SITUATION: A number of factors other than the drug itself can affect its action.

The nurse should be aware that a

client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The physician has ordered to administer a hypotonic intravenous solution to a client with cellular dehydration. The
nurse would expect to which of the following fluids to be administered?

Choose one answer.

a. 5% dextrose in normal saline
b. Lactated Ringer’s solution
c. 0.9% Normal Saline solution
d. 0.45% sodium chloride
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the nurse to include at the
change of shift report?

Choose one answer.

a. The client lost 2 pounds in 24 hours
b. The client is to receive another dose of Lasix at 10 PM
c. The client’s urine output was 1500 cc in 5 hours
d. The client’s potassium level is 4 mEq/liter.
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The nurse is preparing an IM injection of vistaril which is irritating to the subcutaneous tissue. To prevent staining of
the medication and irritation to the tissues, it is best to take which of the following action?

Choose one answer.

a. Apply ice to the injection site
b. Use a small gauge needle
c. Administer at a 45-degree angle
d. Use the Z-track technique
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

A client with a severe brain injury receives IV mannitol and corticosteroids in the emergency department. The desired
effect of this treatment is to:

Choose one answer.

 a. Reduce cerebral edema
b. Improve renal function
c. Promote cerebral vasodilation
d. Prevent central nervous system infection
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The physician orders pilocarpine (Pilocar) eye drops for a client. The nurse’s knows that Pilocar is prescribed
primarily for the treatment of:

Choose one answer.

a. Retinal detachment
b. Macular degeneration
c. Open-angle glaucoma
d. Cataracts

Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 7
Marks: 1/1

Order is .5 g / Available .25g x 1 = 2 tablets

Correct
Marks for this submission: 1/1.
Question 8
Marks: 0/1

Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 9
Marks: 1/1

Clients taking allopurinol are encouraged to drink 3,000 ml of fluid a day. A full therapeutic effect ma take 1 week or
longer. Allopurinol is to be given with or immediately after, meals or milk. A client who develops a rash, irritation of
the eyes, or swelling of the lips or mouth should contact the physician because this may indicate hypersensitivity.

Reference: Hayes, E.R. & Kee, J.L. (2003). Pharmacology A Nursing Process Approach. 4th Ed. Page 386-387
Correct
Marks for this submission: 1/1.
Question 10
Marks: 1/1

Treatment for rheumatoid arthritis usually starts with salicylates. The goal of treatment is to relieve swelling, pain,
stiffness, and inflammation.

Calcium gluconate – used to maintain and replace calcium with hypocalcemia and hypoparathyroidism.

Sodium fluoride – is a supplement used to catalyze bone remineralization.

Tylox (Tylenol with codeine) – is not an anti-inflammatory medication. It is an analgesic and antipyretic.

Reference: Hayes, E.R. & Kee, J.L. (2003). Pharmacology A Nursing Process Approach. 4th Ed. Page 379-380

Nursing Process: Planning

Correct
Marks for this submission: 1/1.
Question 11
Marks: 1/1

The deltoid site / muscle is found on the lateral aspect of the upper arm. It is not often used for intramuscular injections
because it is relatively small and very close to the radial nerve. It is sometimes considered for adults because of the
rapid absorption from the deltoid area but no more than 1 ml of the solution can be administered. This site is the
recommended site for the administration of Hepatitis B vaccine in adults.

Reference: Kozier, B. et.al. (2004) Fundamentals of Nursing, Concepts, Process, and Practice.

7th Ed. Page 827

Correct
Marks for this submission: 1/1.
Question 12
Marks: 0/1
Your answer is incorrect. Please select another option.
Incorrect
Marks for this submission: 0/1.
Question 13
Marks: 0/1

Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 14
Marks: 0/1

Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 15
Marks: 1/1

The auricle of the ear should be pulled down and back to straighten the canal of a young child.

Option (The parent has the child lie down before instilling the ear drops), (The parent warms the medication to room
temperature before instilling the ear drops), and (The parent places a cotton ball in the child’s ear after instilling the
ear drops) – are correct procedures for ear instillation.

