pharm study questions

27. A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching? A. "You may experience a decreased sex drive while taking this medication." B. "You will notice an improvement in your depressive symptoms in 2 to 3 days." C. "You may notice that you have less appetite while taking this medication." D. "You may experience drooling while taking this medication."

*A. "You may experience a decreased sex drive while taking this medication."

64. Type MA: A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.) A. The reason why the child is taking the medication B. Written information about the medication C. Stopping the medication when the child feels better D. The adverse effects of the medication E. Using a kitchen spoon to administer the medication

*A. The reason why the child is taking the medication *B. Written information about the medication *D. The adverse effects of the medication

80. Type MA: A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg/day by intermittent IV bolus every 8 hr. Which of the following manifestations indicate the client is experiencing gentamicin toxicity? (Select all that apply.) A. Insomnia B. Tinnitus C. Dizziness D. Restlessness E. Xerostomia

*B. Tinnitus *C. Dizziness

3. A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? A. "Take this medication before bedtime." b. "Monitor for leg cramps." c. "Avoid grapefruit juice.' d. "Reduce intake of potassium-rich foods."

*b. "Monitor for leg cramps."

58. A nurse is preparing to administer aspirin 650 mg PO every 12 hr. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number/tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets

45. A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number/tenth. Use a leading zero if it applies. Do not use a trailing zero.)

200 mL

56. A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? A. "Do not take antihistamines with this medication." B. "Take the medication on an empty stomach." C. "Stop taking the medication immediately for a headache." D. "Expect to develop diarrhea initially."

A. "Do not take antihistamines with this medication."

1. A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client indicates an understanding of the teaching? A. "I will avoid drinking grapefruit juice." B. "I should take this medication without food." C. "I should expect my stools to turn clay-colored." D. "It is not necessary to have routine lab tests done."

A. "I will avoid drinking grapefruit juice."

21. A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make? A. "I'm glad you called, and I want to send an ambulance to help you." B. "You must have been feeling pretty depressed to do that." C. "Do you know how many pills were in the bottle?" D. "Were you trying to kill yourself by taking an overdose?"

A. "I'm glad you called, and I want to send an ambulance to help you."

8. A nurse is teaching a client who has a new prescription for colesevelam to lower his low-density lipoprotein level. Which of the following instructions should the nurse include? A. "Take this medication 4 hours after other medications." B. "Reduce fluid intake." C. "Take this medication on an empty stomach." D. "Chew tablets before swallowing."

A. "Take this medication 4 hours after other medications."

23. A nurse is providing medication teaching for a client who has a new prescription for phenelzine. Which of the following statements should the nurse include in the teaching? A. "You should change positions slowly while taking this medication." B. "This medication is prescribed to help overcome alcohol addiction." C. "You should omit foods containing oxalates while taking phenalzine." D. "You should avoid drinking liquids after your evening meal."

A. "You should change positions slowly while taking this medication."

10. A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider? A. Amoxicillin-clavulanate B. Gentamicin C. Erythromycin D. Amphotericin B

A. Amoxicillin-clavulanate

30. What is the difference between antitussive medications and expectorants? The best response by the nurse to explain this is: A. Antitussives suppress coughing and expectorants loosen bronchial secretions. B. Both drug types loosen bronchial secretions. C. Antitussives liquefy bronchial secretions and expectorants assist in the expectoration of those secretions D. There is no difference in functions.

A. Antitussives suppress coughing and expectorants loosen bronchial secretions.

59. Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use? A. Ask the client's full name and date of birth. B. Verify the client's room number. C. Check the client's name on the medication administration record (MAR). D. Ask a family member to verify the client's identity.

A. Ask the client's full name and date of birth.

79. A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check? A. At the client's bedside before administration B. In the area where the nurse obtained the medication C. At the time of documentation D. At the nurses' station while reviewing the provider's prescription

A. At the client's bedside before administration

36. A client is being given theophylline to treat acute asthma symptoms. Which of the following foods should the client avoid that may interfere with this medication? A. Chocolate B. Bananas C. Orange juice D. Cranberry juice

A. Chocolate

78. A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take? A. Give the ordered KCL as prescribed. B. Omit the KCL dose and document that it was not given. C. Hold the prescribed dose and notify the provider of the serum potassium level. D. Call the lab to verify the client's results.

