Pharmacology Quiz

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?

Total cholesterol

A nurse is providing teaching to a client about the use of ethinyl estradiol/ norelgestromin. The nurse should identify that which of the following statements by the client indicated an understanding of the teaching?

"I will fold the sticky sides of the old patch together before disposing it."

A nurse is providing discharge instructions to a client who is to self-administer insulin at home.

"I will store my unopended bottles of insulin in the refrigerator"

A nurse is teaching about zolpidem to a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching?

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

A nurse is assessing a client who has been taking ferrous sulfate to treat iron-deficient anemia. Which of the following findings should the nurse document as an adverse effect of supplemental iron therapy?

A. Dental caries B. Heartburn C. Steatorrhea D. Diplopia Heartburn

A nurse is teaching a client who is experiencing postoperative pain about the use of a PCA pump to deliver morphine. Which of the following statements by the client indicates an understanding of the teaching?

A. "I'll push the button about 10 minutes before I get out of bed" B. "I'll ask my son to push the dose button when I am asleep for the night" C. "I won't push the button that often, so I don't overdose." D. "I shouldn't experience any adverse effects when using PCA pump with morphine." "I'll push the button about 10 minutes before I get out the bed."

A nurse is teaching a client who is about to start taking levodopa/carbidopa orally disintegrating tablets to treat Parkinson's disease. Which of the following instructions should the nurse include?

A. "You should notify the provider if your symptoms do not improve within 1 week" B. "You should report a darkening of your urine or sweat to the provider." C. "You should not take the medication with high-protein meals." D." You should drink 8 ounces of water as the tablet is dissolving" Answer C

A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse?

A. Administers isosorbide mononitrate to a client who has BP 82/60mm Hg. B. Administers digoxin to a client who has a heart rate of 92/min C. Administers regular insulin to a client who has a blood glucose of 250 mg/dL. D. Administers heparin to a client who has an aPTT of 70 seconds. Administer isosorbide mononitrate to a client who has BP 82/60 mm Hg.

A nurse is teaching a client to self-administer NPH insulin and regular insulin in the same syringe. Which of the following instructions should the nurse include?

A. Discard any NPH insulin that is cloudy B. Shake the vial of NPH insulin to mix it C. Draw up the regular insulin into the syringe first D. Inject air into the regular insulin vial first Draw up the regular insulin into the syringe first

A nurse is preparing to administer the hepatitis B vaccine to an adult client who has not previously received it. When reviewing the client's history, the nurse should identify an anaphylactic reaction to which of the following foods as a contraindication for receiving this vaccine?

A. Eggs B. Yeast C. Neomycin D. Gelatin Yeast

A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism?

A. Gastric distress B. Oliguria C. Excessive bleeding D. Tinnitus Answer D

A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is a priority for the nurse report to the provider?

A. Hot flashes B. Gastrointestinal irritation C. Vaginal dryness D. Leg tenderness

A nurse is assessing a client who began taking verapamil 3 days ago. which of the following findings should the nurse identify as an adverse effect of this medication?

A. Hypertension B. Constipation C. Gingivitis D. Facial edema Constipation is the most common reported adverse effect of verapamil

A nurse in a long term care facility is preparing medications for a group of clients. Which of the following actions should the nurse take when following guidelines for safe medication administration?

A. Return acetaminophen to the facility's stock bottle after a client refuses a dose. B. Crush the client's verapamil extended-release tablet and administer in pudding. C. Administer a client's cephalexin 30 min before it is scheduled. D. Apply an estradiol transdermal patch to a female client's waistline. Administer a client's cephalexin 30 min before it is scheduled.

A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?

A. Schedule the client for the last surgery of the day B. Place monitoring cords and tubes in a stockinet C. Choose rubber injections ports for fluid administration D. Ensure phenytoin IV is readily available Place monitoring cords and tubes in a stockinet to prevent direct contact with the client's skin.

A nurse is preparing to insert a peripheral IV catheter to initiate IV fluid therapy for an older adult client. Which of the following veins should the nurse choose as the insertion site?

A. Superficial dorsal vein B. Median vein in the forearm C. Cephalic vein in the wrist D. Great saphenous vein Median vein in the forearm

A nurse is reviewing the medical record of a client who recently had a myocardial infarction and has a new prescription for clopidogrel. Which of the following information should the nurse report to the provider?

A. The client is of Greek descent B. The client has a history of anxiety C. The client has a prescription of ezetimibe D. The client takes a garlic supplement Answer D

A nurse is teaching a client who is to start taking gemfibrozil to lower their triglyceride levels. The nurse should instruct the client to report which of the following adverse effects to the provider immediately?

