VATI RN PHARMACOLOGY COMPLETE
STUDY QUESTIONS WITH CORRECT
ANSWERS
1. The rate at which the nurse should set the IV to deliver 1L of 5% dextrose in
0.45% sodium chloride at 100 mL/hr using microdrip tubing. - ANSWER
100 gtt/min
2. The appropriate nursing action for a client with a documented allergy to
penicillin prescribed piperacillin/tazobactam. - ANSWER Hold the
medication and clarify the prescription with the provider
3. The lab that should be monitored to adjust the dosage of IV heparin for a
client with DVT. - ANSWER aPTT
4. A common side effect of nitroglycerin due to vasodilation. - ANSWER
Headache
5. The nurse's concern when a client taking lithium is also prescribed an
NSAID. - ANSWER NSAIDs can increase lithium levels
6. The medication that is hepatotoxic and should be avoided by a client with
cirrhosis. - ANSWER Acetaminophen
7. A priority symptom to report in a client taking atorvastatin, as it could
indicate rhabdomyolysis. - ANSWER Muscle aches
,8. An adverse effect the nurse should monitor for in a client starting a beta
blocker for hypertension. - ANSWER Bradycardia
9. A statement by the client that shows understanding of discharge teaching
about furosemide. - ANSWER I will take this medication with food
10.A statement by a client taking clopidogrel (Plavix) that indicates correct
understanding of the medication. - ANSWER I should notify my provider if
I notice any unexplained bruising
11.A finding in a client receiving IV heparin therapy that should be reported
immediately as it is a sign of internal bleeding. - ANSWER Hematuria
12.The correct way for a client to take sucralfate for a gastric ulcer. -
ANSWER Take sucralfate before meals
13.The antidote the nurse should expect to administer after a client has received
double the normal dose of IV heparin over 48 hours. - ANSWER Protamine
sulfate
14.A nurse is reviewing a client's new prescription for piperacillin/tazobactrum.
The client has an allergy to penicillin documented in their medical record.
Which of the following actions should the nurse take? - ANSWER Hold the
medication and clarify the prescription.
15.A nurse is caring for a client who has a prescription for citalopram. Which of
the following supplements on the client's home medication record increases
the risk of serotonin syndrome? - ANSWER St. John's Wort
,16.A nurse is caring for a client who is taking atorvastatin. Which of the
following manifestations should the nurse identify as a priority to report to
the provider? - ANSWER Muscle aches
17.A nurse is preparing to administer a new prescription for a beta blocker to a
client who has hypertension. Which of the following adverse affects should
the nurse monitor the client for? - ANSWER Bradycardia
18.A nurse is preparing to administer medication to a client who has difficulty
swallowing tablets. The nurse should identify that which of the following
medications can be crushed and administered in applesause? - ANSWER
Diazepam 10mg tablet
19.An MAOI that interacts dangerously with levodopa, contraindicated due to
the risk of hypertensive crisis. - ANSWER Phenelzine
20.The concern with the combination of warfarin and ginkgo biloba due to
ginkgo's antiplatelet effects. - ANSWER Increased risk of bleeding
21.The medication the nurse should anticipate administering for a client
receiving warfarin who shows signs of toxicity. - ANSWER Phytonadione
22.The correct explanation for why a client has been prescribed disulfiram. -
ANSWER It supports alcohol abstinence
23.Important teaching for a client taking alendronate for osteoporosis to prevent
esophageal irritation. - ANSWER Remain sitting or standing upright for at
least 30 minutes
, 24.The lab value that should be reviewed first before administering warfarin to
a client. - ANSWER PT/INR
25.The medication that can be crushed and mixed with applesauce for a client
who has difficulty swallowing. - ANSWER Potassium chloride effervescent
tablet
26.An appropriate insulin storage instruction for a client using regular insulin. -
ANSWER Opened insulin vials can be stored at room temperature for up to
1 month
27.The medication order that should be clarified due to safety concerns, as it is
a high dose and frequency. - ANSWER Morphine 20 mg IV every 2 hours
28.The supplement that increases the risk of serotonin syndrome for a client
prescribed citalopram. - ANSWER St. John's wort
29.A safe administration practice for IV vancomycin to reduce the risk of 'red
man syndrome'. - ANSWER Administer over at least 1 hour
30.A nurse is planning care for a group of clients. For which of the following
clients should the nurse perform a medication reconciliation? - ANSWER A
client who was recently transferred from the ICU.
