Pharmacology practice exam 1 - Hesi
a client with GERD is having symptoms of reflux despite taking omeprazole (prilosec) 20 mg daily. what action should the lpn implement? a- notify the healthcare provider about the symptoms b- obtain vital signs every 30 minutes until symptoms are alleviated c- instruct the client to stop taking the medication d- tell the client to take an antacid in addition to the omeprazole
a
a male client diagnosed with tb asks the lpn about his course of drug therapy. which info should the lpn provide? a- drug therapy requires compliance for 6 to 12 months b- medication is stopped when clinical symptoms subside c- to prevent reactivation, drug therapy is maintained for life d- to prevent resistance and side effects, drugs are changed
a
a client receives a prescription for an oral opioid analgesic for post operative pain. whihc adverse effect should the lpn monitor for in the client? A- constipation B- photosensitivity C- decrease heart rate D- frequent urination
A
a client who returns from surgery for bowel resection complains of severe pain around the incision. which assessment is most important for the lpn to obtain prior to the adminstration of morphine sulfate A- rate of respiration B- core temperature C- appearance of the incision D- presence of bowel sounds
A
a client with ADHD is prescribed amphetamine (adderall). which side effect should the practical nurse explain is commonly experienced? A) difficulty sleeping B) increased fatigue C) improved appetite D) decreased heart rate
A
a male client who is hypertensive is starting a new script for clonidine (catapress) 0.4mg PO daily. in reviewing common side effects, what info should the lpn provide the client a- report problems with sexual function b- monitor respiration on a daily basis c- increased libido may be experienced d- weight gain may indicate fluid retention
A
an older client who takes risperidone (risperdal), an antipsychotic, is complaining of constipation. which dietary changes should the lpn recommend? A- increase daily green veggies and bran B- take a laxative and stool softener daily C- eat liver and turnips once a week D- use a retention enema every four days
A
dietary trays usually arrive on the hospital unit at 7:30AM. when should the lpn plan to adminster NPH insulin 40 units subq to a client with diabetes A- 6:30-7:00 B- 7:00-7:30 C- 7:30-8:00 D- 8:00-8:30
A
the HP prescribes an abx for a male adolescent with an upper respiratory tract infection, who asks the lpn how long the prescribed abx should be taken. What information should the lpn provide? A- continue the medication until all of the prescription is taken B- use the medication for 24 hours after the cough subsides C- stop the medication when the temp returns to normal D- take any remaining capsules if the infection occurs again
A
the lpn asks a male client who came to the clinic with an upper respiratory infection if he has any drug allergies. the client cannot remember if he does or if he ever received penicillin. after administering the injection of penicillin, the pn tells the client to stay for 30 minutes of observation. which finding should the pn identify that is indicative of a reaction to the medication? A- rash, itching, and hives B- fever and abdominal pain C- drop in temperature and blood pressure D- a vasovagal response with bradycardia
A
the lpn is unable to arouse a client who is receiving meperidine (demerol) for postoperative pain. the client is stuporous, has constricted pupils, and a respiratory rate of 8 breaths per minute. which prn medication should thelpn give the client A- nalaxone (narcan) B- promethazine (phenergan) C- metoclopramide (reglan) D- bethanechol (urecholine)
A
the practical nurse should recommend that oral contraceptives be avoided in which group of women? A) women who smoke B) multigravidous women C) monogamous women D) women with an intrauterine device
A
a female client with recurring headaches tells the practical nurse that she has been taking at least 4 grams of acetaminophen a day. which lab study should the lpn review for this client? a) creatinine clearance b) hepatic enzymes c) coagulation values d) arterial blood gases
B
the lpn is caring for a client who is receiving dexamethasone (decadron) after abdominal surgery. which finding should the lpn report to the charge nurse A- weight loss B- impaired healing C- bradycardia D- hyperkalemia
B
the lpn is reinforcing teaching for a client who is receiving diltiazem (cardizem), a calcium channel blocker. which drug action should the lpn explain A- increased force of contraction B- decreased rate of contraction C- decreased peripheral resisitance D- increased speed of conduction
B
the practical nurse discusses antihypertensive drug therapy with several clients diagnoses with high blood pressure. to improve client understanding, the PN should emphasize that which medication preserves renal function in a client with diabetes? A) verapamil (calan) B) captopril (capoten) C) clonidine (catapres) D) nifedipine (procardia)
B