A. Upper abdominal discomfort B. Blurred vision C. Headache D. Dizziness Upper abdominal discomfort

A nurse is caring for a client who has a magnesium level of 3.1 mEq/L. the nurse should expect to administer which of the following medications?

Calcium gluconate, magnesium level is too high

A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?

Client report of decreased paresthesia

A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor?

Creatinine kinase

A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse place to instruct the client to use prior to physical activity?

Cromolyn ; stabilizes mast cells

A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with lansoprazole. The nurse should monitor the client for which of the following manifestations?

Disorientation

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?

Have the provider spell out the unfamiliar medication names

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?

Increased cardiac output

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?

Methadone

A nurse administered digoxin immune Fab to a client who received the incorrect dose of digoxin over a period of 3 days. The nurse should identify that which of the following findings indicated the antidote was effective?

Normal sinus rhythm

A nurse is providing teaching to a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?

Orange Juice

A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take?

Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent

A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family?

Take the stool softener on a daily basis

A nurse is reviewing the laboratory results of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider?

WBC 3,500/mm3

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

Yellow tinged vision

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include?

blood glucose levels will be monitored during therapy avoid contact with persons who have known infections grapefruit juice can increase the blood levels of the medication

A nurse is caring for a client who is recieving haloperidol. The nurse should identify which of the following findings as adverse effect of the medication?

A. Akathisia B. Paresthesia C. Excess tear production D. Anxiety Akathisia

A nurse is teaching a client about how to use a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?

A. Apply the patch to a hairless area of skin B. Replace the patch twice a day C. Leave the patch off for 4 hr daily D. Apply the patch to the same area each day Apply the patch to a hairless area of skin

A nurse is caring for a client who has heart failure and a prescription for enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?

A. Bradycardia B. Hyperkalemia C. Loss of smell D. Hypoglycemia Hyperkalemia

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?

A. Chest pressure B. White patches on the tongue C. Bruising D. Insomnia Chest pressure

A nurse is administering enoxaparin to a client who is at high risk for deep-vein thrombosis. Which of the following actions should the nurse take?

A. Choose a site on the upper thigh B. Spread the injection site C. Expel the air bubble before injecting the medication D. Inject the medication deeply into subcutaneous tissue. Inject the medication deeply into subcutaneous tissue

A nurse is assessing a client who has been taking levothyroxine for 3 months to treat hypothyroidism. which of the following findings should the nurse expect as an indication that the medication is effective.

A. Cool skin B. Weight loss. C. Thick nails D. Decreased heart rate Weight loss

A nurse in a provider's office is reviewing the laboratory reports of a client who has been taking allopurinol. Which of the following results indicates a therapeutic response to the medication?

A. Decreased triglyceride level B. Increased hematocrit level C. Decreased uric acid level D. Increased albumin level Decreased uric acid level

A nurse is assessing a client who has been taking cyclosporine to treat rheumatoid arthritis. The client tells the nurse that they are also taking naproxen to relieve joint pain. The nurse should monitor the client for which of the following complications due to the interaction between these two medications?

A. Hypotension B. Thrombophlebitis C. Renal impairment D. Coronary vasospasm

A nurse is teaching a client who is starting to take amitriptyline. Which of the findings should the nurse include in the teaching as an adverse effect of the medication?

A. Muscle twitching B. Cough C. Urinary retention D. Increased libido Urinary retention

A nurse is assessing a client who has been taking hydrocodone for 4 weeks to relieve chronic pain. The nurse should evaluate the client for which of the following findings as a common adverse effect of this medication?

A. Mydriasis B. Insomnia C. Constipation D. Urinary frequency Constipation

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first?

A. Perform a capillary blood glucose test B. Provide the client with a protein rich snack C. Give the client 120 mL (4oz) of orange juice D. Schedule an early meal tray. Performa a capillary blood glucose test

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?

A. Plan to increase the dosage each week by 200 mg increments B. Prolonged use of medication can cause glaucoma C. Drink 2L of water daily D. A fine red rash is transient and can be treated with antihistamines Drink 2L of water daily

A nurse has just administered 2 mg of hydromorphone from a 4 mg vial to treat a client's postoperative pain. Which of the following actions should the nurse take?

A. secure the remainder of the medication in the syringe in a locked drawer for future use. B. Discard the vial with the remaining medication in a wastebasket. C. Dispose of the syringe with the remaining medication in a secure sharps container D. Have a second nurse witness the disposal of the medication Answer D

A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider?

Hemoglobin 7.0 Platelets 75,000 Potassium 5.2 mEq