to prescribe something else. 4. lf your depression is decreased, You should stay on the medication. | VVV¥ Correct Answer > 2. The dosage of medication must be reduced gradually or you may experience severe adverse effects. A client is diagnosed with systemic lupus erythematosus (SLE). The nurse understands which is an adverse effect of prednisone prescribed for this client? Select all that apply 1. Alteration in mental status 2. Hypoglycemia 3. Fluid volume deficit and hypotension 4. Fine hand tremors 5. Poor wound healing 6. Muscle wasting - V/V Correct Answer > 1, 5, 6 A client asks the nurse why diphenhydramine may be prescribed. The nurse understands that diphenhydramine may be prescribed if a client reports which symptom? Select all that apply 1. Paresthesias 2. Dyspepsia 3. Pruritis 4. Dysuria 5. Motion sickness 6. Rhinitis - VV Correct Answer > 3, 5, 6 A client is prescribed morphine per patient controlled analgesia (PCA pump) to control pain following surgery. The nurse assesses the client and notes the client is lethargic, the respiratory rate is 6 per minutes, and the client's pupils are pinpoint. Which intervention does the nurse provide immediately? 1. Changes the medication in the PCA to hydromorphone. 2. Administers naloxone hydrochloride. 3. Suctions the client and places on oxygen per nasal cannula. 4. Completes a neurologic assessment. - VV¥ Correct Answer > 2. Administers naloxone hydrochloride. For each body system, what complication is the client at risk for due to treatment with gentamicin? Genitourinary 1. Hydronephrosis 2. Urolithiasis 3. Acute kidney failure - VV¥ Correct Answer > 3. Acute kidney failure For each body system, what complication is the client at risk for due to treatment with gentamicin? Neurological 1. Aphasia 2. Peripheral neuropathy 3. Occipital neuralgia - VVV Correct Answer > 2. Peripheral neuropathy The nurse recognizes which medication is ineffective for the treatment of pulmonary emboli? 1. Tenecteplase 2. Streptomycin 3. Reteplase 4. Alteplase (tPA) - VVV Correct Answer > 2. Streptomycin A client with a diagnosis of multiple sclerosis is prescribed baclofen 10 mg PO four times a day for muscle spasms. When caring for the client, the nurse is most concerned if the client makes which statement? 1. | was about 45 minutes late taking my medication this morning. 2. It is easier for me to remember my medication if | take it with meals and at bedtime. 3. | have not been able to have a bowel movement for 3 days and | feel so bloated. 4. Sometimes | feel really light-headed and drowsy and | have to lie down. - VV¥ Correct Answer > 3. | have not been able to have a bowel movement for 3 days and | feel so bloated. The home care nurse teaches a client using a metered-dose inhaler. Which method does the nurse teach the client to use to determine when to replace the canister? 1. Place the canister in water to see if it floats. 2. Shake the canister to see how much is remaining. 3. Exchange the canister every 20 days regardless of the number of doses used. 4. Lovastatin is a fibric acid agent that activates lipoprotein lipase. | VVV¥ Correct Answer > 2. Lovastatin prevents an enzyme in the liver from making more cholesterol. The nurse provides care for a client diagnosed with schizophrenia who is taking chlorpromazine. When providing medication education to the client, the nurse includes information about which common adverse effects? 1. Insomnia and restlessness 2. Abnormal motor movements and dry mouth 3. Weight loss and increased libido 4. Hypertension and dyspnea - VVV¥ Correct Answer > 2. Abnormal motor movements and dry mouth Which nursing measure is included in the teaching plan for the client regarding the use of beclomethasone? 1. Instruct the client to drink copious amounts of water before taking beclomethasone. 2. Instruct the client on the proper use of the inhaler. 3. Instruct the client to discontinue beclomethasone if there is no therapeutic response in 2 weeks. 4. Instruct the client to take beclomethasone during an acute asthma attack. - VVV Correct Answer > 2. Instruct the client on the proper use of the inhaler. The nurse provides care for a client with new diagnosis of active tuberculosis. The nurse anticipates which medications will be prescribed for the client's treatment? 1. Ramipril and ibuprofen 2. Ibandronate and remeron 3. Isoniazid and rifampin 4. Risperidone and imipramine - VVV¥ Correct Answer > 3. Isoniazid and rifampin Which factors increase the risk of medication error occurring? 1. The nurse is hurrying to pass a medication before breakfast. 2. The behavioral health nurse is unfamiliar with the units and clients. 3. The nurse verifies each medication dosage with the medication record. 4. The nurse fails to use two client identifiers. 5. The client speaks to the nurse when giving medication. 6. The client's armband is not attached to the client. 7. The two clients in the nurse's care have the same last name. A client is prescribed morphine sulfate 4 mg IV every 4 hours PRN for pain after surgery. The nurse assesses the client 30 minutes after giving the medication for a report of pain of 8 on the 1-10 numeric pain scale. The client's vital signs are: BP 172/88 mm Hg, pulse 92/min, and respirations 22/min. The client reports a pain level of 8. Which action by the nurse is most appropriate. 1. Notify the health care provider to increase the dose. 2. Tell the client to cough and deep breathe. 3. Suggest the client listen to music. 4. Assess the client's IV site. - VV¥ Correct Answer > 4. Assess the client's IV site The nurse provides care for a client admitted with a diagnosis of diabetic ketoacidosis. The nurse anticipates that which type of insulin will be prescribed? 1. Rapid acting insulin 2. Long action insulin 3. Short acting insulin 4. Intermediate acting insulin - VV¥ Correct Answer > 3. Short acting insulin A client with a diagnosis of metastatic lung cancer is prescribed a transdermal fentanyl patch. Which information must the nurse understand to ensure the client achieves effective pain relief? 1. The transdermal patch is fully effective immediately after application. 2. There is little risk of respiratory depression when using a transdermal fentanyl patch. 3. The client will require administration of pain medication for several hours after application of the patch. 4. Desired and adverse effects of the patch cease as soon as the patch is removed/ - VVV¥ Correct Answer > 3. The client will require administration of pain medication for several hours after application of the patch. The nurse recognizes which antipsychotic is used as a treatment for Tourette syndrome? 1. Risperidone 2. Quetiapine 3. Ziprasidone 4, Haloperidol - VV'v Correct Answer > 4. Haloperidol A client reports multiple watery bowel movements after taking a prescribed antibiotic for several weeks. The client is prescribed 
