Q& A Pharmacology
Q& A Pharmacology
Q& A Pharmacology
Q & A Pharmacology
Question Number 1 of 40
A client with an aplastic sickle cell crisis is receiving a blood transfusion
and begins to complain of "feeling hot". Almost immediately, the client
begins to wheeze. What is the nurse's first action?
Question Number 1 of 40
The use of atropine for treatment of symptomatic bradycardia is
contraindicated for a client with which of the following conditions?
A) Urinary incontinence
B) Glaucoma
C) Increased intracranial pressure
D) Right sided heart failure
Question Number 2 of 40
The nurse is assessing a client who is on long term glucocorticoid
therapy. Which of the following findings would the nurse expect?
A) Buffalo hump
B) Increased muscle mass
C) Peripheral edema
D) Jaundice
Question Number 3 of 40
The nurse is caring for a client who is receiving procainnamide
(Pronestyl) intravenously. It is important for the nurse to monitor
which of the following parameters?
Question Number 4 of 40
In providing care for a client with pain from a sickle cell crisis, which
one of the following medication orders for pain control should be
questioned by the nurse?
A) Demerol
B) Morphine
C) Methadone
D) Codeine
Question Number 5 of 40
The health care provider has written "Morphine sulfate 2 mgs IV every
3-4 hours prn for pain" on the chart of a child weighing 22 lb. (10 kg).
What is the nurse's initial action?
The correct answer is B: Hold the medication and contact the health
care provider
Question Number 6 of 40
The nurse is administering an intravenous vesicant chemotherapeutic
agent to a client. Which assessment would require the nurse's
immediate action?
Question Number 7 of 40
The nurse is providing education for a client with newly diagnosed
tuberculosis. Which statement should be included in the information
that is given to the client?
"Isolate yourself from others until you are finished taking your
A)
medication."
"Follow up with your primary care health care provider in 3
B)
months."
"Continue to take your medications even when you are feeling
C)
fine."
D) "Continue to get yearly tuberculin skin tests."
Question Number 8 of 40
A client with anemia has a new prescription for ferrous sulfate. In
teaching the client about diet and iron supplements, the nurse should
emphasize that absorption of iron is enhanced if taken with which
substance?
A) Acetaminophen
B) Orange juice
C) Low fat milk
D) An antacid
Question Number 9 of 40
The nurse is administering diltiazem (Cardizem) to a client. Prior to
administration, it is important for the nurse to assess which
parameter?
A) Temperature
B) Blood pressure
C) Vision
D) Bowel sounds
The correct answer is B: Blood pressure
Question Number 10 of 40
A nurse is caring for a client who is receiving methyldopa
hydrochloride (Aldomet) intravenously. Which of the following
assessment findings would indicate to the nurse that the client may be
having an adverse reaction to the medication?
A) Headache
B) Mood changes
C) Hyperkalemia
D) Palpitations
Question Number 11 of 40
The nurse is caring for a client with schizophrenia who has been
treated with Quetiapine (Seroquel) for 1 month. Today the client is
increasingly agitated and complains of muscle stiffness. Which of these
assessments should be reported to the health care provider?
Question Number 12 of 40
The health care provider orders an IV aminophylline infusion at 30
mg/hr. The pharmacy sends a 1,000 ml bag of D5W containing 500
mg of aminophylline. In order to administer 30 mg per hour, the RN
will set the infusion rate at:
".
A) 20 ml per hour
B) 30 ml per hour
C) 50 ml per hour
D) 60 ml per hour
Question Number 13 of 40
A client confides in the RN that a friend has told her the medication
she takes for depression, Wellbutrin, was taken off the market because
it caused seizures. What is an appropriate response by the nurse?
Question Number 14 of 40
A pregnant woman is hospitalized for treatment of pregnancy induced
hypertension in the third trimester. She is receiving magnesium sulfate
intravenously. The nurse understands that this medication is used
mainly for what purpose?
Question Number 15 of 40
An elderly client is on an anticholinergic metered dose inhaler (MDI)
for chronic obstructive pulmonary disease. Why should the nurse
suggest a spacer?
Question Number 16 of 40
A client has been receiving dexamethasone (Decadron) for control of
cerebral edema. Which of the following assessments would indicate
that the treatment is effective?
Question Number 17 of 40
The health care provider has ordered transdermal nitroglycerin patches
for a client. Which of these instructions should be included when
teaching a client about how touse the patches?
A) Remove the patch when swimming or bathing
B) Apply the patch to any non-hairy area of the body
C) Apply a second patch with chest pain
D) Remove the patch if ankle edema occurs
The correct answer is B: Apply the patch to any non-hairy area of the
body
Question Number 18 of 40
The nurse is teaching a group of women in a community clinic about
prevention of osteoporosis. Which of the following over-the-counter
medications should the nurse recognize as having the most elemental
calcium per tablet?
A) Calcium chloride
B) Calcium citrate
C) Calcium gluconate
D) Calcium carbonate
Question Number 19 of 40
A client with bi-polar disorder is taking lithium (Lithane). What should
the nurse emphasize when teaching about this medication?
Question Number 20 of 40
A client with an aplastic sickle cell crisis is receiving a blood transfusion
and begins to complain of "feeling hot". Almost immediately, the client
begins to wheeze. What is the nurse's first action?