which client statement indicates to the lpn that a client understands discharge instructions about a new prescriptions for digoxin (lanoxin) A- i should double the dose if one is missed B- i will take my pulse for one minutes every day C- i should take an antacid to minimize stomach upset D- i will alternate my dose between morning and afternoon
B
which prescription should the lpn administer for a client who is experiencing an anaphylactic reaction to an antibiotic a- ephedra(ma-huang) b- epinephrin (adrenalin) c- phenylephrin (neo-synephrine) d- fexofenadine with pseudoephedrine (allegra d)
B
whihc INR value indicates that warafarin (coumadin) therapy is at a therapeutic range A- 1.0-2.0 B- 2.1-3.0 C- 3.1-4.0 D- 4.1-5.0
B
an older adult client receives a script for HCTZ (hydrodiuril), a thiazide diuretic for the treatment of heart failure. which side effects should the lpn reinforce with the client (select all that apply) A- constipation B- fatigue C- edema D- nausea E- Dehydration F- blurred vision
B E
a client receives a script for nystatin (mycostatin) oral suspension for the treatment of oral thrush. which information whould the lpn provide A- take on an empty stomach B- mix the suspension with water C- swish then swallow the medication D- keep in the refrigerator
C
a client who has been taking phenazopyridine (pyridium) for symptoms of urethritis and cystitis comes to the clinic because her urine is reddish orange. which question should the lpn ask to determine if the medication has been effective A- how much water have you been drinking each day B- does the urine color stain your toilet bowel or undergarments C- have you had any relief from urinary pain, burning, or urgency D- did your urine appear cloudy or have a foul odor on voiding
C
a clients tissue culture results indicate the wound is infected with MRSA. what action should the lpn implement first? A- provide sterile wound care as prescribed B- give the first dose of vancomycin C- implement contact isolation precautions D- document wound site appearance and drainage
C
which adverse effect should the lpn monitor for in a client who is taking amikacin (amikin) A- irritability B- constipation C- hearing loss D- insomnia
C
which info should the lpn provide a client who receives a new script for a benzodiazepine med A- a list of foods to avoid while taking this script B- symptoms that indicate increasing the dose of medication C- the interactions of alcohol consumptons and CNS depressant drugs D- explanations that support taking a work absence during drug therapy
C
which therapeutic action should the lpn base an explanation to a client who is receiving a cardiac glycoside? A- decreased cardiac output B- increased renal perfusion C- decreased rate of contraction D- increased blood volume
C
a 35 week gestation primigravida who takes lithium (eskalith) tells the lpn that she would like to breastfeed her infant. what information should the pn provide to the client A- the medication does not cross the placental barrier B- mood swings will occur if lithium is discontinued C- breast mil should be discarded after each oral dose of lithium D- the drug is excreted in breast milk so use formula to feed the infant
D
a client who is transferred to the cardiac rehab unit after a myocardial infarction is ready for discharge with a new script for metoprolol (lopressor). the client asks, "i dont have high blood pressure, so why did my HP give me this medicine?" What infor should the lpn provide a- anticoagulation is the most important action of metoprolol b- beta blockers are routinely prescribed after heart damage c- heart failure is prevent as a complication while healing d- a slower heart reduces the heart oxygen demand
D
a client with parkinson's disease has been taking antiparkinsonian meds for 3 months. which client finding should the lpn identify as a therapeutic response a- decreased appetite b- gradual development of cogwheel rigidity c- occurrence of confusion d- improved ability to perform activities
D
a male client who has been receiving an antineoplastic drug has developed thrombocytopenia. What instruction should the lpn reinforce? A- use suppository form of drugs B- avoid large public gatherings C- rise slowly when standing up D- shave with an electric razor
D
the healthcare provider prescribes celoxib (celebrex), a nonsteroidal antiinflammatory drug, for a client with osteoarthritis. Which finding in the clients history should the lpn report? A- gout B- hypertension C- diabetes mellitus D- peptic ulcer disease
D
the lpn is review the discharge plan for a client with mania who is receiving lithium carbonate (eskalith). to achieve a stable serum level, which info should the lpn reinforce with the client A- how to inject this drug B- when to increase the dosage C- when to stop using this drug D- how to recognize symptoms of toxicity
D