A. Give the ordered KCL as prescribed.

37. A client with persistent, frequent asthma exacerbations asks a nurse about a long-acting beta2-agonist (LABAs) medication. What will the nurse tell this client? A. Growth may be slowed, but eventual adult height will not be reduced. B. The growth rate is not impaired, but overall height will be reduced. C. The growth rate slows while the drug is used but resumes when the drug is stopped. D. Long-term use of the drug results in a decrease in adult height.

A. Growth may be slowed, but eventual adult height will not be reduced.

15. A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of the following baseline examinations should the nurse include in the teaching? A. Liver function tests B. Hearing test C. Papanicolaou test D. Dental examination

A. Liver function tests

86. A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in the teaching? A. Monitor for a cough. B. Hold medication for heart rate less than 60/min. C. Take this medication with food. D. Avoid grapefruit juice.

A. Monitor for a cough.

25. A nurse is providing discharge teaching to a client with a new prescription for phenelzine. The nurse should instruct the client to avoid which of the following foods when taking this medication? A. Salami B. Cottage cheese C. Shellfish D. Frozen peas

A. Salami

42. A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A. Tell the client to blow her nose gently before the instillation. B. Assist the client to a side-lying position. C. Hold the dropper 2 cm (1 in) above the naris. D. Instruct the client to stay in the same position for 2 min.

A. Tell the client to blow her nose gently before the instillation.

28. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? A. The client holds his breath for 10 seconds after inhaling the medication. B. The client takes a quick inhalation while releasing the medication from the inhaler. C. The client exhales as the medication is released from the inhaler. D. The client waits 10 min between inhalations.

A. The client holds his breath for 10 seconds after inhaling the medication.

31. Why are inhaled steroids used to treat asthma and chronic obstructive pulmonary disease (COPD)? A. They act locally to decrease release of inflammatory mediators. B. They act locally to improve mobilization of edema. C. They act locally to increase histamine release. D. They act locally to decrease histamine release.

A. They act locally to decrease release of inflammatory mediators.

14. A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication? A. Tinnitus B. Clay colored stools C. Nystagmus D. Respiratory depression

A. Tinnitus

53. A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make? A. "A headache is an indication of an allergy to the medication." B. "A headache is an expected adverse effect of the medication." C. "A headache indicates tolerance to the medication." D. "A headache is likely due to the anxiety about the chest pain."

B. "A headache is an expected adverse effect of the medication."

90. A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make? A. "Irregular bowel movements are an indication of poor intestinal health." B. "Excessive laxative use may cause an electrolyte imbalance." C. "Chronic use of laxatives can lead to a tear in the rectal mucosa." D. "Decrease your intake of foods high in fiber."

B. "Excessive laxative use may cause an electrolyte imbalance."

50. A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching? A. "Do not take this medication before bedtime." B. "Take the medication with a full glass of water." C. "Expect abdominal pain with this medication." D. "Take this medication on an empty stomach."

B. "Take the medication with a full glass of water."

7. A nurse is teaching a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include? A. "You should expect brown-colored urine." B. "You should avoid grapefruit juice." C. "You should monitor for ringing in the ears." D. "You should take the medication in the morning."

B. "You should avoid grapefruit juice."

55. A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching? A. "Take the medication with an antacid to minimize stomach upset." B. "Your doctor might need to reduce your theophylline dose while taking this medication." C. "Take the medication on an empty stomach for better absorption." D. "You should plan to take this medication for at least 6 months."

B. "Your doctor might need to reduce your theophylline dose while taking this medication."

40. A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage? A. 2 mg B. 0.2 mg C. 0.20 mg D. 2.0 mg

B. 0.2 mg

91. A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further? A. Diet-controlled Type 2 diabetes mellitus B. A history of severe left-sided heart failure C. A concurrent prescription for tadalafil D. Recently treated bilateral pneumonia

B. A history of severe left-sided heart failure

81. A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications? A. Flumazenil B. Acetylcysteine C. Atropine D. Vitamin K

B. Acetylcysteine

54. A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? A. Apply a new transdermal patch once a week. B. Apply the transdermal patch in the morning. C. Apply the transdermal patch in the same location as the previous patch. D. Apply a new transdermal patch when chest pain is experienced.

B. Apply the transdermal patch in the morning.

47. A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication? A. Constipation B. Bleeding C. Blurred vision D. Insomnia

B. Bleeding

2. A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider. B. Check the client's vital signs. C. Fill out an occurrence form. D. Administer the medication to the correct client.

