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100

A nurse is caring for a client who has been prescribed pentazocine for pain management. Which of the following statements by the nurse explains the classification of pentazocine?

  • "Pentazocine is a full opioid agonist that provides maximum pain relief by fully activating opioid receptors."
  • "Pentazocine is a competitive antagonist that blocks opioid receptors and is used to reverse the effects of opioids."
  • "Pentazocine is a noncompetitive antagonist that binds to opioid receptors without activating them, preventing opioid effects."
  • "Pentazocine is a partial opioid agonist that binds to opiate receptor sites, activating some receptors while blocking others."
  • A nurse is caring for a client who has been prescribed pentazocine for pain management. Which of the following statements by the nurse explains the classification of pentazocine?
  • "Pentazocine is a full opioid agonist that provides maximum pain relief by fully activating opioid receptors."
  • "Pentazocine is a competitive antagonist that blocks opioid receptors and is used to reverse the effects of opioids."
  • "Pentazocine is a noncompetitive antagonist that binds to opioid receptors without activating them, preventing opioid effects."
  • "Pentazocine is a partial opioid agonist that binds to opiate receptor sites, activating some receptors while blocking others."
  • "Pentazocine is a partial opioid agonist that binds to opiate receptor sites, activating some receptors while blocking others."
100

A nurse is reviewing medication formulations with a newly licensed nurse. Which of the following statements should the nurse include? 

  • "The formulation of a medication has little effect on how it is absorbed."
  • "It is preferable to use solid formulations of medications when possible."
  • "Older adults don’t require adjustments to medication formulations."
  • "Inhaled formulations are less readily absorbed during pregnancy."
  • "It is preferable to use solid formulations of medications when possible."
100

A nurse is reinforcing teaching with a client who is pregnant about the use of medications during pregnancy and while breastfeeding. Which of the following client statements indicates an understanding of the teaching?

  • "Decreased liver function during pregnancy decreases the metabolism of medications."
  • "Antibiotics do not pass through the placenta to the baby during pregnancy."
  • "I will not be able to take any medications for my hypertension while breastfeeding."
  • "Medications I take while breastfeeding could make my baby sleepy or irritable."
  • "Medications I take while breastfeeding could make my baby sleepy or irritable."
100

A nurse is contributing to a plan of care for a school-age child who is taking an antiseizure medication. Which of the following actions should the nurse recommend?

  • Assess the child every other year for achievement of developmental milestones.
  • Inform the parents that medications do not cause behavioral changes in children.
  • Notify the provider when there is a change in the child's weight.
  • Avoid discussing the medication with the child.
  • Notify the provider when there is a change in the child's weight.
100

A nurse is preparing to administer medications to a client. Which of the following resources should the nurse use to check for medication incompatibilities?

  • Personal experience
  • Drug guide 
  • Medical-surgical textbook
  • Advice from coworkers
  • Drug guide 
200

A nurse is preparing to administer medications to a client and notes two medications they have never administered before. Which of the following actions should the nurse take to ensure the client's medications are compatible?

  • Administer the medications and observe the client for adverse reactions.
  • Ask another nurse if they have experience administering the two medications.
  • Check the facility's policy and procedure manual for guidance.
  • Refer to the package inserts for each of the unfamiliar medications.
  • Refer to the package inserts for each of the unfamiliar medications.
200

A nurse is preparing to perform medication reconciliation for a client who is being admitted. Which of the following actions should the nurse take? 

  • Verify the medication list with the client's self-report of home medications.
  • Include only prescription medication in the reconciliation process.
  • Request a pharmacy technician perform the reconciliation process.
  • Rely on the client's previous medication history to ensure compatibility.
  • Verify the medication list with the client's self-report of home medications.
200

A nurse is preparing to assist in the admission of a client to the medical-surgical unit who is being transferred from the intensive care unit. What is the admitting nurse's responsibility in the medication reconciliation process?

