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Pharmacology 2 - test review
test review
Course
Pharmacology (NSG 124)
875 Documents
Students shared 875 documents in this course
University
Herzing University
Academic year: 2023/2024
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Pharmacology - 10/28/2024Preview text
1. The client diagnosed with chronic hepatitis c is receiving ribavirin in combination with alfa-
interferon reports the onset of extreme fatigue and dyspnea on exertion. It is most important for
the nurse to monitor which lab value.
a. Glucose
b. Hemoglobin
c. Potassium
d. Sodium
2. A client receives a prescription for cipro 400mg intravenously IV every 12hrs to be infused for over
an hour. The IV bad contains ciprofloxacin 400mg in 200mL. mL/hr?
a. 200
3. The nurse is reviewing the laboratory results of a client who reports taking five times the
recommended daily allowance of vitamins and minerals in a multivitamin form. Which indicates a
possible vitamin D overdose?
a. Total bilirubin 4mg/dL (68/L)
b. Total calcium level 12mEq/L (3mmol/L)
c. Serum glucose 170mg/dL (9/L)
d. Sodium level 140mEq/L (140mmol/L)
4. When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone. Which
serum lab test is most important for the nurse to monitor?
a. Calcium
b. Osmolality
c. Platelets
d. glucose
5. A client has a prescription for heparin 1,000 units IV STAT. several pre-filled syringes of low
molecular. in the client’s medication drawer. Which action should the nurse implement?
a. A request for a prescription to change the route of
b. Dilute the available heparin in 250 mL of normal saline.
c. Advise the pharmacy on the need to deliver a vial of heparin to the nursing unit
immediately.
d. Calculate and administer the equivalent dose of the available low molecular weight heparin.
6. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which
physiological response during the therapeutic period administration of the eye drops?
a. Accommodation
b. Refraction
c. Eye convergence
d. Pupillary constriction
7. A client receives a prescription for dextrose 5% in water 500ml IV to be infused over 4hrs. the IV
administrationset delivers 15gtt/mL. how many gtt/min should the nurse regulate the infusion?
Round whole # 500%4hrs in minutesx15 4x60=240 500%240=2=31.
a. 31
8. A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which
instruction should the nurse provide to the client?
a. Avoid prolonged exposure to direct sunlight.
b. Use an additional form of contraception.
c. Take the medication at least 12hr apart.
d. Stop the oral contraceptive immediately.
9. A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which
information provided by the client indicates to the nurse a need for further teaching?
a. Ensure a negative pregnancy test result 2wk before therapy.
b. Call the HCP immediately if there is a chance of conception.
c. Use condoms and a backup method of birth control to prevent pregnancy.
d. Begin therapy 1wk before the next normal menstrual cycle.
10. A client receives a prescription for penicillin G 1,000,000units IM daily. The medication in
1,200,000units/2mL syringe. How many mL should the nurse administer? Round nearest tenth
a. 1.
11. A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus to be used at home.
When should the nurse instruct the client and family that glucagon needs to be administered?
a. Before meals to prevent hyperglycemia.
b. When signs of severe hypoglycemia occur.
c. When unable to eat during sick days.
d. At the onset of signs of diabetic ketoacidosis.
12. On admission, the healthcare provider prescribes a broad spectrum of antibiotics for a client with a
gram-negative infection. Before administering the first dose, it is most important for the nurse to
implement it with prescription.
a. Complete blood count and serum electrolytes.
b. Irrigation and topical antibiotic applications to wound area.
c. Wound and blood specimens for culture and sensitivity.
d. Monitor for signs of sodium and fluid retention.
13. After receiving the third dose of a new oral anticoagulant prescription, an older client develops
bleeding and tender gums and has many new bruises. Which actions should the nurse implement?
SATA
a. Complete a medication variance report.
b. Report findings to HCP
c. Review most recent coagulation lab values.
d. Obtain a soft bristle toothbrush for clients.
e. Provide a PRN nonsteroidal anti-inflammatory (NSAID) for gum discomfort.
14. A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and
palpitations. Which action should the nurse take first?
a. Monitor intake and output.
b. Raise the head of bed.
c. Place cardiac monitoring.
d. Apply warm compresses to leg.
15. A client recently diagnosed with early-stage Alzheimer’s disease receives a prescription for
donepezil. Which content should the nurse include in the client's medication teaching?
a. Encourage the client to avoid food high in vitamin K, such as leafy vegetables.
b. Explain that the psychiatrist has prescribed the maximum dose and will decrease it
gradually.
c. Instruct the client to get monthly liver function studies to assess for liver failure.
d. Discuss the fact that donepezil may slow the progression of the disease over the next year.