Reference: Hayes, E.R. & Kee, J.L. (2003). Pharmacology A Nursing Process Approach. 4th Ed. Page 33

Correct
Marks for this submission: 1/1.
Question 16
Marks: 1/1

Edrophonium chloride (Tensilon) is used to differentiate between a cholinergic crisis and a myasthenic crisis. If the
client is experiencing a cholinergic crisis, Edrophonium (Tensilon) will result in an increased muscle weakness. If a
client is experiencing a myasthenic crisis, Edrophonium (Tensilon) will result in an improvement of the client’s
clinical manifestations.

Reference: Bare, B.G. and Smeltzer, S.C. (2004). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing.
10th Edition, Vol. 2. Page 1957

Correct
Marks for this submission: 1/1.
Question 17
Marks: 1/1

The nurse will administer two tablets with each dose. Using the ratio method, the equation to solve for X is: 5 mg : X
tab :: 2.5 mg : 1 tab. Solving for X determines the quantity of the dosage form (two tablets, in this example).

Correct
Marks for this submission: 1/1.
Question 18
Marks: 0/1
Your answer is incorrect. Please select another option.
Incorrect
Marks for this submission: 0/1.
Question 19
Marks: 1/1

The nurse should place medication administered by the buccal route in the client's upper or lower buccal pouch,
between the cheek and gum. A topical medication is applied on the client's skin; a sublingual medication, under the
tongue; and an eye (ocular) medication, in the conjunctival sac.

Correct
Marks for this submission: 1/1.
Question 20
Marks: 1/1

1.5 grams = 1500 mg / 500 mg = 3 tablets

Correct
Marks for this submission: 1/1.
Question 21
Marks: 1/1

1. The age of the client

2. The type of solution

3. The amount of adipose tissue covering the muscle

4. The muscle

Choose one answer.

a. 1, 2, 3
b. none of the above
c. all of the above
d. 2, 3, 4
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

A client develops hepatic encephalopathy 1 week after portal caval shunt surgery. Her physician prescribes neomycin
(Neo-Tabs), 4 g by mouth daily in four divided doses. Her husband asks how neomycin decreases his wife's serum
ammonia concentration. How should the nurse respond?

Choose one answer.

a. It increases the growth of such bacteria as Escherichia coli
b. It decreases the number of ammonia-producing bacteria in the GI tract
c. It acidifies the colon and traps ammonia in the GI tract
d. It binds with ammonia in the GI tract
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

A client has been receiving total parenteral nutrition (TPN) for several days. The central venous catheter (CVP) became
dislodged and the nurse notes that the clients I.V. has not been running for several hours. The nurse would monitor
which of the following complications related to the stopped infusion?

Choose one answer.

 a. Hypoglycemia
b. Hypocalcemia
c. Hyperkalemia
d. Sepsis
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

Which type of solution raises serum osmolarity and pulls fluid from the intracellular and intrastitial compartments into
the intravascular compartment?

Choose one answer.

a. Isotonic
b. Hypotonic
c. Electrotonic
d. Hypertonic
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

Systematic rotation of injection sites within an anatomic area is recommended to prevent:

Choose one answer.

a. Insulin lipodystrophy
b. Insulin resistance
c. Dawn phenomenon
d. Somogyi effect
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The nurse evaluates that the medication teaching is effective when the client with gastritis states that ranitidine
(Zantac):

Choose one answer.

a. Decreases pH levels
b. Decreases gastric acid levels
c. Changes hormonal levels
d. Increases pepsin levels

SITUATION: Pharmacology is the scientific study of the origin, nature, chemistry, uses and effects of drugs. The
knowledge in pharmacology is essential for all nurses to be able to provide safe and accurate medication
administration to the clients.
Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 28
Marks: 0/1

SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The nurse is reconstituting a powdered medication in a vial. After adding the solution to the powder, the nurse should:

Choose one answer.

a. Roll the vial gently between the palms
b. Invert the vial and let it stand for 2 to 3 minutes
c. Shake the vial vigorously
d. Stir the liquid with a sterile applicator
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The physician orders an I.V. infusion at 125 ml/hour for a client. To determine the I.V. drip rate, the nurse must know
the drip factor, which is:

Choose one answer.

a. The number of drops per hour to be infused
b. The number of milliliters in one drop
c. The number of drops in one milliliter
d. The number of drops per minute to be infused
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose?

