Pharmacology Success NCLEX Test Bank Q&A Review

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Basic Concepts in Medication Administration................1 PHARMACOLOGY TEST-TAKING HINTS.......................................................1 POPULATION-SPECIFIC INFORMATION...................... .....................................5 Pediatric Clients................................................................................5 Elderly Clients.......................................................................................5 Females of Childbearing Age.................................................................5 IMPORTANT DATA TO REMEMBER.............................................................5 Medication Memory Jogger....................................................................6 2 Neurological System.....................................................7 QUESTIONS 7 A Client With a Head Injury...................................................................7 A Client With Seizures...........................................................................8 A Client With a Cerebrovascular Accident...........................................10 A Client With a Brain Tumor................................................................11 A Client With Parkinson’s Disease.......................................................13 A Client With Alzheimer’s Disease.......................................................14 A Client With a Migraine Headache.....................................................16 ANSWERS AND RATIONALES 18 A Client With a Head Injury.................................................................18 A Client With Seizures.........................................................................20 A Client With a Cerebrovascular Accident...........................................21 A Client With a Brain Tumor................................................................23 A Client With Parkinson’s Disease.......................................................25 A Client With Alzheimer’s Disease.......................................................27 A Client With a Migraine Headache.....................................................28 NEUROLOGICAL SYSTEM COMPREHENSIVE EXAMINATION 31 NEUROLOGICAL SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 35 3 Cardiovascular System................................................39 QUESTIONS 39 A Client With Angina/Myocardial Infarction..........................................39 A Client With Coronary Artery Disease................................................41 A Client With Congestive Heart Failure................................................42 A Client With Dysrhythmias and Conduction Problems........................44 A Client With Inflammatory Cardiac Disorders.....................................47 A Client With Arterial Occlusive Disease..............................................48 A Client With Arterial Hypertension.....................................................49 A Client With Deep Vein Thrombosis...................................................51 A Client With Anemia..........................................................................53 ANSWERS AND RATIONALES 55 A Client With Angina/Myocardial Infarction..........................................55 A Client With Coronary Artery Disease................................................56 A Client With Congestive Heart Failure................................................58 A Client With Dysrhythmias and Conduction Problems........................60 A Client With Inflammatory Cardiac Disorders.....................................62 vii viii TABLE OF CONTENTS A Client With Arterial Occlusive Disease..............................................64 A Client With Arterial Hypertension............................................................65 A Client With Deep Vein Thrombosis...................................................67 A Client With Anemia..........................................................................69 CARDIOVASCULAR SYSTEM COMPREHENSIVE EXAMINATION 72 CARDIOVASCULAR SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 76 4 Pulmonary System......................................................81 QUESTIONS 81 A Client With an Upper Respiratory Infection.......................................81 A Client With a Lower Respiratory Infection...............................................82 A Client With Reactive Airway Disease......................................................84 A Child With Reactive Airway Disease.................................................85 A Client With a Pulmonary Embolus....................................................86 ANSWERS AND RATIONALES 89 A Client With an Upper Respiratory Infection.......................................89 A Client With a Lower Respiratory Infection..............................................90 A Client With Reactive Airway Disease......................................................92 A Child With Reactive Airway Disease.................................................94 A Client With a Pulmonary Embolus....................................................96 PULMONARY SYSTEM COMPREHENSIVE EXAMINATION 99 PULMONARY SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 102 5 Gastrointestinal System............................................107 QUESTIONS 107 A Client With Gastroesophageal Reflux...................................................107 A Client With Inflammatory Bowel Disease (IBD)...............................108 A Client With Peptic Ulcer Disease.....................................................109 An Elderly Client With Diverticulosis/Diverticulitis...................................111 A Client With Liver Failure.................................................................112 A Client With Hepatitis......................................................................113 A Child With Gastroenteritis.....................................................................115 A Client With Obesity.........................................................................116 A Client Experiencing Constipation or Diarrhea......................................117 A Client Undergoing Abdominal Surgery With General Anesthesia....118 A Client Receiving Total Parenteral Nutrition...........................................120 A Client Experiencing Acute Pain.......................................................122 ANSWERS AND RATIONALES 124 A Client With Gastroesophageal Reflux...................................................124 A Client With Inflammatory Bowel Disease (IBD)...............................125 A Client With Peptic Ulcer Disease.....................................................127 An Elderly Client With Diverticulosis/Diverticulitis...................................129 A Client