PHARMACOLOGY NR 293 EXAM 2 QUESTIONS AND CORRECT
DETAILED ANSWERS
1.Anurse is providing education to a client prescribed
atorvastatin. Which of the following statements indicates a need
for further teaching?
A."I will avoid grapefruit while taking this medication."
B."I should report any muscle pain or weakness to my
provider."
C."I can stop the medication once my cholesterol levels are normal."
D."I will have regular liver function tests."Answer:c)"Ican stop the
medication once my cholesterol levels are normal."
Rationale:Atorvastatin should be continued indefinitely to
manage cholesterol levels.Stopping the medication may lead to
an increase in cholesterol levels.
2.A nurse is teaching a client who is prescribed a selective serotonin
reuptake inhibitor (SSRI) for depression.The nurse should instruct
the client to avoid which of the following substances?
A.Alcohol
B.Caffeine
C.Citrus fruits
D.Salt substitutes
Answer:a) Alcohol
Rationale: Alcohol can interact with SSRIs,increasing the risk of
sedation, and can also worsen depression.Clients should be
advised to avoid alcohol while taking SSRIs.
3.A nurse is caring for a client who has been prescribed
digoxin.Which of the following findings is the most
,indicative of digoxin toxicity?
A.Hypertension
B.Bradycardia
C.Hyperkalemia
D.Dehydration
Answer: b) Bradycardia
Rationale: Digoxin toxicity can lead to bradycardia,which is a sign of
potential cardiac toxicity. Other symptoms include nausea, vomiting,
and visual disturbances.
4. A nurse is caring for a client with tuberculosis who is prescribed
isoniazid. The nurse should instruct the client to report which of the
following symptoms immediately?
A. Nausea and vomiting
B.Yellowing of the skin or eyes
C.Dizziness
D.Muscle pain
Answer: b) Yellowing of the skin or eyes
Rationale:Yellowing of the skin or eyes (jaundice) can indicate
hepatotoxicity, a serious side effect of isoniazid.
5.A nurse is administering levodopa to a client with Parkinson's
disease. The nurse should monitor for which of the following side
effects?
A.Muscle rigidity
B. Orthostatic hypotension
C.Tachycardia
D.Sedation
Answer: b) Orthostatic hypotension
Rationale:Levodopa can cause orthostatic hypotension, a drop in
blood pressure when moving from sitting or lying down to standing.
, 6. A nurse is caring for a client receiving a blood
transfusion.The nurse should monitor the client for which of the
following signs of an allergic reaction?
A.Tachycardia
B.Fever and chills
C.Rash and itching
D.Cyanosis
Answer: c) Rash and itching
Rationale: Rash and itching are common signs of an allergic reaction to
a blood transfusion. The nurse should stop the transfusion and notify the
provider if these symptoms occur.
7. A nurse is preparing to administer morphine to a client for pain
management. Which of the following assessments should the nurse
prioritize before administration?
A. Blood glucose level
B. Respiratory rate
C.Liver function tests
D. Kidney function tests
Answer: b) Respiratory rate
Rationale: Opioids like morphine can cause respiratory depression, so it
is crucial to assess the client's respiratory rate prior to administration.
8. A nurse is caring for a client who is prescribed ciprofloxacin for a
urinary tract infection. The nurse should instruct the client to avoid
which of the following?
A.Dairy products
B. Citrus fruits
C.Caffeine
D.Carbonated beverages
DETAILED ANSWERS
1.Anurse is providing education to a client prescribed
atorvastatin. Which of the following statements indicates a need
for further teaching?
A."I will avoid grapefruit while taking this medication."
B."I should report any muscle pain or weakness to my
provider."
C."I can stop the medication once my cholesterol levels are normal."
D."I will have regular liver function tests."Answer:c)"Ican stop the
medication once my cholesterol levels are normal."
Rationale:Atorvastatin should be continued indefinitely to
manage cholesterol levels.Stopping the medication may lead to
an increase in cholesterol levels.
2.A nurse is teaching a client who is prescribed a selective serotonin
reuptake inhibitor (SSRI) for depression.The nurse should instruct
the client to avoid which of the following substances?
A.Alcohol
B.Caffeine
C.Citrus fruits
D.Salt substitutes
Answer:a) Alcohol
Rationale: Alcohol can interact with SSRIs,increasing the risk of
sedation, and can also worsen depression.Clients should be
advised to avoid alcohol while taking SSRIs.
3.A nurse is caring for a client who has been prescribed
digoxin.Which of the following findings is the most
,indicative of digoxin toxicity?
A.Hypertension
B.Bradycardia
C.Hyperkalemia
D.Dehydration
Answer: b) Bradycardia
Rationale: Digoxin toxicity can lead to bradycardia,which is a sign of
potential cardiac toxicity. Other symptoms include nausea, vomiting,
and visual disturbances.
4. A nurse is caring for a client with tuberculosis who is prescribed
isoniazid. The nurse should instruct the client to report which of the
following symptoms immediately?
A. Nausea and vomiting
B.Yellowing of the skin or eyes
C.Dizziness
D.Muscle pain
Answer: b) Yellowing of the skin or eyes
Rationale:Yellowing of the skin or eyes (jaundice) can indicate
hepatotoxicity, a serious side effect of isoniazid.
5.A nurse is administering levodopa to a client with Parkinson's
disease. The nurse should monitor for which of the following side
effects?
A.Muscle rigidity
B. Orthostatic hypotension
C.Tachycardia
D.Sedation
Answer: b) Orthostatic hypotension
Rationale:Levodopa can cause orthostatic hypotension, a drop in
blood pressure when moving from sitting or lying down to standing.
, 6. A nurse is caring for a client receiving a blood
transfusion.The nurse should monitor the client for which of the
following signs of an allergic reaction?
A.Tachycardia
B.Fever and chills
C.Rash and itching
D.Cyanosis
Answer: c) Rash and itching
Rationale: Rash and itching are common signs of an allergic reaction to
a blood transfusion. The nurse should stop the transfusion and notify the
provider if these symptoms occur.
7. A nurse is preparing to administer morphine to a client for pain
management. Which of the following assessments should the nurse
prioritize before administration?
A. Blood glucose level
B. Respiratory rate
C.Liver function tests
D. Kidney function tests
Answer: b) Respiratory rate
Rationale: Opioids like morphine can cause respiratory depression, so it
is crucial to assess the client's respiratory rate prior to administration.
8. A nurse is caring for a client who is prescribed ciprofloxacin for a
urinary tract infection. The nurse should instruct the client to avoid
which of the following?
A.Dairy products
B. Citrus fruits
C.Caffeine
D.Carbonated beverages
