RN Pharmacology Online Practice 2023 A

A nurse at an urgent care clinic is collecting a history from a client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? "I have tendonitis, so I haven't been able to exercise." "I take a stool softener for chronic constipation." "I take medicine for my thyroid." "I am allergic to sulfa."

"I have tendonitis, so I haven't been able to exercise."

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. Which of the following statements by the client should indicate to the nurse an understanding of the teaching? "I will drink a glass of milk when I take the risedronate." "I will take the risedronate 15 minutes after my evening meal." "I should take an antacid with the risedronate to avoid nausea. "I should sit up for 30 minutes after taking the risedronate."

"I should sit up for 30 minutes after taking the risedronate."

A nurse is providing teaching to a client who has depression and a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching? "I should start to feel better within 24 hours of starting this medication." "I will be sure to follow a strict diet to avoid foods with tyramine." "I will continue to take St. John's Wort to increase the effects of the medication." "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication."

"I should take acetaminophen instead of ibuprofen for my headaches while taking this medication."

A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching? "I will stop taking the medication if I get dizzy." "I should not drink orange juice while taking this medication "I should expect to gain weight while taking this medication. "I will check my heart rate before I take the medication."

"I will check my heart rate before I take the medication."

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? "I should apply a patch every 5 minutes if I develop chest pain." "I will take the patch off right after my evening meal." "I will leave the patch off at least 1 day each week. I should discard the used patch by flushing it down the toilet."

"I will take the patch off right after my evening meal."

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will taper off the medication before discontinuing it."

A nurse is teaching a client who has insomnia about zolpidem. The nurse should identify that which of the following client statements indicates an understanding of the teaching? A"I will need to get laboratory testing prior to a refill of this medication." "I will use this medication for a short period of time." "I will need to take this medication for 1 week before results are seen." "I will need to change the medications to prevent building up a tolerance."

"I will use this medication for a short period of time."

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for famotidine. Which of the following instructions should the nurse include? "Take the medication on an empty stomach for full effectiveness." "You may discontinue this medication when stomach discomfort subsides." "Report yellowing of the skin. "You will be taking this medication for 2 weeks."

"Report yellowing of the skin.

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? "Take beclomethasone to avoid an acute attack." "Use beclomethasone 5 minutes before using albuterol." "Limit your calcium and vitamin D intake when taking beclomethasone." "Rinse your mouth after inhaling the beclomethasone."

"Rinse your mouth after inhaling the beclomethasone."

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? 1000 0900 0830 1200

0830

A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

100 gtt/min

A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

6.3mL

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? Administer the medication outside the 5-cm (2-in) radius of the umbilicus. Aspirate for blood return before injecting Rub vigorously after the injection to promote absorption Place a pressure dressing on the injection site to prevent bleeding.

Administer the medication outside the 5-cm (2-in) radius of the umbilicus.

A nurse is caring for a client who is taking nitroglycerin for angina and reports feeling faint when standing up. Which of the following actions should the nurse take? Inform the client that feeling faint is caused by rapid constriction of the blood vessels in the legs. Assist the client into bed, elevate the lower extremities, and check their blood pressure. Request a prescription for dobutamine from the client's provider. Check the client's blood pressure while they're still standing.

Assist the client into bed, elevate the lower extremities, and check their blood pressure.

A nurse in an emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?Potassium iodide Glucagon Atropine Protamine

Atropine

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. Which of the following adverse effects should the nurse monitor the client for? Weight loss Increased intraocular pressure Auditory hallucinations Bibasilar crackles

Bibasilar crackles

A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an effect of the medication? Difficulty seeing in the dark Pinpoint pupils Blurred vision Excessive tearing

Blurred vision

A nurse is caring for a client who has a magnesium level of 3.1 mEq/L (1.3 to 2.1 mEq/L). The nurse should expect to administer which of the following medications? Magnesium gluconate Cinacalcet Calcium gluconate Regular insulin

Calcium gluconate

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. Which of the following client medications should the nurse identify will interfere with the effectiveness of an oral contraceptive? Sumatriptan Carbamazepine Atenolol Glipizide

Carbamazepine

A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first?% Report the incident to the charge nurse. Notify the provider. Fill out an incident report Check the client's blood glucose.

Check the client's blood glucose.

A nurse is planning to teach about inhalant medications to a client who has a recent diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to include in the teaching for the client to use prior to physical activity? Cromolyn Beclomethasone Budesonide Tiotropium

Cromolyn

A nurse is reviewing the laboratory results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider due to it increasing the risk for digoxin toxicity? Decreased platelet count Decreased albumin level Decreased hematocrit Decreased potassium level

Decreased potassium level

A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? Felodipine Guaifenesin Digoxin Regular insulin

Digoxin

A client is prescribed a second dose of IV ceftriaxone postoperatively. The nurse notes urticaria and dyspnea. Which of the following actions should the nurse prioritize? administer oxygen Administer diphenhydramine. Notify the charge nurse Discontinue the infusion.

Discontinue the infusion.

A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions should the nurse take? File an incident report with the risk manager Document the refusal and inform the client's provider. Contact the pharmacist to pick up the medication Give the client the medication to take at home and document that it was administered.

Document the refusal and inform the client's provider.

A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching? Docusate sodium reduces the surface tension of the stools to change their consistency. Docusate sodium causes rectal contractions. Docusate sodium acts as a fiber agent, increasing bulk in the intestines. Docusate sodium stimulates the motility of the intestines.

