Pharm Practice Questions 1.1
A nurse is admin insulin glulisine 10 units subq at 0730 to an adolescent client who has T1 DM. The nurse should anticipate the onset of an action of the insulin at which of the following times. .
0745 Why: rapid acting insulin
A nurse in a provider's office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following adverse effects?
Alterations in GI flora Why: often destroyed by broad-spectrum antibiotics
A nurse is caring for a client who is due to receive general anesthesia. The client asks the nurse, "What is the difference between an analgesic and anesthesia?" Which of the following statements should the nurse make?
Anesthesia can cause loss of consciousness
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following AE?
Bleeding Why: antithrombotic medications
A nurse is caring for a client who has a prescription for a QT interval medication. Which of the following conditions should the nurse identify as an adverse effect of this medication?
Bradycardia
A nurse is monitoring a client who has DI and was admin desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an AE of this medication?
Headache Why: AE of water intoxication by fluid retention
A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching?
I should wait at least 30 minutes before taking an antiacid
A nurse is preparing to admin meperidine 100mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to admin the medication?
1.5 inch
A nurse is evaluating how a client who is pregnant is responding to a medication. Which of the following physiological effects of pregnancy should the nurse take into consideration?
Accelerated excretion of fluids Why: d/t increased BF
A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication?
Electrocardiogram Why: can cause tachycardia and ECG changes
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to d/c taking the medication for which of the following adverse effects?
Fever Why: indicate potentially fatal hypersensitivity reaction
A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an AE of prednisone?
Gastric Ulceration
A nurse is caring for a client who is pregnant and inquiring about alternative, non-pharmacological therapies for N/V of pregnancy. Which of the following should the nurse recommend?
Ginger is effective in treatment of N/V
A nurse is caring for a client who has hyperlipidemia and is receiving simvastatin 40mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room?
Grapefruit juice
A nurse is caring for a client who has osteoporosis and has been taking a Vitamin D supplement. The nurse notes that the client reports also taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity?
Hypercalcemia
A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for HTN. Which of the following client statements should indicate to the nurse that the teaching has been effective?
I can experience an imbalance in my electrolytes from this medication Why: sodium phosphate can cause fluid excess loss
A nurse is providing teaching to a client about a new prescription for captopril to treat HTN. Which of the following client statements indicates an understanding of the teaching?
I might feel dizzy at times while taking this medication Why: hypotension & dizzy are potential AE
A nurse is caring for a client who is taking warfarin. Which of the following lab values should the nurse recognize as an effective response to the medication?
INR 3.0
A nurse is assessing a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately?
My legs feel weak and achy Why: severe AE is muscle injury
A nurse is caring for a client with COPD who has been taking tiotropium. Which of the following statements should indicate to the nurse that the client is experiencing an AE?
My mouth feels dry all the time
A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects?
Nephrotoxicity Why: treat severe fungal infections that can cause nephrotoxicity
A nurse is admitting a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client?
Nitroglycerin
A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's Disease. Which of the following findings indicates that the client is experiencing an AE?
Osteoporosis Why: can inhibit bone growth with LT use
A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurse's priority?
Paresthesia Why: greatest risk is neurotoxicity. Numbing of peripheral extremities
A nurse is caring for a client who has been receiving medication through a transdermal patch. The client is experiencing therapeutic benefits from the medication even though the medication in the patch is no longer active. The nurse should recognize that this is an example of which of the following?
Placebo effect Why: caused by physiological factors and not by biochemical or physiological properties
A nurse is monitoring the lab values of a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following lab values should the nurse report to the provider?
Platelets 78,000 Why: low and r/f severe bleeding
A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client?
Propranolol Why: Beta-Blocker that prevents action of beta2-agonists
A nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-agonist combination with DPI for maintenance therapy. The nurse should identify that which of the following is a disadvantage of this medication?
Restricted dosage flexibility Why: Dosages are fixed and cannot be adjusted
A nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agnosit. Which of the following should the nurse identify as the expected outcome of this medication?
Reverses Bronchospasm Why: outcome of this medication
A nurse is preparing a DC teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse plan to schedule?
Schedule the medication on alternate days to decrease adverse effects Why: avoid glucocorticoid therapy effects with alternate-day therapy
A nurse is providing DC teaching to a client who has a bacterial infection about AE of imipenem to report to the provider. Which of the following pieces of information should the nurse include?
Seizures can occur
A nurse is reviewing lab reports for a client who has C.Diff and is receiving vancomycin. Which of the following results should the nurse report to the provider before admin the next dose?
Serum creatinine 2.5
A nurse is caring for a client who has CF and has a prescription for high-dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication?
Slowed progression of pulmonary damage
A nurse is teaching a client who has a new prescription for phenytoin. The nurse should inform the client that which of the following AE can occur with the abrupt withdrawal of phenytoin?
Status epilepticus
A nurse is assessing a client who began taking clozapine 3 weeks ago. Which of the following findings should the nurse report to the provider immediately?
Tachypnea and Tachycardia Why: greatest risk is developing myocarditis adverse effect
A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an AE of this medication?
Temperature Why: can cause agranulocytosis
A nurse is preparing to admin the first injection of the DTaP vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization?
The vaccine will be injected into the infant's thigh Why: given IM in deltoid or thigh (larger muscles)
A nurse is reviewing the medication hx of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible?
Theophylline and zileuton Why: can cause toxicity d/t elevated theophylline
A nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for HTN. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?
This medication can cause a loss of potassium
A nurse is caring for a client who has HF and is taking oral furosemide 40mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs?
Tinnitus Why: can cause ototoxicity
A nurse is caring for a client who is experiencing a seizure while in bed. Which of the following actions should the nurse take?
Turn the client's head to the side
A nurse is preparing to admin 100 units of insulin glargine and 4 units of NPH insulin subq to a client. Which of the following actions should the nurse plan to take?
Use separate syringes for admin insulin glargine and NPH insulin Why: No glargine with other insulins
A nurse is teaching about taking donepezil with a client who was recently diagnosed with early Alzheimer's disease. Which of the following instructions should the nurse include in the teaching?
You should take this medication late in the evening + no with food
A nurse is providing DC teaching to a client who has been hospitalized for major depressive disorder and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
"I will move slowly when I stand up because amitriptyline can cause my BP to decrease" Why: orthostatic hypotension
A nurse is providing teaching to a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching?
Pravastatin can be taken with grapefruit juice Why: Not affected by CYP3A4 inhibitors like other statins. Take at night