16. A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months.
Which assessment is most important for the nurse to complete?
a. Palpate volume of pedal pulse.
b. Determine the presence of abdominal pain.
c. Evaluate ongoing sleep patterns.
d. Assess back pain using numeric scales.
a. Offer to apply a new transdermal patch to relieve the pain.
b. Advise the client that the effects of the medication have worn off.
c. Explain that the medication is not given to prevent pain.
d. Check for correct placement of the patch behind the client’s ear.
25. The nurse observes that a client has become lethargic 30 minutes after receiving an opioid injection
for pain. Which vital signs should the nurse obtain first?
a. Temperature
b. Blood pressure
c. Pulse rate’
d. Respiratory rate
26. The nurse administers naloxone to clients with opioid-induced respiratory depression. One hour
later, a nursing assessment reveals that the client has a respiratory rate of 4bpm, oxygen saturation
of 75%, and is unable to be aroused. Which action should the nurse implement?
a. Prepare to assist with chest tube insertion.
b. Initiate CPR
c. Determine Glasgow coma scale score.
d. Administer a second dose of naloxone
27. A client who is newly diagnosed with erosive esophagitis secondary to GERD reports to the home
health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole by
mouth for one full week. Which action should the nurse take?
a. Notify the HCP that the client may need a change in dosage.
b. Confirm that the client Is taking the medication one hour after meals.
c. Auscultate the client’s bowel sounds and measure the abdominal girth.
d. Advise the client that the healing typically take several weeks to occur.
28. The nurse is administering the muscle relaxant baclofen by mouth to a client diagnosed with
multiple sclerosis. Which intervention should the nurse implement?
a. Evaluate muscle strength every 4hrs.
b. Ensure the client knows to stop baclofen before using other antispasmodics.
c. Advise the client to move slowly and cautiously when rising and walking.
d. Monitor intake and output every 8hrs.
29. A client with nasal congestion receives a prescription for phenylephrine 10mg PO every 4 hours.
Which client condition should the nurse report the healthcare provider before administering the
medication?
a. Hypertension
b. Bronchitis
c. Diarrhea
d. Edema
30. To control asthma, a client in a residential treatment facility uses a fluticasone propionate
salmeterol discus inhalation system, which provides an inhaled powdered form of these combined
medications. Which instruction should the nurse provide to the client’s caregiver?
a. Explain that the client should not use the discus more than twice daily.
b. When using the discus, have the client breathe out rapidly into the mouthpiece.
c. Clients using the discus may experience decreased blood pressure.
d. Offer the discus to the client for use during an acute asthma attack.
31. The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI).
Which laboratory finding indicates that the medication has been effective?
a. Serum potassium level 3.
b. Serum ammonia level 3
c. Serum glucose level 120
d. Hemoglobin level 13.
32. A client who is newly diagnosed with diabetes insipidus is receiving a synthetic vasopressin
intravenously. Which side effect of vasopressin reported by the client should the nurse report to the
healthcare provider?
a. Worsening headache
b. Polydipsia
c. Low urine specific gravity
d. Polyuria
33. A client receives a prescription for allopurinol. Which information provided by the client requires
additional instruction by the nurse?
a. Consume 2L of water daily.
b. Reduce caffeine and acidic intake.
c. Avoid taking on an empty stomach.
d. Double the dose if the dose is missed.
34. The nurse administers the initial dose of cefoxitin to a client whose medical record indicates an
allergy to penicillin. Which finding is most important for the nurse to report to the healthcare
provider?
a. Pruritis and rash
b. Vaginal discharge
c. Diminished renal output.
d. Vomiting and diarrhea
35. A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement
provided by the client requires additional instructions from the nurse?
a. Decrease cigarette use to a pack a day.
b. Monitor for any signs of sexual dysfunction.
c. Take medication an hour after meals and antacids.
d. Notify the healthcare provider of lethargy.
36. The nurse is providing medication teaching to a client with bipolar disorder who receives a
prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
a. Avoid taking medication on an empty stomach
b. Report fluctuations in weight to the HCP
c. Maintain a fluid intake of 1,500mL to 3,000mL per day.
d. Keep medication for frequent review and reference.
37. Which intervention is most important for the nurse to implement for a client with type two diabetes
mellitus who is receiving insulin lispro?
a. Assess for hypoglycemia between meals.
b. Keep an oral liquid or glucose source available.
c. Check blood glucose level every 6hrs.
d. Provide meals at the same time the insulin is given.
38. The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a
prescription for adalimumab. When instructions should the nurse provide the client?
a. Undergo annual eye examinations.
b. Have a chest x-ray before your first dose.
c. Obtain routine vaccination as scheduled.
d. Avoid crowds and people who are sick.
