Q&A Pharmacology - 2
Q&A Pharmacology - 2
Q&A Pharmacology - 2
Q&A Pharmacology -2
Question Number 1 of 40
A woman diagnosed with bipolar disorder is to take lithium (Lithane)
as part of the treatment. What should the nurse discuss with the client
as part of the teaching plan?
Question Number 2 of 40
A 1 year-old child is receiving temporary total parental nutrition (TPN)
through a central venous line. This is the first day of TPN therapy.
Although all of the following nursing actions must be included in the
plan of care of this child, which one would be a priority at this time?
Question Number 3 of 40
A child is treated with edetate calcium disodium (Calcium EDTA) for
lead poisoning. Which of these should the nurse assess first ?
Question Number 4 of 40
When teaching a client about the use of sublingual nitroglycerin, the
nurse should emphasize that which of these is the most common side
effect?
A) Headache
B) Dry mouth
C) Depression
D) Anorexia
Question Number 5 of 40
The nurse is teaching a client about precautions with Coumadin. The
nurse should instruct the client to avoid foods with excessive amounts
of which nutrient
A) Calcium
B) Vitamin K
C) Iron
D) Vitamin E
Question Number 6 of 40
The nurse is assessing a client who has taken haldol (Haloperidol) for
several months. Which of the following is a side effect of this
medication and must be reported immediately to the health care
provider?
A) Muscle flaccidity
B) Dystonic reaction
C) Mood swings
D) Dry, harsh cough
Question Number 7 of 40
The nurse is administering albuterol (Proventil) to a child with asthma.
Which of the following assessments by the nurse indicate the need for
an adjustment of the medication?
Question Number 8 of 40
A client with angina has been instructed about the use of sublingual
nitroglycerin. Which of the following statements made to the nurse
indicates a need for further teaching?
The correct answer is B: "I can take 2-3 tablets at once if I have
severe pain."
Question Number 9 of 40
The nurse admits a client with hypertension who complains of
dizziness after taking diltiazem (Cardizem). Which of the following is
the most important information for the nurse to assess?
A) Schedule for taking medicine
B) Daily intake of potassium
C) Activity and rest patterns
D) Baseline heart rate
Question Number 10 of 40
The nurse prepares to administer eye drops to a 6 year-old child.
Which of these demonstrates the correct method for instillation of eye
drops?
Eye drops should be placed in the sac between the eye and the lower
lid. This sac is formed by pulling the lower lid down
Question Number 11 of 40
A hospitalized 8 month-old is receiving gentamicin (Cidomycin). In
monitoring the infant for drug toxicity, the nurse should review which
laboratory results first?
Question Number 12 of 40
The nurse is caring for a 15 month-old child with a first episode of
otitis media. Which of the following interventions should the nurse
include in instructions to the child's parents?
Explain that the child should complete the full 5 days of
A)
antibiotics
Provide them with handout describing care of myringotomy
B)
tubes
C) Describe the tympanocentesis to detect persistent infections
Emphasize the importance of a return visit after completion of
D)
antibiotics
The usual treatment for otitis media is oral antibiotics for 10-14 days.
The child should be examined again after completion of the full course
of antibiotics to assess for persistent infection or middle ear effusion
Question Number 13 of 40
Before administering digoxin (Lanoxin) to a client, which of the
following nursing assessments is a priority?
Question Number 14 of 40
To which of the following nursing home residents could the nurse
safely administer tricyclic antidepressants without questioning the
health care provider's order?
The correct answer is D: "Notify the health care provider if you need
the drug more often."
Question Number 16 of 40
The nurse is administering the initial total parenteral nutrition solution
to a client. Which of the following assessments requires the nurse's
immediate attention?
Question Number 17 of 40
The nurse is planning to administer otic drops to a 6 year-old child.
Which of the following is the correct procedure?
A) Hold the pinna up and back to instill the drops
B) Place several drops in the outer ear
C) Insert cotton in the outer ear after giving medication
D) Assist the child to lie on the affected side afterwards
The correct answer is A: Hold the pinna up and back to instill the drops
Question Number 18 of 40
A 52 year-old client is being transfused with one unit of packed cells. A
half hour after the transfusion was initiated, the client complains of
chills and headache. Which action should the nurse implement first?
Question Number 19 of 40
What would the nurse expect to see in a client who is experiencing
symptoms of tardive dyskinesia?
Question Number 20 of 40
Today's prothrombin time for a client receiving Coumadin is 20
(normal range listed by the lab is 10-14). What is the appropriate
nursing action?
