RN Pharmacology Online Practice Test ..ALL ANSWERS 100% CORRECT GRADE ‘A’ GUARANTEE

1.) A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes urticarial, dyspnea, anxiety, and hypotension. Which of the following should the nurse anticipate administering 2.) A nurse is providing teaching to a client who is diagnosed with migraine headaches. The client is prescribed ergotamine sublingual. Which of the following should the nurse include in her instructions? 3.) A nurse is caring for a client who has just been transferred from the PACU to the medical-surgical unit following a colon resection. The client reports pain of an 8 on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every 2 hr. Which of the following actions should the nurse take first? 4.) A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily. After 6 weeks of treatment, the nurse determines that the medication was effective if the 5.) A client is taking trimethoprim/sulfamethoxazole. Which of the following findings should the nurse report to the provider? 6.) A nurse is caring for a client who has candidiasis. Which of the following medications should the nurse expect to administer? 7.) A nurse is assessing a client who is taking indomethacin. For which of the following should the nurse monitor to evaluate the medication’s effectiveness? 8.) A nurse is administering donepezil to a client who has Alzheimer’s disease. Which of the following documented findings should the nurse report to the provider immediately? 9.) A client who has a history of hypertension tells the nurse that he uses over-the-counter oral decongestants for nasal congestion. The nurse should advise the client that decongestants 10.) A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following is the client prescribed chlordiazepoxide? 11.) A nurse is caring for a client who taking acetazolamide for chronic open angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? 12.) A nurse is caring for a client who has heart failure and is discharged with a prescription of furosemide. The nurse should plan to instruct the client that which of the following are potential adverse effects of this medication? (Select all that apply) 13.) A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following findings indicates to the nurse that the client is experiencing magnesium toxicity? 14.) A nurse is planning to teach a client about taking methotrexate. For which of the following should the nurse instruct the client to monitor and report to the provider? 15.) A nurse if providing teaching to a client who is taking tetracycline PO and reports gastrointestinal distress. Which of the following should the nurse include in the teaching? 16.) A nurse is caring for a client in the emergency department following a diazepam overdose. The nurse should administer which of the following medications? 17.) A nurse is providing teaching for a client who is to begin pharmacological therapy for a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use during an acute asthma attack? 18.) A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? 19.) A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome? 20.) A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following? 21.) A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following should the nurse include in the instructions? 22.) A nurse is assessing a client who is taking salmeterol. Which of the following reports from the client indicates effectiveness of the medication? 23.) A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following symptoms should the nurse tell the client to expect? (Select all that apply) 24.) A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves’ disease. Which of the following findings indicates effectiveness of the medication? 25.) A nurse is assessing laboratory results for a client who is prescribed oprelvekin for management of adverse effects of chemotherapy. Which of the following findings by the nurse indicated a therapeutic effect of the medication 26.) A nurse is assessing a client who is taking oral contraceptives. Which of the following medications will interfere with the effectiveness of the oral contraceptives? 27.) A nurse in a provider’s office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? 28.) A nurse is caring for a client who is starting a new prescription for warfarin. Which of the following medications should the nurse plan to administer if the client experiences bleeding 29.) A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following should the nurse instruct the client to monitor and report? 30.) A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should alert the nurse the client is experiencing an adverse reaction? 31.) A nurse is providing teaching to a client who takes valproic acid. For which of the following should the nurse instruct the client to monitor and report to the provider? 32.) A nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports urticarial. Which of the following interventions should the nurse take? 33.) A nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer. The nurse should inform the client that which of the following side effects can develop? (Select all that apply) 34.) A nurse is planning teaching for a child who has been prescribed fluticasone propionate for treatment of chronic asthma. The nurse plans to teach the child to use a spacer to minimize the risk for which of the following? 35.) A nurse is providing teaching about clindamycin to a client. Which of the following is an adverse effect of this medication that the nurse should instruct the client to report to the provider? 36.) A nurse is teaching a client who is to start a new prescription for verapamil. Which of the following instructions should the nurse plan to include? 37.) A nurse is planning to provide medication education for a client who will begin a course of therapy with metronidazole. Which of the following should the nurse instruct the client to avoid during the course of therapy? 38.) A nurse is assessing a client who is receiving epoetin alfa to treat anemia. For which of the following findings should the nurse monitor related to this medication? 39.) A nurse is caring for an older adult client. The client received 0.9% sodium chloride 1 L over 4hr instead of over 8hr as prescribed. Which of the following entries is the appropriate documentation of this occurrence in the client’s medical record? 40.) At 0900 a nurse is preparing a client’s medication. Based on the chart findings, which of the following medications should the nurse administer first? 41.) A nurse is caring for a client who is to start therapy with benztropine. For which of the following findings should the nurse monitor? 42.) A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant, but has not told her provider. Which of the following orders should the nurse question? 43.) A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of mannitol 25% for 1 hr. Which of the following adverse reactions should the nurse report to the provider immediately? 44.) A client is just diagnosed with tuberculosis (TB) and is prescribed a four-medication regimen of isoniazid, rifampin, pyrazinamide, and ethambutol. The client asks the nurse why he has to take so many pills. Which of the following is an appropriate response by the nurse? 45.) A nurse is preparing to administer hydromorphone for a postoperative client. Which of the following indicates that the nurse should withhold the next dose of the medication? 46.) A nurse in a clinic is talking to a client on the phone who tells the nurse he has not taken any of his morning medications and reports tinnitus. The nurse instructs the client to come to the clinic and withhold which of the following medications? 47.) A nurse is caring for a client who is 24 hr postoperative following abdominal surgery and has been taking morphine sulfate PRN for incisional pain. The nurse should assess the client for which of the following adverse effects? 48.) A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic test to monitor long-term complications? 49.) A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for histoplasmosis. For which of the following adverse effects should the nurse notify the provider. 50.) A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. The nurse explains to the client that the medication 51.) A client is receiving a heparin infusion for deep vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? 52. A nurse is caring for a client taking atorvastatin. Which of the following should the nurse monitor for the client? 54.) A nurse is caring for a client who is receiving haloperidol. For which of the following adverse effects should the nurse be observing? 55.) A nurse is providing teaching to a client who has depression and is prescribed fluoxetine. Which of the following statements indicates to the nurse that the client understands the teaching? 56.) A nurse is caring for a client who is to receive 0.9% sodium chloride at the rate of 1L every 8 hr. The drip factor shown on the package of IV tubing is 15gtt/mL. The nurse should regulate the IV to deliver how many gtt/min? Round to the nearest whole number. 57.) A nurse is caring for a client who has a new diagnosis of Type 1 diabetes mellitus. The nurse administers regular insulin 6 units subcutaneously at 0700. At 1000, the client reports feeling nauseous and lightheaded. Which of the following actions should the nurse take first? 58.) A nurse is providing teaching to a client regarding the administration of ferrous sulfate. Which of the following instructions should the nurse include in the teaching? 59.) A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? 60.) A nurse administers ceftazidime to a clients who has a severe penicillin allergy. Which of the following client findings requires an incident report?