39. The healthcare provider prescribes PTU and lugol’s solution a strong iodine solution, for a client with
hyperthyroidism. How should the nurse schedule the administration of these medication?
c. Denies stress incontinence
d. Absence of xerostomia
49. Drag and drop: hyperkalemia
a. Ask about diet and take blood
b. Parameters to monitor
c. Monitor potassium levels
d. heart rhythm
50. A nurse who is administering bethanechol chloride (Urecholine) is monitoring for acute toxicity associated with
the medication. The nurse checks the client for which signs of toxicity?
a. Bradycardia
51. The nurse is preparing to administer alendronate to a client with osteoporosis. Which laboratory
value indicates that the nurse should withhold the medication and contact the healthcare provider?
a. Calcium 13 mg/dL
52. Myasthenia Gravis- Pyridostigmine A client diagnosed with myasthenia gravis receives a prescription
for the anticholinesterase medication, pyridostigmine. Which intervention should the nurse
implement when preparing to administer this medication?
a. Administer the medication thirty minutes prior to meals.
53. Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail
infection, which assessment finding is most important for the nurse to address?
a. Reported history of alcoholism.
54. During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new
prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly
but is not sleeping at night. Which action should the nurse take?
a. Explain to the caregiver that insomnia is a common and temporary side effect when the
medication is first started
55. The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The
client wants to take the medication after breakfast. How should the nurse respond?
a. Explain the need to take the medication at least 1 hour before meals.
56. A postoperative male client asks the nurse to bring the largest possible dose of a prescribed
narcotic. Which action should the nurse implement first?
a. Ask the client to describe his current pain using a pain scale.
57. Before administering a laxative to a bedrest client, it is most important for the nurse to perform
which assessment?
a. Determine the frequency and consistency of bowel movements.
58. A postoperative client has a prescription for ketorolac 30 mg IV every 6 hrs. Which intervention
should the nurse implement to determine if the expected outcome of the medication has been
achieved?
a. Perform a pain assessment using a numeric scale.
59. A nurse determines that the teaching about the side effects of azithromycin has been understood when the
adolescent client identifies which problem is the most common side effect of this medication.
a. Tinnitus
b. Diarrhea
c. Dizziness
d. Headache
60. The nurse is preparing to administer a secondary infusion of the dose piperacillin-tazobactam to a client with
pneumonia. Which action is most important for the nurse to initiate?
a. Assess for drug allergies.
61. The client who frequently has NSAIDs has been taking misoprostol. The nurse determines that his
medication is having the intended therapeutic effect of which is noted.
a. Relief of epigastric pain
62. A client who is obtuned arrives in the emergency center was suspected drug overdose. The client
becomes responsive after the administration of iv naloxone, but within a short period....
Administer a second dose of naxlone
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Pharmacology 2 - test review
Course: Pharmacology (NSG 124)
875 Documents
Students shared 875 documents in this course
University: Herzing University
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1. The client diagnosed with chronic hepatitis c is receiving ribavirin in combination with alfa-
interferon reports the onset of extreme fatigue and dyspnea on exertion. It is most important for
the nurse to monitor which lab value.
a. Glucose
b. Hemoglobin
c. Potassium
d. Sodium
2. A client receives a prescription for cipro 400mg intravenously IV every 12hrs to be infused for over
an hour. The IV bad contains ciprofloxacin 400mg in 200mL. mL/hr?
a. 200
3. The nurse is reviewing the laboratory results of a client who reports taking five times the
recommended daily allowance of vitamins and minerals in a multivitamin form. Which indicates a
possible vitamin D overdose?
a. Total bilirubin 4mg/dL (68.4umol/L)
b. Total calcium level 12mEq/L (3mmol/L)
c. Serum glucose 170mg/dL (9.4mmol/L)
d. Sodium level 140mEq/L (140mmol/L)
4. When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone. Which
serum lab test is most important for the nurse to monitor?
a. Calcium
b. Osmolality
c. Platelets
d. glucose
5. A client has a prescription for heparin 1,000 units IV STAT. several pre-filled syringes of low
molecular. in the client’s medication drawer. Which action should the nurse implement?
a. A request for a prescription to change the route of
b. Dilute the available heparin in 250 mL of normal saline.
c. Advise the pharmacy on the need to deliver a vial of heparin to the nursing unit
immediately.
d. Calculate and administer the equivalent dose of the available low molecular weight heparin.
6. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which
physiological response during the therapeutic period administration of the eye drops?
a. Accommodation
b. Refraction
c. Eye convergence
d. Pupillary constriction
7. A client receives a prescription for dextrose 5% in water 500ml IV to be infused over 4hrs. the IV
administrationset delivers 15gtt/mL. how many gtt/min should the nurse regulate the infusion?
Round whole # 500%4hrs in minutesx15 4x60=240 500%240=2.08X15=31.25
a. 31
8. A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which
instruction should the nurse provide to the client?
a. Avoid prolonged exposure to direct sunlight.
b. Use an additional form of contraception.
c. Take the medication at least 12hr apart.
d. Stop the oral contraceptive immediately.
9. A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which
information provided by the client indicates to the nurse a need for further teaching?
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