Choose one answer.

a. Dry mouth, nasal congestion, and blurred vision
b. Hyperglycemia, weight gain, and edema
 c. Drowsiness, lethargy, and inactivity
d. Rash, blood dyscrasias, severe depression
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The nurse is teaching an elderly client how to use MDI's (multi-dose inhalers). The nurse is concerned that the client is
unable to coordinate the release of the medication with the inhalation phase. What is the nurse's best recommendation
to improve delivery of the medication?

Choose one answer.

a. Asking a family member to assist the client with the MDI
b. Nebulized treatments for home care
c. Adding a spacer device to the MDI canister
d. Request a visiting nurse to follow the client at home
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

Jenrick, a 2-year-old child, has been diagnosed with conjunctivitis. The nurse is to administer optic drops QID. The
nurse should drop the medication into the:

Choose one answer.

a. Sclera by the inner canthus
b. Center of the cornea
c. Sclera by the outer canthus
d. Lower conjunctival sac
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

You received the medication order of:

Digoxin 0.25 mg, po, STAT.

Available: 0.125 mg

How many tablet(s) are equivalent to Digoxin 0.25 mg?

Choose one answer.

a. 1
b. 3
c. 4
 d. 2
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

After a client receives an I.M. injection, he complains of burning pain at the injection site. Which nursing action would
be the best to take at this time?

Choose one answer.

a. Apply a warm compress to dilate the blood vessels.
b. Massage the area to promote absorption of the drug.
c. Apply a cold compress to decrease swelling.
d. Instruct the client to tighten his gluteal muscles to promote better absorption.
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The nurse has an order to administer iron dextran, (InFeD) 50 mg I.M. injection. When carrying out this order, the
nurse should:

Choose one answer.

a. Pull the skin laterally toward the injection site
b. Wipe the needle immediately after injection
c. Insert the needle at a 45-degree angle
d. Use the Z-track technique

Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 38
Marks: 0/1

Your answer is incorrect. Please select another option.

Incorrect
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Question 39
Marks: 0/1

Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 40
 Marks: 0/1

What is the best way for the nurse to improve client compliance with the prescribed medication schedule?

Choose one answer.

a. Devise the simplest medication schedule possible
b. Give all instructions at least three times
c. Encourage the client to hire a visiting nurse
d. Change the administration schedule to longer intervals
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

You received the medication order of:

Allopurinol (Zyloprim) 150 mg, po, qid.

Available: 300mg

How many tablet(s) should you give per dose?

Choose one answer.

a. 1
b. 1 1/2
c. 1/2
d. 2
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently

The physician prescribes 250 mg of a drug. The available drug vial reads 500 mg/ml. How much of the drug should the
nurse give?

Choose one answer.

a. ½ ml
b. 2 ml
c. 1 ml
d. ¼ ml
SITUATION: A number of factors other than the drug itself can affect its action. The nurse should be aware that a
client may not respond in the same manner to successive dosages of the drug. In addition, the identical drug and
dosage may affect clients differently
The nurse is setting an infusion pump to deliver 4 mcg/kg/min of a medication to a patient who weighs 50 kg. How
many micrograms should the patient receive in one hour?

Choose one answer.

a.
1200

b. 200 Your answer is incorrect. Please select another option.

Incorrect
Marks for this submission: 0/1.
Question 44
Marks: 1/1

The therapeutic serum drug level range for phenytoin is 10 to 20 mcg/mL.