  • Immediately discontinue all previous medications and start new orders. 
  • Review the client's medication history and complete the medication reconciliation. 
  • Prescribe new medications as per the transferring physician's instructions. 
  • Advise the client to continue taking home medications until new orders are received. 
  • Review the client's medication history and complete the medication reconciliation. 
200

A nurse is reviewing a client's newly prescribed medications and notes prescriptions for oral doses of an antibiotic and an antacid. Which of the following actions should the nurse take?

  • Administer the medications together to ensure adherence to the treatment plan. 
  • Consult with the facility pharmacist to verify appropriate timing between administering the medications. 
  • Withhold the antacid until the client has completed the course of antibiotics.
  • Ignore the potential interaction since the pharmacist did not add an alert for the medications.

Consult with the facility pharmacist to verify appropriate timing between administering the medications.

200

A nurse is assisting in conducting medication reconciliation for a newly admitted client. After obtaining the client's current medication list, for which of the following reasons is it important that the nurse review and validate each medication, dose, and frequency?

  • To provide adequate education to the client about new medications.
  • To check for discrepancies, such as discontinued medications, duplications, or omissions. 
  • To document the medications that are administered. 
  • To check the time medications should be administered. 
  • To check for discrepancies, such as discontinued medications, duplications, or omissions. 
300

A nurse is completing a medication reconciliation of a client who has just been admitted to the inpatient unit. During the process, the nurse discovers that the client's home medication list includes a medication name that is not listed in the hospital's medical record. Which of the following actions should the nurse take to ensure an accurate medication reconciliation?

  • Ask the client to describe the purpose of each medication they are taking.
  • Verify the medication with the client's pharmacy. 
  • Inquire if the client takes the medication with or without food. 
  • Check if the client has any medication allergies. 

Verify the medication with the client's pharmacy

300

A nurse is reviewing a medication order for a client and notes that the ordered dose is higher than what is usually prescribed. Which of the following actions should the nurse take to verify the correct medication dose?

  • Administer the medication as ordered. 
  • Confirm that the medication is available at the pharmacy before verifying the dose. 
  • Rely on the prescriber's order and trust they have calculated the dose correctly. 
  • Check the medication order against a pharmacology reference to confirm the dose is within the appropriate range for the client's age and weight. 
  • Check the medication order against a pharmacology reference to confirm the dose is within the appropriate range for the client's age and weight. 
300

A nurse is caring for a client who is experiencing respiratory depression and recommends an opioid reversal agent to the provider. Which of the following functions of the clinical judgment action model is the nurse using?

  • Recognize Cues (Assessment) 
  • Analyze Cues (Analysis) 
  • Generate Solutions (Planning) 
  • Evaluate Outcomes (Evaluation
  • Generate Solutions (Planning) 
300

A nurse is caring for a client who is experiencing a rash after the administration of an antibiotic. The nurse documents the finding in their medical record. Which of the following functions of the clinical judgment action model is the nurse using?

  • Recognize Cues (Assessment) 
  • Take Actions (Interventions) 
  • Generate Solutions (Planning) 
  • Evaluate Outcomes (Evaluation) 
  • Take Actions (Interventions) 
300

A nurse is reviewing a prescription before providing discharge instructions to a client. Which of the following components is essential for the nurse to verify on a prescription for a controlled substance to ensure it meets DEA guidelines?   

  • The prescription includes the client's pharmacy's address. 
  • The prescription specifies the brand of medication to be dispensed. 
  • The health care provider's DEA registration number is included. 
  • The prescription is written in blue ink to distinguish it from copies. 
  • The health care provider's DEA registration number is included. 
400

A nurse is preparing to administer a medication to a client. Which of the following actions should the nurse to take to prevent medication errors?   

  • Ensure the medication is administered promptly to maintain the medication schedule.   
  • Double check the medication label against the medication order to confirm the right medication and dose. 
  • Administer the medication quickly to avoid delays in the client's treatment plan. 
  • Rely on the client's verbal confirmation of their identity to ensure the right client is receiving the medication.   
  • Double check the medication label against the medication order to confirm the right medication and dose. 
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