B. Check the client's vital signs.

75. A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching? A. Temporary loss of libido. B. Dizziness. C. Bradycardia D. Burning with urination

B. Dizziness.

20. A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take? A. Speak to the provider about adding an MAOI to the current medication regimen. B. Explain that antidepressants often take several weeks to be fully effective. C. Tell the client that the provider will need to change citalopram to a different medication. D. Recommend a sleep study be done on the client.

B. Explain that antidepressants often take several weeks to be fully effective.

60. A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer? A. Danazol B. Finasteride C. Fluoxymesterone D. Methyltestosterone

B. Finasteride

46. A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication? A. Report of recent migraine headaches B. History of gastric ulcers C. Current diagnosis of glaucoma D. Prior reports of amenorrhea

B. History of gastric ulcers

74. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority? A. Give the client 15 to 20 g of carbohydrate. B. Monitor the client for hypoglycemia. C. Complete an incident report. D. Notify the nurse manager.

B. Monitor the client for hypoglycemia.

89. A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available? A. Flumazenil B. Naloxone C. Protamine D. Neostigmine

B. Naloxone

76. A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? A. Alleviate Helicobacter pylori B. Relief of gastrointestinal pain C. Prevention of opportunistic infections D. Improvement of impaired vision

B. Relief of gastrointestinal pain

87. A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report? A. Dry cough B. Swelling of the tongue C. Nausea D. Nasal congestion

B. Swelling of the tongue

33. The nurse caring for a 38-year-old client started on albuterol should advise the client that he or she may experience what adverse effect? A. Polydipsia B. Tachycardia C. Hypotension D. Diarrhea

B. Tachycardia

63. A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching? A. Expect ringing in your ears. B. Take the medication with food. C. Store the medication in the refrigerator. D. Monitor for weight loss.

B. Take the medication with food.

17. A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity? A. Omeprazole B. Vancomycin C. Ondansetron D. Diphenhydramine

B. Vancomycin

9. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect? A. Urinary retention B. Weakness C. Orthostatic hypotension D. Blurred vision

B. Weakness

24. A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. Which of the following statements by the client indicates understanding of the teaching? A. "I should expect relief from depression within 3 to 4 days." B. "I will take my fluoxetine at bedtime so I can sleep better." C. "I should notify my provider if I develop a skin rash." D. "I will notice an improvement in my sex drive."

C. "I should notify my provider if I develop a skin rash."

57. A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include? A. "Limit your fluid intake to meal times." B. "Do not take this medication on an empty stomach." C. "Increase your daily intake of dietary fiber." D. "You can expect swelling of the ankles while taking this medication."

C. "Increase your daily intake of dietary fiber."

83. A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information should the nurse include? A. "Take this medication with a glass of grapefruit juice." B. "Expect your skin to turn yellow." C. "Monitor for ringing in your ears." D. "Increase fiber intake to prevent constipation."

C. "Monitor for ringing in your ears."

70. A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make? A. "Take only one dose of nitroglycerin to reduce the risk of getting a headache." B. "There's nothing that can be done to relieve the headaches that nitroglycerin causes." C. "Try taking a mild analgesic to relieve the headache." D. "We will ask the provider to prescribe a different medication for you."

C. "Try taking a mild analgesic to relieve the headache."

77. A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide? A. Administer the medications by touching the tip of the dropper to the sclera of the eye. B. Hold pressure on the conjunctiva sac for 2 min following application of drops. C. Administer the medications 5 minutes apart. D. It is not necessary to remove contact lenses before administering medications.

C. Administer the medications 5 minutes apart

19. A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse? A. Glass of whole milk B. Celery sticks C. Bologna sandwich D. Sliced apples

C. Bologna sandwich

44. A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? A. Document that the client experienced an anaphylactic reaction to the medication. B. Change the IV infusion site. C. Decrease the infusion rate on the IV. D. Apply cold compresses to the neck area.

C. Decrease the infusion rate on the IV.

85. A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take? A. Apply pressure to the bridge of the nose after administration. B. Wipe the eye from the outer canthus to the inner canthus before instillation. C. Drop prescribed amount of medication into the conjunctival sac. D. Protect the distal portion of the eyedropper using clean technique.

C. Drop prescribed amount of medication into the conjunctival sac.

48. A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include? A. Discard the NPH solution if it appears cloudy. B. Shake the insulin vigorously before loading the syringe. C. Expect the NPH insulin to peak in 6 to 14 hr. D. Freeze unopened insulin vials.