With Liver Failure.................................................................131 A Client With Hepatitis......................................................................133 A Child With Gastroenteritis.....................................................................135 A Client With Obesity.........................................................................137 A Client Experiencing Constipation or Diarrhea......................................138 A Client Undergoing Abdominal Surgery With General Anesthesia....140 A Client Receiving Total Parenteral Nutrition...........................................142 A Client Experiencing Acute Pain.......................................................143 GASTROINTESTINAL SYSTEM COMPREHENSIVE EXAMINATION 146 GASTROINTESTINAL SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 151 TABLE OF CONTENTS ix 6 Endocrine System.....................................................157 QUESTIONS 157 A Client With Type 1 Diabetes...........................................................157 A Client With Type 2 Diabetes...........................................................158 A Client With Pancreatitis.........................................................................160 A Client With Adrenal Disorders.........................................................161 A Client With Pituitary Disorders..............................................................163 A Client With Thyroid Disorders.........................................................164 ANSWERS AND RATIONALES 166 A Client With Type 1 Diabetes...........................................................166 A Client With Type 2 Diabetes...........................................................168 A Client With Pancreatitis.........................................................................170 A Client With Adrenal Disorders.........................................................172 A Client With Pituitary Disorders..............................................................174 A Client With Thyroid Disorders.........................................................176 ENDOCRINE SYSTEM COMPREHENSIVE EXAMINATION 179 ENDOCRINE SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 183 7 Genitourinary System................................................187 QUESTIONS 187 A Client With Chronic Kidney Disease................................................187 A Client With a Urinary Tract Infection.....................................................188 A Client With Benign Prostatic Hypertrophy............................................190 A Client With Renal Calculi................................................................191 An Adolescent With a Sexually Transmitted Infection.............................192 ANSWERS AND RATIONALES 194 A Client With Chronic Kidney Disease................................................194 A Client With a Urinary Tract Infection.....................................................195 A Client With Benign Prostatic Hypertrophy............................................197 A Client With Renal Calculi................................................................199 An Adolescent With a Sexually Transmitted Infection.............................200 GENITOURINARY SYSTEM COMPREHENSIVE EXAMINATION 203 GENITOURINARY SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 206 8 Reproductive System................................................209 QUESTIONS 209 A Client Experiencing Pregnancy.......................................................209 The Newborn Client Transitioning to Extrauterine Life............................214 A Client Experiencing Infertility................................................................215 A Client Using Birth Control...............................................................216 A Client Experiencing Reproductive Hormone Changes.....................217 ANSWERS AND RATIONALES 219 A Client Experiencing Pregnancy.......................................................219 The Newborn Client Transitioning to Extrauterine Life............................223 A Client Experiencing Infertility................................................................224 A Client Using Birth Control...............................................................225 A Client Experiencing Reproductive Hormone Changes.....................227 REPRODUCTIVE SYSTEM COMPREHENSIVE EXAMINATION 228 REPRODUCTIVE SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 231 9 Musculoskeletal System............................................235 QUESTIONS 235 A Client With Low Back Pain..............................................................235 A Client With Renal Osteoarthritis............................................................236 x TABLE OF CONTENTS A Client With Renal Osteoporosis......................................................238 A Client Undergoing Orthopedic Surgery...........................................239 ANSWERS AND RATIONALES 241 A Client With Low Back Pain..............................................................241 A Client With Osteoarthritis......................................................................242 A Client With Osteoporosis................................................................245 A Client Undergoing Orthopedic Surgery...........................................247 MUSCULOSKELETAL SYSTEM COMPREHENSIVE EXAMINATION 250 MUSCULOSKELETAL SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 254 10 Integumentary System..............................................259 QUESTIONS 259 A Client With Burns...........................................................................259 A Client With Pressure Ulcers............................................................260 A Client With a Skin Disorder.............................................................262 ANSWERS AND RATIONALES 264 A Client With Burns...........................................................................264 A Client With Pressure Ulcers............................................................265 A Client With a Skin Disorder.............................................................267 INTEGUMENTARY SYSTEM COMPREHENSIVE EXAMINATION 269 INTEGUMENTARY SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 272 11 Immune Inflammatory System....................................277 QUESTIONS 277 A Client With an Autoimmune Disease..............................................277 A Client With HIV/AIDS.......................................................................278 A Client With Allergies.......................................................................280 A Client With Rheumatoid Arthritis..........................................................281 A Child Receiving Immunizations.......................................................282 ANSWERS