Download NURS 306 - FOUNDATIONS OF PHARMACOLOGY MIDTERM EXAM 2025|65Qs&As|100% VERIFIED|A+GRADE and more Exams Pharmacology in PDF only on Docsity!
NURS 306 - FOUNDATIONS OF PHARMACOLOGY /
DOSAGE CALCULATIONS MIDTERM EXAM
2025 |65Qs&As|100% VERIFIED|A+GRADE
Give Atropine Sulfate (Atropair) 300 mcg subcutaneous. Pharmacy sends an ampule of Atropine Sulfate (Atropair) 0.5 mg/mL. How many milliliters does the nurse administer? A.. B. 0. C. 6. D. 6. B. 0. Give Cyclosporine (Neoral) 12 mg/kg PO BID. She weighs 176 lbs. How many milligrams will the nurse give for each dose? A. 950 B. 950. C. 960 D. 970 C. 960 Ordered Keflex (Cephalexin) 550 mg orally Q6H. What the unit has available is Keflex 250 mg/5 mL. How many milliliters will the nurse give? A. 9 B. 10
C. 11
D. 12
C. 11
The doctor orders Keflex 250 mg IM stat. Available is a vial of Keflex in powder form labeled 1000 mg, the directions are to add 9 mL sterile water for injection to make solution; Keflex 100 mg/mL. How many milliliters will client receive? A. 2. B. 2. C. 2. D. 2 A. 2. Orders: Humulin N 22 units with breakfast Humulin R 6 units every morning at breakfast Humulin R sliding scale insulin before meals and at bedtime as follows: 151 - 200 ... 2 units 201 - 250 ... 4 units 251 - 300 ... 6 units 301 - 350 ... 8 units 351 - 400 ... 10 units over 400 call the physician
A. Usual dose of insulin will be given to maintain the patient's blood glucose level. B. Increased dose of insulin will be given to offset the physical stress caused by the procedure. C. Obtain fingerstick and modify dose of insulin as appropriate/needed based on doctors order. D. No insulin will be given until the patient is on a regular diet. C. Obtain fingerstick and modify dose of insulin as appropriate/needed based on doctors order. Which of the following IS NOT part of the anesthesia personnel's duties of monitoring, measuring, or assessing in the OR? A. Incubate the patient as relevant B. Vital signs C. Level of anesthesia D. Room temperature D. Room temperature The acute, life-threatening complication of malignant hyperthermia (MH) is caused by which type of anesthesia? A. General anesthesia B. Nerve blocks C. Local anesthesia D. Spinal anesthesia A. General anesthesia
A patient experiences malignant hyperthermia (MH) after induction of anesthesia. Which of the following IS NOT a nursing intervention for MH? A. Wrap the extremities with warm towels B. Assess ABG's and serum blood chemistries C. Apply a cooling blanket over the torso D. Monitor VS and oxygenation A. Wrap the extremities with warm towels Which patient would be a candidate for a spinal (nerve) block? A. Suturing a laceration B. Abdominal surgery C. Caesarean section delivery D. Left knee arthroscopy D. Left knee arthroscopy What is the primary purpose of a post anesthesia care unit (PACU)? A. Follow through with the surgeon's postoperative orders. B. Ongoing critical evaluation and stabilization of the patient. C. Prevention of lengthened hospital stay. D. To wake the patient up after the surgical procedure B. Ongoing critical evaluation and stabilization of the patient.
D. Pulmonary embolism A. Pneumonia A postoperative patient expresses anxiety to the nurse about an upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse? A. "If it is any help, everyone is nervous before surgery." B. "I will be happy to explain the entire surgical procedure to you." C. "Can you share with me what you've been told about your surgery?" D. "Let me tell you about the care you'll receive after the surgery and the amount of pain you can anticipate." C. "Can you share with me what you've been told about your surgery?" The nurse is conducting preoperative teaching for a client scheduled for surgery in 1 week. The client has a history of arthritis and takes acetylsalicylic acid (aspirin). The nurse determines that the client needs additional teaching if the client makes which statement? A. "Aspirin can cause bleeding after surgery." B. "Aspirin can cause the ability of my blood clotting to be abnormal." C. "Because of pain, I have to continue to take the aspirin until the day of surgery." D. "I need to check with my healthcare provider about the stopping the aspirin before surgery." C. "Because of pain, I have to continue to take the aspirin until the day of surgery."