the lpn ovserves a think white coating on the tongue of a client who takes fluphenazine (prolixing). what instructions should the lpn reinforce with the client about this medication? a-no treatment is needed as the coating should subside in a couple of weeks b- attempt to stop smoking if the white coating on your tongue persists c- if you taking any inhalants, was the mouthpiece after each use D- brush your teeth and tongue, floss, gargle, and notify the healthcare provider
D
what side effect should the lpn report to the HP for a client who is taking prednisone (deltasone) A- dehydration B- hypoglycemia C- thickened skin D- gastric bleeding
D
which action should the lpn implement when administering a buccal medication a- encourage the client to swalloe b- administer water with medication c- ensure the med is positioned under the tongue d- place the med between the upper molar teeth and cheek
D
a client receives a script for clotrimazole 1% (gyne-lotrimin) vaginal cream for candidiasis. which info should the lpn provide the client? a- discontinue meds if menstruation begins b- instill cream using intravaginal applicator each night for 7 days c- use daily douching as part of the treatment for vaginal yeast infections d- abstain from sexual intercourse until treatment is completed
b
a client who is comatose is admitted after an overdose of baclofen (lioresal). what nursing action should the practical nurse implement? A) provide continuous telemetry monitoring B) monitor for signs of respiratory arrest C) administer prescribed naloxone (narcan) D) keep a dose of diazepam at the bedside
b
a client who is receiving an abx suddenly develops hives. the lpn should report that the client is most likely experiencing which type of drug response? a- adverse response b- hypersensitivity reaction c- idiosyncratic reaction d- multiple drug interaction
b
the lpn is caring for a client who has been taking prednisone (deltasone) daily for a year. which adverse effect should the lpn document in the clients record a- photosensitivity b- weight gain c- loss of hair d- pale skin color
b
the lpn is reinforcing info to a client about the use of an antiemetic to help manage nausea and vomiting during a course of chemotherapy. which info is most important for the lpn to provide? a- eat small amounts of food, such as crackers, to sooth the stomach lining b- drink any palatable liquid when nauseated c- ensure safety by taking at bedtime if drowsiness occurs d- take at least 30 minutes before a chemotherapeutic agent is received
b
the lpn should emphasize the importance of monitoring for which side effects in a client who takes a daily antilipemic agent a- photosensitivity b- liver dysfunction c- upper respiratory infections d- water soluble vitamin deficiencies
b
which script should the lpn adminster for a client who is experiencing an acute episode of bronchial asthma? a-nedocromil (tilade) b- albuterol (proventil) c- zafirlukast (accolate) d- triamcinolone (azmacort)
b
The LPN administers isoproterenol (Isuprel) to a client with heart block. The LPN should evaluate the client for which physical response? a)thirst and dry mucous membranes b)decrease in gastric motility c)increased heart rate d)bronchoconstriction
c
a client with type 1 diabetes mellitus received an early AM dose of regular insulin per sliding scale. at 1000, the lpn should report which signs indicative of hypoglycemia? a- urticaria and rash b- nausea and diarrhea c- irritability and confusion d- fruity, acetone odor to the breath
c
an adult male arrives in the clinic requesting a script for sildenafil (viagra). which client history should the lpn report to the healthcare provider? a- hypogonadism b- fluid retention c- the use of nitrates d- benign prostatic hyertrophy
c
the lpn should reinforce what time frame with a client about self administration of lispro insulin (humalog) a- take after a meal is completed b- take once daily at the midday meal c- take within 15 minutes of beginning a meal d- take only before bedtime with an evening snack
c
what assessment is most important for the lpn to obtain prior to initiating med therapy with phenelzine (nardil) for a client with depression A- activity level B- mood and affect C- understanding of diet modification D- the clients support systemc
c
a client with tb asks the lpn the value of prescribed multidrug therapy is prescribed. what explanation should the lpn provide? a- required to eradicate tb b- enhances the effect of each drug c- provides a faster effect than single drug therapy d- reduce development of tb resistant drugs
d
the healthcare provider prescribes cycloplegic and mydriatric opthalmic drops for a client who is having a cataract removal. what explanation about the drug actions should the practical nurse provide the client? A) reduces intraocular pressure B) relieves eye pain c) treats conjunctivitis D) dilates the pupil
d
which infor should the lpn reinforce with a client who is self adminstering insulin injections? a- shake the vial of insulin to mix the contents before administration b- store opened vials of insulin in a fridge no more than 30 days c- use a different syringe to prepare and inject each type of insulin d- aspirate regular insulin in the syringe first when mixing insulins
d