Question Number 21 of 40
A client is receiving dexamethasone (Decadron) therapy. What should
the nurse plan to monitor in this client?
Question Number 22 of 40
A child presents to the Emergency Department with documented
Acetaminophen poisoning. In order to provide counseling and
education for the parents, which principle must the nurse understand?
The correct answer is B: Hepatic problems may occur and may be life-
threatening
Clinical manifestations associated with acetaminophen poisoning
occurs in 4 stages. The third stage is hepatic involvement which may
last up to 7 days and be permanent. Clients who do not die in the
hepatic stage, gradually recover.
Question Number 23 of 40
The nurse is teaching a child and the family about the medication
phenytoin (Dilantin) prescribed for seizure control. Which of the
following side effects is most likely to occur?
A) Vertigo
B) Drowsiness
C) Gum hyperplasia
D) Vomiting
Swollen and tender gums occur often with use of phenytoin. Oral
hygiene and regular visits to the dentist should be emphasized.
Question Number 24 of 40
The nurse is monitoring a client receiving a thrombolitic agent,
Alteplase (activase tissue plasminogen activator) for treatment of a
myocardial infarction. What outcome indicates the client is receiving
adequate therapy within the first hours of therapy?
".
A) Absence of a dysrhythmia (or arrhythmia)
B) Blood pressure reduction
C) Cardiac enzymes are within normal limits
D) Return of ST segment to baseline on ECG
Question Number 25 of 40
The nurse is caring for a 10 year-old client who will be placed on
heparin therapy. Which assessment is critical for the nurse to make
before initiating therapy
A) Vital signs
B) Weight
C) Lung sounds
D) Skin turgor
Question Number 26 of 40
The health care provider has ordered daily high doses of aspirin for a
client with rheumatoid arthritis. The nurse instructs the client to
discontinue the medication and contact the health care provider if
which of the following symptoms occurs?
Question Number 27 of 40
The nurse is applying silver sulfadiazine (Silvadene) to a child with
severe burns to arms and legs. Which side effect should the nurse be
monitoring for?
A) Skin discoloration
B) Hardened eschar
C) Increased neutrophils
D) Urine sulfa crystals
Question Number 28 of 40
A client is ordered Atropine to be administered preoperatively. Which
physiological effect should the nurse monnitor for?
A) Elevate blood pressure
B) Dry secretions
C) Reduce heart rate
D) Enhance sedation
Question Number 29 of 40
A five year-old has been rushed to the emergency room several hours
after acetaminophen poisoning. Which laboratory result should receive
attention by the nurse?
".
A) Sedimentation rate
B) Profile 2
C) Bilirubin
D) Neutrophils
Bilirubin, along with liver enzymes ALT and AST, may rise in the
second stage (1-3 days) after a significant overdose, indicating cellular
necrosis and liver dysfunction. A prolonged prothrombin may also
occur
Question Number 30 of 40
A client is receiving digitalis. The nurse should instruct the client to
report which of the following side effects
A) Pulmonary edema
B) Atrial fibrillation
C) Mental status changes
D) Muscle weakness
Question Number 32 of 40
The nurse is teaching a parent how to administer oral iron
supplements to a 2 year-old child. Which of the following interventions
should be included in the teaching?
The correct answer is B: Give the medicine with orange juice and
through a straw
Question Number 33 of 40
The nurse is assessing a 7 year-old after several days of treatment for
a documented strep throat. Which of the following statements
suggests that further teaching is needed?
Question Number 34 of 40
A nurse is assigned to perform well child assessments at a day care
center. A staff member interrupts the examinations to ask for
assistance. They find a crying 3 year-old child on the floor with her
mouth wide open and gums bleeding. Two unlabeled open bottles lie
next to her. The nurse's first action should be
The correct answer is D: Ask the staff about the contents of the bottles
The nurse needs to assess what the child ingested before determining
the next action. Once the substance is identified, the poison control
center and emergency response team should be called.
Question Number 35 of 40
A client is receiving erythromycin 500mg IV every 6 hours to treat a
pneumonia. Which of the following is the most common side effect of
the medication?
A) Blurred vision
B) Nausea and vomiting
C) Severe headache
D) Insomnia
The correct answer is B: Nausea and vomiting Nausea is a
common side-effect of erythromycin in both oral and intravenous
forms.
Question Number 35 of 40
A client is receiving erythromycin 500mg IV every 6 hours to treat a
pneumonia. Which of the following is the most common side effect of
the medication?
A) Blurred vision
B) Nausea and vomiting
C) Severe headache
D) Insomnia
Question Number 36 of 40
The nurse is instructing a client with moderate persistent asthma on
the proper method for using MDI's (multi-dose inhalers). Which
medication should be administered first?
A) Steroid
B) Anticholinergic
C) Mast cell stabilizer
D) Beta agonist
Question Number 37 of 40
The nurse practicing in a long term care facility recognizes that elderly
clients are at greater risk for drug toxicity than younger adults
because of which of the following physiological changes of advancing
age?
Question Number 38 of 40
When providing discharge teaching to a client with asthma, the nurse
will warn against the use of which of the following over-the-counter
medications?
Question Number 39 of 40
A post-operative client has a prescription for acetaminophen with
codeine. What should the nurse recognizes as a primary effect of this
combination?
Question Number 40 of 40
A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of
these assessments is most important for the nurse to perform?