The nurse is monitoring the status of a postoperative, day 1 client. Which sign or symptom would be most concerning of a potential evolving complication? A. Increasing restlessness B. A pulse of 86 beats/min C. Blood pressure 110/70 mmHg D. Hypoactive bowel sounds in all four quadrants A. Increasing restlessness The client is to take nothing by mouth after 4am. The nurse recognizes that the client has deficient knowledge when he: A. Ate a gelatin dessert at 3:30am B. Brushed his teeth at 7am without swallowing any water C. Held a cold washcloth against his lips D. Smoked a cigarette at 6am D. Smoked a cigarette at 6am The client tells the nurse that he is allergic to shellfish. The nurse asks the client if he is allergic to:
D. Inability to move legs bilaterally A. Bladder distention A patient is having an abdominal hernia repair. Which surgical position will most likely be used? A. Lithotomy B. Supine C. Prone D. Jack knife B. Supine On the first day after surgery, a client has been on room air. The vital signs are normal but the oxygen saturation is 90% on RA. What should the nurse do FIRST? A. Assist the client to take several deep breaths and cough then recheck the oxygen saturation level. B. Reposition the client to side-lying position and recheck the oxygen saturation level. C. Notify the physician. D. Administer oxygen by nasal cannula at 4L/min
A. Assist the client to take several deep breaths and cough then recheck the oxygen saturation level. The patient has been diagnosed with sepsis with a temperature of 101.6, oral. What doctor orders would the nurse anticipate as the BEST actions? A. Give packed red blood cells, obtain UA, cooling blanket B. Obtain UA, cooling blanket, initiate broad-spectrum antibiotics C. Draw blood cultures, heating blanket, initiate broad-spectrum antibiotics D. Draw blood cultures, cooling blanket, initiate broad-spectrum antibiotics D. Draw blood cultures, cooling blanket, initiate broad-spectrum antibiotics A young trauma patient is at risk for hypovolemic shock related to hemorrhage. What baseline indicator allows the nurse to recognize the early signs of shock? A. Increased urine output B. Increased pulse rate C. Food intake D. Increase blood pressure B. Increased pulse rate
A patient had abdominal surgery and is coming to the unit with a penrose drain. Which of the following would be interventions for this type of drain? (select all that apply) A. Measure the drainage output Q1H and record the I/O. B. Assess drainage for color q shift. C. Change the dressing q shift and PRN. D. Assess the drain q shift and notify the doctor if unable to locate the drain at the surgical site. E. Assess the skin around the drain site with dressing changes. B. Assess drainage for color q shift. C. Change the dressing q shift and PRN. D. Assess the drain q shift and notify the doctor if unable to locate the drain at the surgical site. E. Assess the skin around the drain site with dressing changes. A nurse in pre-admission testing is working with a client who will have a hemicolectomy for colon cancer. When is the BEST time to provide teaching to prevent postoperative complications? A. Upon admission to PACU. B. Before discharge from the hospital. C. As soon as possible before surgery.
D. Patient is healthy and teaching is not required. C. As soon as possible before surgery. A nurse working in a preoperative area has recently administered a sedative for anxiety. Now the client is requesting to urinate, what is the BEST action the nurse should take? A. Offer a bedpan or urinal. B. Delegate to the aide to assist the client to the bathroom. C. Allow the client to go to the bathroom alone. D. Wait for the client to get catheterized in the operating room. A. Offer a bedpan or urinal. A nurse is preparing a client for surgery. The client verbalizes that she is anxious and does not fully understand what the procedure is for or how it will be performed. What is the nurse's MOST appropriate action to take? A. Witness the client's signature on informed consent and place in the chart. B. Inform the physician that the client needs to speak with them for informed consent. C. Explain the surgical procedure tenth client and family members. D. Inform the operating room that the surgical educator needs to speak with the client.