Reference: Hayes, E.R. & Kee, J.L. (2003). Pharmacology A Nursing Process Approach. 4th Ed. Page 278, 284

Correct
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Question 45
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Your answer is incorrect. Please select another option.
Incorrect
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Question 46
Marks: 1/1

A heart rate of 60 in the infant should be reported immediately. The dose should be held if the heart rate
is below 100bpm. The blood glucose, blood pressure, and respirations are within normal limits; thus
answers Blood pressure of 126/80 , Blood glucose of 110mg/dL , and Respiratory rate of 30 breaths per
minute are incorrect.

Correct
Marks for this submission: 1/1.
Question 47
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Your answer is incorrect. Please select another option.

Incorrect
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Question 48
Marks: 1/1

The thin layer of epithelium and the vast network of capillaries under the tongue enhance sublingual
absorption. This medication dissolves rapidly and is absorbed immediately. The other options are
 incorrect.

Correct
Marks for this submission: 1/1.
Question 49
Marks: 1/1

If blood returns while aspirating during an IM injection, the nurse should discontinue, withdraw, discard
the medication and prepare a new injection. Blood indicates that the needle has entered a blood vessel
and the medication injected into the bloodstream may be dangerous.

Correct
Marks for this submission: 1/1.
Question 50
Marks: 1/1

Prothrombin time.

Coumadin is ordered daily, based on the client''s prothrombin time (PT). This test evaluates the
adequacy of the extrinsic system and common pathway in the clotting cascade; Coumadin affects the
Vitamin K dependent clotting factors.

[Hayley Williams - Chorus]

Can we pretend that airplanes
In the night sky
Are like shooting stars
I could really use a wish right now
Wish right now, wish right now
Can we pretend that airplanes
In the night sky
Are like shooting stars
I could really use a wish right now
Wish right now, Wish right now

[B.o.B - Verse 1]
Yeah
I could use a dream or a genie or a wish
To go back to a place much simpler than this
'Cause after all the partyin'
The smashin' and crashin'
And all the glitz and the glam and the fashion
And all the pandemonium and all the madness
There comes a time when you fade to the blackness
And when you're starin' at that phone in yo' lap
And hopin', but them people never call you back
But that's just how the story unfolds
You get another hand
Soon after you fold
And when your plans unravel in the sand
What would you wish for if you had one chance?
So airplanes airplanes
Sorry I'm late
I'm on my way
So don't close that gate
If I don't make that
Then I switch my flight
And I'll be right back at it
By the end of the night

[Hayley Williams - Chorus]

Can we pretend that airplanes
In the night sky
Are like shooting stars
I could really use a wish right now
Wish right now, wish right now
Can we pretend that airplanes
In the night sky
Are like shooting stars
I could really use a wish right now
Wish right now, wish right now

[B.o.B - Verse 2]
Yeah
Yeah
Somebody take me back to the days
Before this was a job
Before I got paid
Before it ever mattered what I had in my bank
Yeah back when I was tryin' to get a tip at Subway
And back when I was rappin' for the hell of it
But now days we rappin' to stay relevant
I'm guessin' that if we can make some wishes out of airplanes
Then maybe oh maybe I'll go back to the days
Before the politics that we call the rap game
And back when ain't nobody listened to my mix tapes
And back before I tried to cover up my slate
But this is for Decatur
What's up Bobby Ray?
So can I get a wish to end the politics
And get back to the music that started this shit
So here I stand
And then again I say
I'm hopin' we can make some wishes outta airplanes

[Hayley Williams - Chorus]

Can we pretend that airplanes
In the night sky
Are like shooting stars
I could really use a wish right now
Wish right now, wish right now
Can we pretend that airplanes
In the night sky
Are like shooting stars
I could really use a wish right now
Wish right now, wish right now

yrics to Your Love Is My Drug :

Maybe I need some rehab,
or maybe just need some sleep
I've got a sick obsession,
I'm seeing it in my dreams

I'm looking down every alley,

I'm making those desperate calls. I'm staying up all night hoping,
hit my head against the wall

What you've got boy is hard to find

I think about it all the time
I'm all strung out my heart is fried
I just can't get you off my mind
Because your love, your love,
your love is my drug
Your love your love your love
I said your love, your love,
your love is my drug
Your love your love your love

Won't listen to any advice, mamma's telling me

I should to think twice
But left to my own devices
I'm addicted its a crisis!

