Pharm practice test

A nurse is preparing a clients daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration?

4 to 14 hr

A nurse is caring for a client who has DVT who received IV heparin for the past 5 days and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse?

Heparin will be continued until the warfarin reaches a therapeutic level

A nurse is caring for a client who has a new prescription for warfarin. Thee. nurse should use the results of which of the following diagnostic tests to monitor thee effect of this therapy?

Prothrombin time (PT)

A nurse is reviewing the morning laboratory results of electrolytes for four clients who are receiving digoxin. Which of the following clients should the nurse identify as being at risk for developing digoxin toxicity?

a client taking furosemide for chronic hypertension

A nurse in a providers office is reviewing the lab results of four clients who take digoxin. Which of the following clients is at risk for developing digoxin toxicity?

a client who take furosemide for hypertension

A nurse is preparing to administer a liquid medication to a 10 month old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

administer the medication with a needless syringe placed in the buccal pouch

A nurse is reviewing the morning lab report for a client who is bipolar disorder and recently taking lithium. The clients current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?

administer the regular dose of lithium

A nurse is caring for an older adult client who is 5 days postoperative following a total hip athroplasty and is receiving meperidine for pain. While the nurse is taking morning vital signs the client begins to experience a seizure. Which of the following should the nurse recognize as thee possible cause for this seizure?

cumulative effect

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?

fold used patch with medication area to the inside and discard in a closed receptacle

A nurse is preparing to administer IV vancomycin to a client who has MRSA. Which of the following actions should the nurse plan to take?

infuse the medication over at least 60 min

A nurse is collecting data from a client prior to administering nifedipine. For which of the following findings should the nurse nurse contact the provider?

peripheral edema in ankles

A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which of the following actions should the nurse plan to take?

pinch the skin up at the chosen site with the non dominant hand before inserting the needle

A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?

watch for drowsiness and light headedness while taking alprazolam

A nurse is collecting data from a client who has a prescription for oral clindamycin hydrochloride. Which of the following findings should the nurse immediately report to the provider?

watery diarrhea

A nurse is reinforcing teaching with a client who has chronic open angles glaucoma. The client has been prescribed pilocarpine ophthalmic solution. Which of the following statements by the client demonstrates an understanding of the teaching?

I should expect to have blurred vision for up to two hours after using this medication

A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?

I take my alendronate at thee same day every week with an 8 ounce glass of milk

A nurse is reinforcing teaching with the parents of a preschool age child who has asthma and a prescription for montelukast chewable tablets. Which of the following statements by a parent indicates understanding of the teaching?

I will have my child chew the tablet every morning

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. Thee client has a prescription for two inhalations from an albuterol teetered dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

I will hold my breath at least 10 seconds after inhaling the medication

A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral canidasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

I will swab the medication inside my baby mouth and her tongue

A nurse is preparing to administer centric coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make?

If I crush it you might experience a stomach ache or indigestion

A nurse is reinforcing teaching for a client who has a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include?

If your mouth is dry take a sip of water before putting the tablet under your tongue

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by thee client indicates a need for further teaching?

Ill be glad when my seizures stop so I can quit taking this medication

A nurse is collecting data from a client who takes several daily medications and states that he wants to ask the provider for a prescription for Sidenafil. The nurse knows that Sidenafil is contraindicated due to an interaction with which of the following medications?

Isorbide

A nurse is reinforcing teaching with a client who is to start taking enteric coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?

Its okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing

A nurse is collecting data from a client who has hypertension for propranolol. A history of which of the following conditions should be reported to the provider?

heart failure

A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should thee nurse plan to take?

monitor the client for black tarry stools

A nurse is caring for a client who is receiving IV tobramycin and has a prescription for peak and through blood levels with the next dose scheduled for 1800. Thee nurse should expect the lab to draw blood sampled at which of the following times?

1745 and 1830

A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer?

2 tablets

A nurse is preparing to administer 0.9% sodium chloride (NS) 100 mL to infuse over 4 hr. Thee drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

25 gtt/min

A nurse is reinforcing teaching with a client who has hyperlipidemia and a prescription for niacin. Which of the following statements should the nurse include in the teaching?

you might experience flushing to thee face after taking this medication

While checking the medication administration records of four clients a nurse notes that they all require oral medications that are prescribed to be administered once daily in the morning. Which of the following medications should the nurse administer first?

alendronate

A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which of the following actions should the nurse take?

apply gentle pressure with a finger to the tarsus of the ear

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

apply the ointment in a thin line into the conjunctival sac

A nurse is caring for a client who is postoperative and receiving fentanyl via patient controlled analgesia. The Clint has a prescription for naloxone. The nurse understands that the purpose of naloxone is which of the following?

blocks the effects of opioids of the central nervous system

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?

bradycardia

A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which of the following is the priority nursing action?

check the clients vital signs

A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glipizide. The client should be taught that glipizide works in which of the following ways?

glipizde stimulates the pancreas to release adequate insulin

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve thee clot. Which of the following responses should the nurse make?

heparin prevents new clots from forming rather than dissolving established clots

A nurse is caring for an 8 mo old infant who is receiving intravenous (IV) fluid via a 24 hour gauge catheter. Which of the following statements by the clients mother indicates that the nurse should check the site for signs of infiltration?

my babys fingers are looking swollen

A nurse is caring for an older adult client with a history of stroke who has been prescribed several medications and expresses reluctance to take them because of his difficulty swallowing. Which of the following actions is the nurses priority?

observe for symmetry of the clients soft palate and uvula

A nurse is preparing to administer heparin intravenously to a client. Which of the following actions should the nurse take?

obtain an infusion pump to regulate the continuous flow flow of the medication

A nurse is collecting data for a client who has been receiving parenteral morphine 10 mg every 4 hr for the past week due to a serious traumatic injury to the pelvis and lower extremities. The client is awake and alert but states that the morphine no longer seems to relieving her severe pain. Which of the following phenomena should the nurse realize the the client is experiencing?

opiod tolerance

A nurse is caring for a client who is taking celecoxib. The nurse should identify that a history of which of the following disorders indicates a need for this type of medication?

osteoarthritis

A nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider?

potassium level of 3.0 mEq/L

The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take?

pull the pinna upward and backward

A nurse is collecting data from a client who has diabetes mellitus. The client is confused flushed and has an acetone odor on his breath. The nurse should anticipate a prescription for which of thee following types of insulin to treat the client?

regular

A nurse is collecting data from a client who has been taking cyclobenzaprine for the past week. Which of the following therapeutic effects should the nurse expect to find?

relief of muscle spasms

A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include?

report the development of a persistent dry cough, monitor your bp on a regular basis is correct, notify your doctor immediately if you become pregnant

A nurse is caring for a client who has gastroesophogeal disease and a prescriptions for metoclopramide. For which of the following adverse effects should thee nurse monitor?

sedation

A nurse is caring for a client who has epilepsy and has a new prescription for lamotrigine. For which of the following findings should the nurse instruct the client to withhold the medication and notify the provider?

skin rash

A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide?

take the medication in the evening hours