C. Expect the NPH insulin to peak in 6 to 14 hr.

32. Your client has been maintained on theophylline for many years and has recently taken up smoking. The nurse would expect the theophylline levels for this client to: A. Rise because nicotine prevents the breakdown of theophylline B. Stay the same because smoking has no effect on theophylline. C. Fall because nicotine stimulates liver metabolism of theophylline. D. Rapidly reach toxic levels.

C. Fall because nicotine stimulates liver metabolism of theophylline.

84. A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication? A. Ototoxicity B. Tachycardia C. Postural hypotension D. Hypokalemia

C. Postural hypotension

22. A nurse is caring for a client who is exhibiting severe manifestations of serotonin syndrome. Which of the following is the priority nursing intervention? A. Administering an anticonvulsant. B. Padding side rails to prevent injury. C. Preparing for artificial ventilation. D. Applying a cooling blanket.

C. Preparing for artificial ventilation.

73. A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment? A. Blood pressure B. Apical heart rate C. Respiratory rate D. Temperature

C. Respiratory rate

62. A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide? A. Weigh weekly to monitor therapeutic effect. B. Take the medication on an empty stomach. C. Take the medication early in the day. D. Muscle pain is an expected adverse effect.

C. Take the medication early in the day.

67. A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? A. Sedation B. Increased appetite C. White coating in the mouth D. Dry oral mucous membranes

C. White coating in the mouth

61. The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching? A. "I should eat a diet low in potassium while taking this medication." B. "I should limit my fluid intake while taking this medication." C. "My blood pressure will increase while I am taking this medication." D. "I need to limit my sun exposure and wear sunscreen while on this medication."

D. "I need to limit my sun exposure and wear sunscreen while on this medication."

11. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following statements by the nurse indicates an understanding of the teaching? A. "I should increase my intake of potassium-rich foods." B. "I should expect to have facial swelling when taking this medication." C. "I should take this medication with food." D. "I should report a cough to my provider."

D. "I should report a cough to my provider."

26. A nurse is reinforcing teaching with an older adult client who has major depressive disorder and a prescription for nortriptyline 25 mg daily. Which of the following client statements indicates understanding of the teaching? A. "I should take my nortriptyline before breakfast." B. "I can no longer eat pepperoni pizza." C. "I will avoid drinking caffeinated beverages." D. "I should sit on the side of the bed before standing up in the morning."

D. "I should sit on the side of the bed before standing up in the morning."

49. A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take this medication as needed to reduce pain." B. "I will reduce my fluid intake with this medication." C. "I will take this medication with an antacid." D. "I will take this medication 1 hour before meals and at bedtime."

D. "I will take this medication 1 hour before meals and at bedtime."

4. A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching? A. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart." B. "I'll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period." C. "I'll dial 911 when I have pain and then take the nitroglycerin tablets." D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting."

D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting."

6. A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following statements by the client indicates an understanding of the teaching? A. "I should expect to feel better after 24 hours of starting this medication." B. "I should not take this medicine with grapefruit juice." C. "I'll take this medicine with food." D. "I'll take this medicine first thing in the morning."

D. "I'll take this medicine first thing in the morning."

13. A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching? A. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain." B. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries." C. "You can store the bottle of tablets in your bathroom medicine cabinet." D. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."

D. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."

66. A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide? A. "Treatment with this medication will last for 1 month." B. "This medication can cause insomnia." C. "It is best to take the medication with meals." D. "Urine and other secretions might turn orange."

D. "Urine and other secretions might turn orange."

41. A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? A. 14 units B. 28 units C. 32 units D. 42 units

D. 42 unit

69. A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority? A. Initiating oxygen therapy B. Providing immediate rest for the client C. Positioning the client in high-Fowler's D. Administering a nebulized beta-adrenergic

D. Administering a nebulized beta-adrenergic

29. A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack? A. Beclomethasone B. Salmeterol C. Formoterol D. Albuterol

D. Albuterol

43. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? A. Constipation B. Black colored stools C. Staining of teeth D. Body secretions turning a red-orange color

D. Body secretions turning a red-orange color

68. A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider? A. Blurred vision B. Palpitations C. Constipation D. Depression

D. Depression

34. A client presents to the emergency department having an acute asthma attack. The physician has ordered a sympathomimetic (epinephrine). The nurse expects what as the therapeutic effect of this drug? A. Decrease the inflammatory response in the airways B. Reduce the surface tension within the alveoli allowing for gas exchange C. Inhibit the release of histamine and slow-reacting substance of anaphylaxis (SRSA) to prevent the allergic asthmatic response D. Dilation of the bronchi with increased rate and depth of respirations

D. Dilation of the bronchi with increased rate and depth of respirations

51. A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include? A. Draw up the NPH insulin into the syringe first. B. Inject air into the regular insulin first. C. Shake the NPH insulin until it is well mixed. D. Discard regular insulin that appears cloudy.

