50 item Pharmacology Exam
50 item Pharmacology Exam 1. A client with myasthenia gravis reports the occurrence of difficulty chewing. The physician prescribes pyridostigmine bromide (Mestinon) to increase muscle strength for this activity. The nurse instructs the client to take the medication at what time, in relation to meals? a. after dinner daily when most fatigued b. before breakfast daily c. as soon as arising in the morning d. thirty minutes before each meal 2. A client is advised to take senna (Senokot) for the treatment of constipation asks the nurse how this medication works. The nurse responds knowing that it: a. accumulates water in the stool and increases peristalsis b. stimulates the vagus nerve c. coats the bowel wall d. adds fiber and bulk to the stool 3. A client is receiving heparin sodium by continuous intravenous infusion. The nurse monitors the client for which adverse effect of this therapy? a. decreased blood pressure b. increased pulse rate c. ecchymoses d. tinnitus 4. A client is being treated for acute congestive heart failure (CHF) and the client’s vital signs are as follows: BP 85/50 mm Hg; pulse, 96 bpm; respirations, 26 cpm. The physician prescribes digoxin (Lanoxin). To evaluate a therapeutic effectiveness of this medication, the nurse would expect which of the following changes in the client’s vital signs? a. BP 85/50 mm Hg, pulse 60 bpm, respirations 26 cpm b. BP 98/60 mm Hg, pulse 80 bpm, respirations 24 cpm c. BP 130/70 mm Hg, pulse 104 bpm, respirations 20 cpm d. BP 110/40 mm Hg, 110 bpm, respirations 20 cpm 5. Diazepam (Valium) is prescribed for a client with anxiety. The nurse instructs the client to expect which side effect? a. incoordination b. cough c. tinnitus d. hypertension 6. A client receives oxytocin (Pitocin) to induce labor. During the administration of the oxytocin, it is most important for the nurse to monitor: a. urinary output b. fetal heart rate c. central venous pressure d. maternal blood glucose 7. A clinic nurse is performing assessment on a client who is being seen in the clinic for the first time. When asking about the client’s medication history, the client tells the nurse that he takes nateglinide (Starlix). The nurse then questions the client about the presence of which disorder that is treated with this medication? a. hypothyroidism b. insomnia c. type 2 diabetes mellitus d. renal failure 8. A client who is taking rifampin (Rifadin) as part of the medication regimen for the treatment of tuberculosis calls the clinic nurse and reports that her
signs of infection b. The nurse tells the client to be especially alert for: a. renal insufficiency c. The nurse administers this medication with: a. The nurse tells the client to: a. hypotension c. The nurse determines that the client is taking the medication to treat which disorder? a. sputum. expect a red-orange color in urine. urinary frequency and urgency 13. take the medication dose with an antacid to prevent this adverse effect d. crackers
. hypotension d. drooling may occur while taking this medication b. take the medication with a laxative of choice 12. nose bleeds d. photophobia c. A client has an order to receive psyllium (Metamucil) daily. A nurse is caring for a client with a tracheostomy that has been diagnosed with a respiratory infection. eight ounces of liquid 14. applesauce d. The nurse teaches the client which of the following about the use of this medication? a. a dose of an antacid c. irritability may occur while taking this medication c. this medication contains a habit-forming ingredient d. pyloric stenosis d. glaucoma b. A nurse is caring for a client with a diagnosis of metastatic breast carcinoma who is receiving tamoxifen citrate (Nolvadex) 10 mg orally twice daily. hair loss 15. The client is receiving vancomycin hydrochloride (Vancocin) 500 mg intravenously every 12 hours. Which of the following would indicate to the nurse that the client is experiencing a side effect related to the medication? a. come to the clinic to provide a urine sample b. a multivitamin and mineral supplement b. bradycardia 10. A nurse is teaching a client taking cyclosporine (Sandimmune) after renal transplant about medication information. sweat. diarrhea c. A nurse is gathering data from client about the client’s medication history and notes that the client is taking tolterodine tartrate (Detrol LA). and tears as a harmless side effect 9. vaginal bleeding 11. decreased hearing acuity b. stop the medication until further instructions are given by the physician c. A nurse reinforces dietary instruction for the client receiving spironolactone (Aldactone). A client has just been given a prescription for diphenoxylate with atropine (Lomotil). feces. hypetension b. Which of the following would indicate to the nurse that the client is experiencing an adverse effect of the medication? a. weight loss d. Which food would the nurse instruct the client to avoid while taking this medication? a.urine is a red-orange color.