A preoperative unit is amending their policies to align with a Surgical Care Improvement Projects (SCIP) focus. What intervention MOST directly addresses the priorities of SCIP? A. Implementing family participation and planning into the surgical care. B. Increasing interdisciplinary collaboration during the preoperative phase. C. Actions aimed at the prevention of surgical infections. D. Interventions aimed to prevent opioid addiction and polypharmacy. C. Actions aimed at the prevention of surgical infections. A nurse in the PACU is admitting a client from the OR, following a successful splenectomy. What assessment is the priority for this client? A. Vital signs, including oxygen saturation B. Pain assessment and level of consciousness C. Skin integrity and wound site assessment D. Airway patency and breathing D. Airway patency and breathing A nurse is caring for a client who is post day 1 laparoscopic surgery. The activity order is up as desired to decrease the potential for orthostatic hypotension and possible fall, what should the patient do first?
A. Sit the client in the chair for 60 minutes prior to ambulating. B. Have patient sit for 2-3 minutes, then stand for 2-3 minutes prior to ambulation. C. Maintain the client's IV fluids at 100 mL/hour and encourage PO intake. D. Assess the client's pain level and medicate appropriately. B. Have patient sit for 2-3 minutes, then stand for 2-3 minutes prior to ambulation. A common post-surgical complication is atelectasis. Upon auscultation of the lungs, what sound should the nurse expect to hear in the area(s) with atelectasis? A. Decreased or absent breath sounds B. Rales/fine crackles C. Expiratory wheezes D. Rhonchi A. Decreased or absent breath sounds A client is admitted to the PACU, with a blood pressure of 128/78 and a HR of
- Thirty minutes after admission, the patient's BP was 94/46 and the HR 110. Upon assessment, the nurse notes the client's skin to be cool, moist, and pale. What does the nurse suspect is going on with the patient?
D. Early ambulation B. Coughing and deep breathing exercises What criteria needs to be met in order to safely discharge a client from the PACU? (select all that apply) A. Awakens with verbal stimulation. B. Absence of pain. C. Adequate respiratory function. D. Sufficient oxygen saturation on supplemental oxygen. E. If going home, the driver is present and ready to take the client home. A. Awakens with verbal stimulation. C. Adequate respiratory function. D. Sufficient oxygen saturation on supplemental oxygen. E. If going home, the driver is present and ready to take the client home. An abdominal post surgical client refuses the ordered sequential compression device (SCD) due to discomfort. What is the MOST appropriate and thorough response from the nurse? A. "The SCD is ordered to prevent infection." B. "The SCD is ordered to prevent the pooling of blood and preventing a blood clot."
C. "The SCD is ordered to prevent pulmonary embolism." D. "The SCD is ordered for your clot." B. "The SCD is ordered to prevent the pooling of blood and preventing a blood clot." A nurse on a medical surgical unit is caring for a postoperative client on postoperative day 5. What assessment finding is MOST indicative of an infection? A. White blood cell (WBC) count of 8,800 mcL/dL. B. Rectal temperature of 99.5 degrees F (37.5 degrees C). C. Presence of an indwelling urinary catheter. D. Reddened, tender incision that is warm to the touch. D. Reddened, tender incision that is warm to the touch. A patient is admitted for surgery and had lab work completed. Which of the following lab values are out of range and the nurse would need to notify the healthcare provider? (select all that apply) A. Potassium = 3.2 mEq/L B. Sodium = 160 mEq/L C. Fasting glucose = 99 mg/dL D. Magnesium = 2.0 mEq/L E. Negative pregnancy test
