PHARMACOLOGY RETAKE GUIDE- FIRST ATTEMPT CORRECT AND VERIFIED
1. A nurse is caring for a client who has breast cancer and reports pain 1 hr after
... [Show More] administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?
a. Naloxone IV
b. Morphine tablet
c. Lidocaine patch
d. Fentanyl transmucosal
2. A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?
a. Notify your provider if you develop a fever while taking this medication
b. Diarrhea is a common adverse effect of this medication
c. Ringing in the ears is an expected adverse effect of this medication
d. You might experience weight loss while taking this medication
3. A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of the medication?
a. Bradycardia
b. Red man syndrome
c. Hypoglycemia d. Hypotension
4. A client who has active TB and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?
a. Document this as an expected finding
b. Prepare the client for dialysis
c. Check the client’s liver functions
d. Instruct the client to increase his fluid intake
5. A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg since the last visit 2 days ago. Which of the following actions should the nurse take first?
a. Notify the provider of the client’s weight gain
b. Determine medication adherence by the client
c. Encourage the client to dangle the legs while sitting in a chair
d. Teach the client about food low in sodium
6. A nurse is caring for a client who is taking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication?
a. Constipation b. Hot flashes
c. Urinary frequency
d. Tinnitus
7. A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia?
a. Headache
b. Decreased urine output
c. Positive Trousseau’s sign d. Constipation
8. A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who caused the error
c. The charge nurse
d. The nurse who identifies the error
9. A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse should identify that this medication is used for which of the following conditions?
a. Osteoporosis
b. Hypothyroidism
c. Deep-vein thrombosis
d. Urinary tract infection
10. A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss?
a. Ciprofloxacin b. Gentamicin
c. Rifampin
d. Penicillin G
11. A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?
a. Bilateral muscle weakness
b. Decreased bowel sounds
c. Thread pulse
d. Distended neck veins
12. A nurse is caring for a client who has heart failure ad a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?
a. Hypotension
b. Tinnitus
c. Bradycardia
d. Hypokalemia
13. A nurse is reviewing the lab results of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider?
a. Creatinine 2.5 mg/dl
b. Sodium 137 mEq/L
c. Hct 43%
d. Hgb 15 g/dL
14. A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?
a. Store the remaining half of the pill in the automated medication dispensing system
b. Return the remaining medication to the facility’s pharmacy
c. Dispose of the remaining medication while another nurse observes
d. Place the remaining half of the pill in the unit-dose package
15. A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPPT of 90 seconds. The nurse should monitor for which of the following changes in their vital signs?
a. Decreased respiratory rate
b. Increased pulse rate
c. Decreased temperature d. Increased blood pressure
16. A nurse is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
a. Tilt the client’s head back when administering the medications
b. Administer more than one pill to the client at a time
c. Mix the medications with a semisolid food for the client
d. Place the medications on the back of the client’s tongue
17. A nurse is caring for a client who is to receive potassium replacement. The provider’s prescription reads, “Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.” For which of the following reasons should the nurse clarify this prescription with the provider?
a. Potassium chloride should be diluted in dextrose 5% in water
b. Another formulation of potassium should be given IV
c. The client should be treated by giving potassium by IV bolus d. The potassium infusion rate is too rapid
18. A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
a. Potassium 3.8 mEq/L
b. The client reports dizziness upon standing
c. BUN 15 mg/dL
d. The client reports dizziness
19. A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply)
a. Rinse your child’s mouth following administration
b. Soak the inhaler in water after use
c. Have your child take one inhalation as needed for SOB d. A spacer will make it easier to use the device
e. Shake the device prior to administration
20. A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
a. Hypomagnesemia
b. Hypokalemia
c. Hypocalcemia
d. Hyponatremia
21. A nurse is reviewing the lab values of a client who is taking atorvastatin. Which of the following lab values indicates the treatment has been effective?
a. BUN 15mg/dL
b. Urine specific gravity 1.020
c. Blood glucose 90 mg/dL d. LDL 120 m/dL
22. A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients?
a. A client who is transported to radiology
b. A client who is transferred to a step-down unit
c. A client who has a referral for social services
d. A client who has a consultation for physical therapy
23. A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
a. Colchicine
b. Chlorpromazine
c. Cimetidine d. Colesevelam
24. A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?
a. Dominant distal dorsal vein
b. Nondominant dorsal venous arch
c. Dominant antecubital basilic vein d. Nondominant forearm basilic vein
25. A nurse is providing teaching to a client about the administration of omeprazole. Which of the following information should the nurse include in the teaching?
a. You should reduce your intake of calcium while taking this medication
b. You can take a second dose if symptoms persist up to 2 hours after the first dose
c. You cannot take this medication with an antacid d. You should take this medication before meals
26. A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
a. Increase in BP
b. Oxygen saturation 96%
c. Decrease in protein d. PaCO2 30 mm Hg
27. A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth).
a. 7.5mL
28. A nurse is caring for a client who is taking triamterene. For which of the following lab values should the nurse withhold the medication?
a. Potassium 5.3
b. Sodium 142
c. BUN 16
d. Albumin 4
29. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?
a. Cardiac arrhythmias absent
b. Improved cognition
c. Absent Chvostek’s sign d. Decreased vomiting
30. A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
a. Slow the IV solution rate
b. Initiate a new IV distal to the initial site c. Apply a warm, moist compress
d. Maintain the extremity below the level of the heart
31. A nurse is reviewing the lab results of a client who is taking amitriptyline. Which of the following lab values should the nurse report to the provider?
a. Hct 44%
b. WBC count 5,000
c. Potassium 4.2
d. Total bilirubin 1.5
32. A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
a. Collect the client’s uric acid level
b. Monitor the client’s thyroid function levels
c. Obtain the client’s HDL level
d. Check the client’s glucose level
33. A nurse is assessing for allergies with a client who is scheduled to receive the flu vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
a. Shellfish b. Eggs
c. Peanuts
d. Milk
34. A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?
a. Take this medication 2 hours before a meal
b. Limit foods containing tyramine
c. Decrease your daily sodium intake
d. Report swelling of the feet to your provider
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