The nurse tells the client to: a. “I need to take the medication with water’” b. “I will check my child’s pulse before giving the medication” c. popcorn 16. “I will carry a medication identification card with me” 18. “If I miss a pill I need to take it as soon as I remember” d. Which statement by the mother indicates a need for further instructions? a. A nurse is caring for a child with CHF provides instructions to the parents regarding the administration of digoxin (Lanoxin). shrimp c. “If my child vomits after I give the medication. A nurse in a physician’s office is reviewing the results of a client’s phenytoin (Dilantin) level drawn that morning. if dizziness occurs. crush the tablet before taking it c. A client with Parkinson’s disease has begun therapy with levodopa (L-dopa). A home care nurse provides instructions to a client taking digoxin (Lanoxin) 0.25 mg daily. “I will not need to use an additional birth control method once I start these pills” c. smoking increases the effectiveness of the medication d. The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for: a. call the physician for a change in medication d. 24 hours b. Which statement by the client indicates a need for further instructions? a. discontinue the medication 22. mix the tablet uncrushed in custard 19. “ I need to increase fluid intake while taking the medication” c.b. apricots d. One week d. “It is important to have my blood drawn when prescribed” c. “I will take my prescribed antacid if I become nauseated” b. The nurse tells the client that: a. Two to three days c. call the physician c. A client with anxiety disorder is taking buspirone (BuSpar) and tells the nurse that it is difficult to swallow the tablets. Which statement by the client indcates a need for further instructions? a. “I will check my pulse before I take my medication” d. “I will mix the medication with food” 20. dissolve the tablet in a cup of coffee b. Which statement by the client indicates the need for further instructions? a. “I need to notify the physician of nausea occurs” 17. Oral lactulose (Chronulac) is prescribed for the client with a hepatic disorder and the nurse provides instructions to the client regarding this medication. I will not repeat the dose” b. The nurse determines that the client
. A nurse provides instructions to a client who will begin an oral contraceptives. A nurse provides instructions to a client taking clorazepate (Tranxene) for management of an anxiety disorder. “ I need to increase fiber in the diet” d. “If I miss two pills I will take them both as soon as I remember and I will take two pills the next day also” 21. “I will check the dose of the medication with my husband before I give the medication” d. drowsiness is a side effect that usually disappears with continued therapy b. if gastrointestinal disturbances occur. Two to three weeks 23. “I will take one pill daily at the same time every day” b.
Which finding would indicate to the nurse that the client is experiencing a side effect related to the medication? a. diarrhea
. A nurse is caring for a client with a diagnosis of meningitis who is receiving amphotericin B (Fungizone) intravenously. headache d. decreased urinary output c. Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the medication? a. The nurse based this diagnosis on assessment of which side effect of the medication? a. weight gain c. a localized rash d. Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the medication? a.has a therapeutic drug level if the client’s result was: a. nausea c. The wound of a client with an extensive burn injury is being treated with the application of silver sulfadiazine (Silvadene). decreased libido 28. irritability 26. A nurse is caring for a client with a diagnosis of rheumatoid arthritis who is receiving sulindac (Clinoril) 150 mg po twice daily. Which symptom would indicate to the nurse that the client is experiencing a side effect related to systemic absorption? a. A nurse is caring for a client with a genitourinary tract infection receiving amoxicillin (Augmentin) 500 mg every 8 hours. difficulty swallowing c. confusion 27. The nurse would assess the client for: a. burning and itching at the wound site c. peripheral edema and weight gain d. watery diarrhea 25. edema b. 3 mcg/ml b. 8 mcg/ml c. 15 mcg/ml d. constipation b. excitability d. wheezing c. A nurse is caring for a client with glaucoma who receives a daily dose of acetazolamide (Diamox). nausea b. apical pulse rate lower than baseline 29. A nurse has formulated a nursing diagnosis of Disturbed Body Image for a client who is taking spironolactone (Aldactone). pain at the wound site b. muscle weakness d. hypertension b. A nurse is caring for the client with a history of mild heart failure who is receiving diltiazem hydrochloride (Cardizem) for hypertension. Which of the following would indicate to the nurse that the client is experiencing an adverse effect of the medication? a. dark-colored urine and stools d. photosensitivity 30. 24mcg/ml 24. bradycardia b.