Docusate sodium reduces the surface tension of the stools to change their consistency.

A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching? Plan to increase the dosage each week by 200 mg increments Prolonged use of the medication can cause glaucoma. Drink 2 L of water daily A fine red rash is transient and can be treated with antihistamines.

Drink 2 L of water daily

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching? (Select all that apply.) Dry mouth Tinnitus Blurred vision Bradycardia Dry eyes

Dry mouth Blurred vision Dry eyes

A nurse is administering diazepam to a client who is having a colonoscopy. Which of the following actions should the nurse take? Ensure flumazenil is available to administer for toxicity management. Monitor the client for an increase in blood pressure. Expect the client to become unconscious within 30 seconds Measure the capnography level every hour until the client is awake and oriented.

Ensure flumazenil is available to administer for toxicity management.

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following information should the nurse include in the teaching? Decreases stomach acid secretion Neutralizes acids in the stomach Forms a protective barrier over ulcers Treats ulcers by eradicating H. pylori

Forms a protective barrier over ulcers

A nurse contacts a client's provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take? Write the order on a prescription pad designated for the client's provider. Have the provider spell out the unfamiliar medication names. Read the prescription back to the provider using abbreviations. Consult with a second nurse for any questions regarding dosage.

Have the provider spell out the unfamiliar medication names.

A nurse is teaching a client who has been prescribed tamoxifen for breast cancer treatment. Which of the following adverse effects of this medication should the nurse include in the teaching?

Hot flashes

A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse immediately notify the provider? Hyperventilation Heartburn Anorexia Swollen ankles

Hyperventilation

A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? Paresthesia Increased blood pressure Fever Respiratory depression

Increased blood pressure

A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective? Decreased blood pressure Increased heart rate Increased cardiac output Decreased serum potassium

Increased cardiac output

A nurse is caring for a client who is receiving filgrastim. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? Increased RBC count Increased neutrophil count Decreased prothrombin time Decreased triglycerides

Increased neutrophil count

A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the following medications should the nurse expect to administer? Bupropion Disulfiram Modafinil Methadone

Methadone

A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the following actions should the nurse take prior to administering the medication? Ask the client to drink 8 oz of water. Review the client's most recent Hgb level. Obtain the client's blood pressure. Determine if the client is allergic to NSAIDs.

Obtain the client's blood pressure.

A nurse is monitoring an older adult client who has heart failure for adverse effects of hydrochlorothiazide after administering the medication. Which of the following findings should the nurse identify as an adverse effect of the medication? Hypoglycemia Orthostatic hypotension Bradycardia Conjunctivitis

Orthostatic hypotension

A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory results should the nurse monitor while the client is taking this medication? Potassium level WBC count Protein level Adrenocorticotropic hormone level

Potassium level

A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? ATall, tented T-waves Presence of U-waves Widened QRS complex ST elevation

Presence of U-waves

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? Minimize diaphoresis Maintain abstinence Lessen craving Prevent delirium tremens

Prevent delirium tremens

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? Chew on the medication stick to release the medication. Leave the medication stick in one location of the mouth until melted. Allow the medication 1 hr for analgesia effects to begin Store unused medication sticks in a storage container.

Store unused medication sticks in a storage container.

A nurse is preparing medication instructions for a client who is receiving end-of-life care and their family. The client has a prescription for fentanyl patches. Which of the following information regarding the manifestations and use of fentanyl should the nurse include in the instructions? Respiratory depression as a result of fentanyl use will cause a need for an at-home naloxone prescription. Removing the patch will immediately reverse any adverse effects of fentanyl. An increase in urinary output should be expected. Taking a stool softener daily will be needed.

Taking a stool softener daily will be needed.

A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS) Temperature of 39.7° C (103.5° F) Urinary retention Heart rate 56/min Muscle flaccidity

Temperature of 39.7° C (103.5° F)

A nurse is assessing a client 1 hr after administering morphine for pain. Which of the following findings should the nurse identify as the best indication that the morphine has been effective? The client's vital signs are within normal limits. The client has not requested additional medication The client is resting comfortably with eyes closed. The client rates pain as 3 on a scale of 0 to 10.

The client rates pain as 3 on a scale of 0 to 10.

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? ATroponin Total cholesterol Creatinine Thyroid stimulating hormone

Total cholesterol

Yesterday: Client was admitted 1 week ago with a Crohn's disease exacerbation. A central venous access device (CVAD) was placed in the client's right subclavian vein. Total parental nutrition (TPN) and lipids initiated 3 days ago. The client is NPO. The client reports abdominal pain as 5 on a scale of 0 to 10. Bowel sounds are hyperactive and lower right quadrant is tender to palpation. Today: The 24-hr bag of TPN infusion was complete 1 hr ago, pharmacy notified and waiting for a new bag. CVAD dressing is clean, dry, and intact. CVAD is difficult to flush. The client reports abdominal pain as 4 on a scale of 0 to 10 and chills. Complete the following sentence by using the lists of options. AThe nurse should first address the client's Select... , followed by the client's Select...

When analyzing cues, the nurse should identify that the client is developing hypoglycemia and experiencing a complication with the central venous line (CVL). Hypoglycemia can occur if the TPN is stopped abruptly. A CVAD can become occluded or infected. Findings of a CVL complication can include difficulty flushing, pain while flushing, fever, or chills

A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? Dry cough Pedal edema Bruising Yellow-tinged vision

Yellow-tinged vision