My friends think I've gone crazy my judgment is getting kinda hazy

My esteem is gonna be affected
if I keep it up like a love sick crackhead

What you've got boy is hard to find

I think about it all the time
I'm all strung out, my heart is fried
I just can't get you off my mind

Because your love your love

your love is my drug
Your love your love your love
I said your love your love
your love is my drug
your love your love your love

I don't care what people say

The rush is worth the price I pay
I get so high when you're with me But crash and crave you
when you leave

Hey, so I gotta question

Do you wanna have a slumber party
in my basement?
Do I make your heart beat
like an 808 drum?
Is my love with your drug?
Your drug, uh your drug
Uh your drug
is my love, your drug

Because your love your love

your love is my drug
Your love your love your love
I said your love your love
your love is my drug
your love your love your love (X2)

Hey... hey...
So?
Your love your love
your love your love....
is my drug
I like your beard

alifornia Girls Lyrics

[Snoop Dogg]
Greetings loved ones
Let's take a journey

[Katy Perry - Verse 1]

I know a place
Where the grass is really greener
Warm, wet and wild
There must be somethin' in the water
Sippin' gin and juice
Layin' underneath the palm trees (Undone)
The boys
Break their necks
Try'na creep a little sneak peek (At us)

You could travel the world

But nothing comes close
To the Golden Coast
Once you party with us
You'll be falling in love
Oooooh oh oooooh

[Katy Perry - Chorus]

California girls
We're unforgettable
Daisy Dukes
Bikinis on top
Sun-kissed skin
So hot
We'll melt your Popsicle
Oooooh oh oooooh
California girls
We're undeniable
Fine, fresh, fierce
We got it on lock
Westcoast represent
Now put your hands up
Oooooh oh oooooh

[Katy Perry - Verse 2]

Sex on the beach
We don't mind sand in our Stilettos
We freak
In my Jeep
Snoop Doggy Dogg on the stereo (Oh oh)

You could travel the world

But nothing comes close
To the Golden Coast
Once you party with us
You'll be falling in love
Oooooh oh oooooh

[Katy Perry - Chorus]

California girls
We're unforgettable
Daisy Dukes
Bikinis on top
Sun-kissed skin
So hot
We'll melt your Popsicle
Oooooh oh oooooh

California gurls
We're undeniable
Fine, fresh, fierce
We got it on lock
Westcoast represent
Now put your hands up
Oooooh oh oooooh

[Snoop Dogg - Verse 3]

Toned, tanned
Fit and ready
Turn it up 'cause it's gettin' heavy
Wild, wild Westcoast
These are the girls I love the most
http://www.elyricsworld.com/california_girls_lyrics_katy_perry.html
I mean the ones
I mean like she's the one
Kiss her
Touch her
Squeeze her buns

The girl's a freak

She drives a Jeep
and lives on the beach
I'm okay
I won't play
I love the Bay
Just like I love L.A.
Venice Beach
And Palm Springs
Summertime is everything

Homeboys
Hangin' out
All that ass
Hangin' out
Bikinis, tankinis, martinis
No weenies
Just a king
And a queen-ie
Katy my lady
(Yeah)
You're lookin'here baby
(Uh huh)
I'm all up on you
'Cause you representin' California
(Ohhh yeahh)

[Katy Perry - Chorus]

California gurls
We're unforgettable
Daisy Dukes
Bikinis on top
Sun-kissed skin
So hot
We'll melt your Popsicle
Oooooh oh oooooh

California gurls
We're undeniable
Fine, fresh, fierce
We got it on lock
Westcoast represent
(Westcoast, Westcoast)
Now put your hands up
Oooooh oh oooooh

Snoop Dogg:
(Californiaaa, Californiaaa)
California girls man
I wish they all could be
California girls
(Californiaaa)
I really wish
You all could be
California girls
(Californiaaa, girls)