lowered pulse rate c. sodium b. notify the physician c. blurred vision b. impotence c. dry mouth 33. The nurse notes that the client is receiving filgrastim (Neupogen). creatinine level 32. neutrophil count b. administer an antidiarrheal agent b. The nurse monitors the result of which electrolyte study during therapy with this medication? a. increased WBC d. monitor the client’s temperature 36. The nurse monitors the client for which frequent side effect of the medication? a. Which nursing action would the nurse implement? a. Acetohexamide (Dymelor) and trimethoprim-sulfamethoxazole (Bactrim) b.b. Which finding indicates a sign of this blood dyscrasia? a. fever d. An older client has been using cascara sagrada on a long-term basis. Tolbutamide (Orinase) and amoxicillin (Amoxil) 35. Glyburide (DiaBeta) and Lanoxin (Digoxin) d. tachycardia b. A clinic nurse asks a client with diabetes mellitus being seen in the clinic for the first time to list the medications that she is taking. A client has been taking fosinopril (Monopril) for 2 months. calcium d. blood urea nitrogen d. platelet count c. A nurse is monitoring a client who is taking fluphenazine decanoate (Prolixin) for signs of leucopenia. night blindness 38. Which combination of medications taken by the client should the nurse report to the physician? a. potassium c. lowered BP b. The nurse determines that the client is having the intended effects of therapy if the nurse notes which of the following? a. photophobia c. The nurse determines that which laboratory result is a result of the side effects
. increased energy level d. A client is taking labetalol (Normodyne). A nurse is caring for a client receiving streptogramin (Synercid) by intravenous intermittent infusion for the treatment of a bone infection develops diarrhea. constipation c. discontinue the medication d. Chlorpropamide (Diabenase) and amitriptyline (Elavil) c. sore throat d. tingling in the extremities 31. The nurse checks which of the following to determine medication effectiveness? a. increased monocyte count 37. A nurse is administering amphotericin B (Fungizone) to a client intravenously to treat a fungal infection. chloride 34.
as eveidenced by abnormal laboratory values. infection 41. reduce the risk of deep vein thrombosis c. A client with advanced cirrhosis of the liver is not tolerating protein well. A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril).0 mEq/L 39. proteinuria 43.of this medication? a. Quinidine gluconate (Dura Quin) is prescribed for a client. sodium 135 mEq/L b. thiamine (Vitamin B1)
. acetic acid solution 45. aspercreame c. sodium 145 mEq/L c. knowing that which of the following is a contraindication in the use of this medication? a. A client has an order to begin short-term therapy with enoxaparin (Lovenox). dissolve urinary calculi b. asthma d. potassium 3.1 mEq/L d. glycerin emollient b. The nurse explains to the client that this medication is being ordered to: a. The nurse tells the client that this medication should do which of the following? a. A female client tells the clinic nurse that her skin is very dry and irritated. lactulose (Chronulac) b. that a therapeutic effect will be noted immediatedly 44. nausea b. myoflex d. Which product would the nurse suggest that the client apply to the dry skin? a. potassium 5. The nurse tells the client: a. calm the persistent cough c. to rise slowly from a lying to a sitting position c. muscle weakness c. The nurse anticipates that which of the following medications will be prescribed for the client? a. A client has been taking benzonatate (Tessalon) as ordered. Which of the following indicates an adverse effect? a. take away nausea and vomiting b. stop progression of multiple sclerosis 40. Auranofin (Ridaura) is prescribed for a client with rheumatoid arthritis. and the nurse monitors the client for signs of an adverse effect related to the medication. complete atrioventricular (AV) block b. diarrhea c. decrease anxiety level d. to take the medication with food only b. ethacrynic acid (Edecrin) c. The nurse reviews the client’s medical record. folic acid (Folvite) d. relieve migraine headaches d. to discontinue the medication if nausea occurs d. increase comfort level 42. anorexia d.
cola 49. bananas c. ibuprofen (Motrin) c. shake the vial in an attempt to disperse the clumps c. avoid exposure to sunlight d. warm the bottle under running water to dissolve the clump
. A nurse has taught a client taking a xanthine bronchodilator about beverages to avoid. The nurse teaches the client to do which of the following while taking this medication? a. aspirin (acetylsalicylic acid. baked potato b. limit alcohol to 2 ounces per day 50. naproxen (Naprosyn) 48.46. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu? a. take the medication with an antacid c. A client is taking famotidine (Pepcid) asks the home care nurse what would be the best medication to take for a headache. The nurse should: a. ASA) b. The nurse tells the client that it would be best to take: a. chocolate milk b. A nurse is planning dietary counseling for the client taking triamterene (Dyrenium). coffee d. draw up and administer the dose b. The nurse plans to include which of the following in a list of foods that are acceptable? a. pears canned in water 47. draw the dose from a new vial d. take the medication on an empty stomach b. acetaminophen (Tylenol) d. A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. cranberry juice c. oranges d. A client with histoplasmosis has an order for ketoconazole (Nizoral).