Question Number 21 of 40
When caring for a client who is receiving a thrombolytic agent to open
a clot occluded coronary artery after a myocardial infarction, which
finding would be of greatest concern to the nurse?
Question Number 22 of 40
The nurse is caring for a client with renal calculi. Which health care
provider order would be a priority?
A) Anti-depressants
B) Mood stabilizers
C) Anxiolytics
D) Neuroleptics
Question Number 24 of 40
The nurse is caring for a child receiving albuterol (Proventil) for
asthma. The parents ask the nurse why their child is receiving this
medication. Which explanation is correct?
Question Number 25 of 40
The nurse is teaching a client with asthma about the correct use of the
Azmacort (triamcinolone) inhaler. Which of the following statements, if
made by the client, would indicate that the teaching was effective?
The correct answer is B: "I should rinse my mouth after using the
inhaler."
Question Number 26 of 40
The nurse administered intravenous gamma globulin to an 18 month-
old child with AIDS. The parent asks why this medication is being
given. What is the nurse’s best response?
Question Number 27 of 40
A client is admitted to the hospital because of heart failure and digoxin
toxicity. At home, the client was taking digoxin (Lanoxin) and
furosemide (Lasix). Which symptom would the nurse anticipate finding
on the initial assessment?
Question Number 28 of 40
The nurse prepares to give a one year-old child an intramuscular
injection. Where is the best site for this injection?
A) Deltoid muscle
B) Ventrogluteal muscle
C) Dorsogluteal muscle
D) Vastus lateralis muscle
The preferred site for an injection for an infant is the vastus lateralis
muscle which lies along the lateral aspect of the thigh. This site is able
to tolerate larger volumes, and it is not located near any nerves or
blood vessels
Question Number 29 of 40
An adolescent client is hospitalized with menarthrosis from a
Hemophilia A bleeding episode. Which order should be questioned by
the nurse?
Question Number 30 of 40
The nurse is giving instructions to the mother of a newborn infant with
oral candidiasis. Which statement by the mother would indicate the
need for further teaching?
Question Number 31 of 40
A client who is receiving chemotherapy through a central line is
admitted to the hospital with a diagnosis of sepsis. Which of the
following nursing interventions should receive priority?
A) Inspect all sites that may serve as entry ports for bacteria
B) Place the client in reverse isolation
C) Change the dressing over the site of the central line
Restrict contact with persons having known, or recent,
D)
infections
The correct answer is A: Inspect all sites that may serve as entry ports
for bacteria
Question Number 32 of 40
A depressed client is experiencing severe insomnia. The health care
provider orders trazadone (Desyrel). The nurse tells the client to
expect
A) Improvement of acne
B) Relief of insomnia
C) Reduced arthritic pain
D) Less nasal stuffiness
Question Number 33 of 40
The nurse is administering an intravenous piggyback infusion of
penicillin. Which of the following client statements would require the
nurse's immediate attention?
Question Number 34 of 40
A hospitalized 8 month-old infant is receiving digoxin for the treatment
of Tetralogy of Fallot. Prior to administering the next dose of
medication, the parent reports that the baby has vomited one time,
just after breakfast. The heart rate is 72. What is the initial response
of the nurse?
A) Give the dose after lunch
B) Reduce the next dose by half
C) Double the next dose
D) Hold the medication
Question Number 35 of 40
When caring for a client with total parenteral nutrition (TPN), what is
the most important action on the part of the nurse?
Question Number 36 of 40
The nurse is preparing a client for discharge following in-patient
treatment for pulmonary tuberculosis. Which of these instructions
should be given to the client?
Question Number 37 of 40
A client with diabetes has a blood sugar is 306 this morning. After the
nurse reports this lab result and the client's symptoms of excessive
hunger and thirst, what would the nurse expect the health care
provider to order?
A) Orange juice
B) Regular insulin
C) NPH Insulin
D) Repeat blood sugar level
Question Number 38 of 40
The nurse is caring for a client with Parkinson's disease who has
developed hallucinations. Which of the following medications that the
client is receiving may have been a contributing factor?
A) L-Dopa
B) Cogentin
C) Baclofen
D) Benadryl
Elderly clients with cancer pain are frequently under medicated. This
management is appropriate, and should be offered throughout the day
and night.
Question Number 40 of 40
The nurse is teaching a client who has a new prescription for
sublingual nitroglycerin. Which of the following must be emphasized?
The correct answer is D: Carry the nitroglycerine with you at all times
Nitroglycerin should be carried with the client in and out of the home,
so it can be used when angina pain occurs.