D. Discard regular insulin that appears cloudy.

12. A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene? A. Verifies the medication against the prescription and medication label. B. Scans the bar code on the medication administration record and the client's arm band. C. Checks the provider's orders and confirmed dosage in a medication reference guide. D. Documents medication administration prior to administering it.

D. Documents medication administration prior to administering it.

72. A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid while taking this medication? A. Milk B. Orange juice C. Coffee D. Grapefruit juice

D. Grapefruit juice

38. A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin? A. Insulin glargine has a duration of 3 to 6 hr. B. Insulin glargine has a duration of 6 to 10 hr. C. Insulin glargine has a duration of 16 to 24 hr. D. Insulin glargine has a duration of 18 to 24 hr.

D. Insulin glargine has a duration of 18 to 24 hr.

35. A 70-year-old client is being treated for chronic obstructive pulmonary disease (COPD) with theophylline. What will be a priority assessment by the nurse? A. Ingestion of fatty foods B. Weight C. Activity level D. Nicotine use

D. Nicotine use

18. A nurse is administering morphine 2 mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects? A. Diarrhea B. Heartburn C. Hiccups D. Orthostatic hypotension

D. Orthostatic hypotension

52. A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective? A. Increased appetite B. Regular bowel movements C. Absence of headache D. Reduced dyspepsia

D. Reduced dyspepsia

65. A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions? A. Reduces inflammation B. Suppresses the urge to cough C. Dries mucous membranes D. Stimulates secretions

D. Stimulates secretions

71. A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include? A. Take 1 capsule at the onset of anginal pain. B. Stop taking the medication if side effects are troublesome. C. Take the medication with meals. D. Swallow the capsules whole.

D. Swallow the capsules whole.

88. A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication? A. The client is experiencing a myocardial infarction. B. The client who is 24 hr postoperative following hip arthroplasty. C. The client who has bronchitis pleurisy. D. The client has a paralytic ileus.

D. The client has a paralytic ileus.

39. A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate? A. The nurse administers the prescribed dosage. B. The nurse determines the prescription is above the recommended dosage range. C. The nurse contacts the pharmacist to adjust the prescribed dosage. D. The nurse determines the prescription is insufficient to achieve the desired effect.

D. The nurse determines the prescription is insufficient to achieve the desired effect.

82. A nurse working on a medical unit is completing the admission of a client who reports a severe allergy to penicillin. Which of the following actions should the nurse take? A. Have the client purchase a medication alert bracelet to wear in the hospital. B. Notify dietary services to adjust the client's diet. C. Remove all objects that contain latex from the client's room. D. Verify the client's medication prescriptions do not include cephalosporin.

D. Verify the client's medication prescriptions do not include cephalosporin.

92. Please answer the following statement as true or false Antitussive agents should be used with caution in patients who have a history of addiction. True False

True

16. A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client who has GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

a. 2.5 | 2.5 mL

92. What is an indication for the use of estrogen receptor modulators? a. Postmenopausal osteoporosis b. Hereditary angioedema c. Osteogenesis imperfecta d. Breast cancer

a. Postmenopausal osteoporosis

92. A client is in the clinic for a follow-up visit after having been on hormone replacement therapy for 3 months. Which report by the client should be the priority concern for the nurse? a. Smoking 8-10 cigarettes per day b. 10-ib (4.5kg) weight gain in the last 3 months c. Occasional binge eating d. Almost no exercise

a. Smoking 8-10 cigarettes per day

92. The nurse is working with a client who is newly diagnosed with hypothyroidism. Diagnostic testing has indicated that the client's health problem is caused by anterior pituitary dysfunction. This client's hypothyroidism is rooted in a deficiency of: a. Thyroxine releasing hormones (TRH) b. Thyroid stimulating hormone (TSH) c. Tetraiodothyronine Triiodothyronine

b. Thyroid stimulating hormone (TSH)