PHARMACOLOGY B PRACTICE QUESTIONS AND ANSWERS
A nurse is planning care for a clienct who is receiving mannitol via continuous IV infusion. The nurse should
monitor the client for which of the following adverse effects?A. Weight lossB. Increased intraocular pressureC.
Auditory hallucinationsD. Bibasilar crackles
D. Bibasilar crackles
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 plan to instruct the client o use prior to physical
activity?A. CromolynB. BeclomethasoneC.
BudesonideD. Tiotropium
A. Cromolyn
A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering
which of the following medications? 1. Vitamin K 2. Acetylcysteine 3. Benzotrophine 4. Physostigmine
2. Acetylcysteine
A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the
nurse monitor?
A. ParesthesiaB. Increased blood pressureC. FeverD. Respiratory depression
B. Increased blood pressure
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the
following information should the nurse include in the teaching? 1. The medication should be taken 1 hr prior to
eating. 2. It takes 48 hr for therapeutic effects to occur. 3. Tablets should not be crushed or chewed. 4. Decreased
respirations might occur.
4. Decreased respirations might occur.
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? 1. Minimize diaphoresis 2. Maintain abstinence 3.
Lessen craving 4. Prevent delirium tremens
4. Prevent delirium tremens
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following
statements by the client indicates an understating of the teaching? 1. I should apply a patch every 5 minutes if I
develop chest pain. 2. I will take the patch off right after my evening meal. 3. I will leave the patch off at least 1
day each week. 4. I should discard the used patch by flushing it down the toilet.
2. I will take the patch off right after my evening meal. Clients should remove the patch each evening for a
medication free time of 12 to 14 hr before applying a new patch to avoid developing a tolerance to the
medication's effects.
A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves disease. Which of the
following findings should the nurse identify as as an indication of the medication has been effective?A. Decrease in
WBC countB. Decrease in amount of time sleepingC. Increase in appetiteD. Increase in ability to focus
D. Increase in ability to focus
A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which
of the following actions should the nurse take? 1. Request a change in the type of antibiotic. 2. Ask for a change
in the route of administration. 3. Check for pitting edema. 4. Check the client's WBC count.
1. Request a change in the type of antibiotic.
Manifestations of urticaria after taking a penicillin-based medication indicate a mild allergic reaction. Therefore,
it is appropriate for the nurse to request a change in the type of antibiotic.
A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should
identify that the client should discontinue which of the following over-the-counter medications?A. AspirinB.
IbuprofenC. RanitidineD. Bisacodyl
B. Ibuprofen
A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine
headaches. Which of the following information should the nurse include in her instructions?A. Take one tablet
three times a day before mealsB. "Take one tablet at onset of migraine."C. Take up to eight tablets as needed
within a 24-hour periodD. Take one tablet every 15 minutes until migraine subsides
, A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report
which of the following findings to the provider as an adverse effect of the medication? 1. Constipation 2.
Tinnitus 3. Hypoglycemia 4. Joint pain
2. Tinnitus
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? 1. Administers isosorbide mononitrate to a
client who has a BP of 82/60 mmHg 2. Administers digoxin to a client who has a heart rate of 92/min 3. Administers
regular insulin to a client who has a blood glucose of 250 mg/dL 4. Administers heparin to a client who has an aPTT
of 70 seconds
1. Administers isosorbide mononitrate to a client who has a BP of 82/60 mmHg
A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone
inhaler to treat chronic asthma. the nurse should include that the spacer deceases the risk for which of the
following adverse effect of the medication?A. Oral candidiasisB. HeadacheC. Joint painD. Adrenal suppression
A. Oral candidiasis
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary
embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and
report to the provider?A. VomitingB. Blood in the urineC. Positives Chvostek's signD. Ringing in the ears
B. Blood in the urine
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the
nurse identify as an adverse effect of the medication? 1. Tinnitus 2. Urinary frequency 3. Dry mouth 4. Diarrhea
3. Dry mouth The nurse should expect the client to have a dry mouth due to the blocking of acetylcholine
receptors that cause anticholinergic responses.
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?A. I will stop taking the medication if I get dizzyB. I should not
drink orange juice while taking this medicationC. I should expect to gain weight while taking this medicationD. "I
will check my heart rate before I take the medication"
D. "I will check my heart rate before I take the medication"
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse
that he is allergic to penicillin. Which of the following actions should the nurse take first?A. Update the client's
medical recordB. Notify the providerC.
Withhold the medicationD. Infor the pharmacist of the client's allergy to penicillin
C. Withhold the medication
A nurse is teaching a client who has tuberculosis about the adverse effects of isoniazid. The nurse should instruct
the client to report to the provider which of the following finding as an adverse effect of the medication?A.
Reddish-orange urineB. PhotosensitivityC. Yellowish skin tonesD. Headache
C. Yellowish skin tones
A nurse is providing teaching to a client who has a peptic ulcer disease and is to start a new prescription for
sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? 1. Decreases
stomach acid secretion. 2. Neutralizes acids in the stomach. 3. Forms a protective barrier over ulcers. 4. Treats
ulcers by eradicating H. pylori.
3. Forms a protective barrier over ulcers.
A nurse is preparing to administer 0.9% sodium chloride (NaCl) 1,500 mL to infuse over 8 hr to a client who is
postoperative. The nurse should set the IV pump to deliver how many mL/hr?
188 ml/hr
A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the
following findings as the best indication the morphine has been effective?A. The client's vital signs are within
normal limitsB. The client has not requested additional medicationC. The client is resting comfortably with eyes
closedD. the client rates the pain at a 3 on a scale from 0 to 10.
D. the client rates the pain at a 3 on a scale from 0 to 10.
A nurse is providing follow up care to a client who is taking lisinopril. Which of the following manifestations should
the nurse instruct the client to report as an adverse effect of lisinopril? 1. Drowsiness 2. Hallucinations 3.
Persistent cough 4. Weight gain
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