AND RATIONALES 285 A Client With an Autoimmune Disease..............................................285 A Client With HIV/AIDS.......................................................................286 A Client With Allergies.......................................................................288 A Client With Rheumatoid Arthritis..........................................................290 A Child Receiving Immunizations.......................................................292 IMMUNE INFLAMMATORY SYSTEM COMPREHENSIVE EXAMINATION 294 IMMUNE INFLAMMATORY SYSTEM COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 297 12 Cancer Treatments....................................................301 QUESTIONS 301 A Client Receiving Chemotherapy...........................................................301 A Client Receiving a Biologic Response Modifier................................304 A Client Receiving Hormone Therapy................................................305 A Client Receiving an Investigational Protocol........................................306 A Client Undergoing Surgery for Cancer............................................308 A Client With Chronic Pain.................................................................309 ANSWERS AND RATIONALES 312 A Client Receiving Chemotherapy...........................................................312 A Client Receiving a Biologic Response Modifier................................313 A Client Receiving Hormone Therapy................................................316 A Client Receiving an Investigational Protocol........................................317 A Client Undergoing Surgery for Cancer............................................319 A Client With Chronic Pain.................................................................321 CANCER TREATMENTS COMPREHENSIVE EXAMINATION 323 CANCER TREATMENTS COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 328 TABLE OF CONTENTS xi 13 Mental Health Disorders............................................333 QUESTIONS 333 A Client With a Major Depressive Disorder........................................333 A Client With Bipolar Disorder...........................................................334 A Client With Schizophrenia..............................................................336 A Client With an Anxiety Disorder......................................................337 A Child With Attention Deficit-Hyperactivity Disorder........................339 A Client With a Sleep Disorder...........................................................340 A Client With Substance Abuse Issues...............................................342 ANSWERS AND RATIONALES 344 A Client With a Major Depressive Disorder........................................344 A Client With Bipolar Disorder...........................................................346 A Client With Schizophrenia..............................................................348 A Client With an Anxiety Disorder......................................................350 A Child With Attention Deficit-Hyperactivity Disorder........................352 A Client With a Sleep Disorder...........................................................353 A Client With Substance Abuse Issues...............................................355 MENTAL HEALTH DISORDERS COMPREHENSIVE EXAMINATION 358 MENTAL HEALTH DISORDERS COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 362 14 Sensory Deficits........................................................367 QUESTIONS 367 A Client With an Eye Disorder............................................................367 A Child With an Ear Infection.............................................................369 ANSWERS AND RATIONALES 371 A Client With an Eye Disorder............................................................371 A Child With an Ear Infection.............................................................372 SENSORY DEFICITS COMPREHENSIVE EXAMINATION 375 SENSORY DEFICITS COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 378 15 Emergency Nursing...................................................381 QUESTIONS 381 A Client Experiencing Shock..............................................................381 A Community Facing Bioterrorism.....................................................382 A Client Experiencing a Code............................................................384 A Child Experiencing Poisoning.........................................................385 ANSWERS AND RATIONALES 387 A Client Experiencing Shock..............................................................387 A Community Facing Bioterrorism.....................................................389 A Client Experiencing a Code............................................................390 A Child Experiencing Poisoning.........................................................392 EMERGENCY NURSING COMPREHENSIVE EXAMINATION 394 EMERGENCY NURSING COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 397 16 Nonprescribed Medications.......................................401 QUESTIONS 401 A Client Taking Herbs........................................................................401 A Client Taking Vitamins/Minerals.....................................................402 A Client Self-Prescribing Medications................................................403 ANSWERS AND RATIONALES 405 A Client Taking Herbs........................................................................405 A Client Taking Vitamins/Minerals.....................................................406 A Client Self-Prescribing Medications................................................407 NONPRESCRIBED MEDICATIONS COMPREHENSIVE EXAMINATION 410 NONPRESCRIBED MEDICATIONS COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 413 xii TABLE OF CONTENTS 17 Administration of Medications...................................417 QUESTIONS 417 The Nurse Administering Medications................................................417 The Nurse Computing Math to Administer Medications.....................418 ANSWERS AND RATIONALES 421 The Nurse Administering Medications................................................421 The Nurse Computing Math to Administer Medications.....................422 ADMINISTRATION OF MEDICATIONS COMPREHENSIVE EXAMINATION 424 ADMINISTRATION OF MEDICATIONS COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES 427 18 Comprehensive Examination......................................431 QUESTIONS 431 ANSWERS AND RATIONALES 445 Appendix A; Drug Charts............................................461 Glossary of English Words Commonly Encountered on Nursing Examinations........................483 Index.....................................................................48 [Show More]

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