31.A nurse is instructing a client who has diabetes mellitus about regular insulin
storage. Which of the following instructions should the nurse include? -
ANSWER Store open insulin vials at room temperature for up to 1 month.,
STUDY QUESTIONS WITH CORRECT
ANSWERS
1. The rate at which the nurse should set the IV to deliver 1L of 5% dextrose in
0.45% sodium chloride at 100 mL/hr using microdrip tubing. - ANSWER
100 gtt/min
2. The appropriate nursing action for a client with a documented allergy to
penicillin prescribed piperacillin/tazobactam. - ANSWER Hold the
medication and clarify the prescription with the provider
3. The lab that should be monitored to adjust the dosage of IV heparin for a
client with DVT. - ANSWER aPTT
4. A common side effect of nitroglycerin due to vasodilation. - ANSWER
Headache
5. The nurse's concern when a client taking lithium is also prescribed an
NSAID. - ANSWER NSAIDs can increase lithium levels
6. The medication that is hepatotoxic and should be avoided by a client with
cirrhosis. - ANSWER Acetaminophen
7. A priority symptom to report in a client taking atorvastatin, as it could
indicate rhabdomyolysis. - ANSWER Muscle aches
,8. An adverse effect the nurse should monitor for in a client starting a beta
blocker for hypertension. - ANSWER Bradycardia
9. A statement by the client that shows understanding of discharge teaching
about furosemide. - ANSWER I will take this medication with food
10.A statement by a client taking clopidogrel (Plavix) that indicates correct
understanding of the medication. - ANSWER I should notify my provider if
I notice any unexplained bruising
11.A finding in a client receiving IV heparin therapy that should be reported
immediately as it is a sign of internal bleeding. - ANSWER Hematuria
12.The correct way for a client to take sucralfate for a gastric ulcer. -
ANSWER Take sucralfate before meals
13.The antidote the nurse should expect to administer after a client has received
double the normal dose of IV heparin over 48 hours. - ANSWER Protamine
sulfate
14.A nurse is reviewing a client's new prescription for piperacillin/tazobactrum.
The client has an allergy to penicillin documented in their medical record.
Which of the following actions should the nurse take? - ANSWER Hold the
medication and clarify the prescription.
15.A nurse is caring for a client who has a prescription for citalopram. Which of
the following supplements on the client's home medication record increases
the risk of serotonin syndrome? - ANSWER St. John's Wort
,16.A nurse is caring for a client who is taking atorvastatin. Which of the
following manifestations should the nurse identify as a priority to report to
the provider? - ANSWER Muscle aches
17.A nurse is preparing to administer a new prescription for a beta blocker to a
client who has hypertension. Which of the following adverse affects should
the nurse monitor the client for? - ANSWER Bradycardia
18.A nurse is preparing to administer medication to a client who has difficulty
swallowing tablets. The nurse should identify that which of the following
medications can be crushed and administered in applesause? - ANSWER
Diazepam 10mg tablet
19.An MAOI that interacts dangerously with levodopa, contraindicated due to
the risk of hypertensive crisis. - ANSWER Phenelzine
20.The concern with the combination of warfarin and ginkgo biloba due to
ginkgo's antiplatelet effects. - ANSWER Increased risk of bleeding
21.The medication the nurse should anticipate administering for a client
receiving warfarin who shows signs of toxicity. - ANSWER Phytonadione
22.The correct explanation for why a client has been prescribed disulfiram. -
ANSWER It supports alcohol abstinence
23.Important teaching for a client taking alendronate for osteoporosis to prevent
esophageal irritation. - ANSWER Remain sitting or standing upright for at
least 30 minutes
, 24.The lab value that should be reviewed first before administering warfarin to
a client. - ANSWER PT/INR
25.The medication that can be crushed and mixed with applesauce for a client
who has difficulty swallowing. - ANSWER Potassium chloride effervescent
tablet
26.An appropriate insulin storage instruction for a client using regular insulin. -
ANSWER Opened insulin vials can be stored at room temperature for up to
1 month
27.The medication order that should be clarified due to safety concerns, as it is
a high dose and frequency. - ANSWER Morphine 20 mg IV every 2 hours
28.The supplement that increases the risk of serotonin syndrome for a client
prescribed citalopram. - ANSWER St. John's wort
29.A safe administration practice for IV vancomycin to reduce the risk of 'red
man syndrome'. - ANSWER Administer over at least 1 hour
30.A nurse is planning care for a group of clients. For which of the following
clients should the nurse perform a medication reconciliation? - ANSWER A
client who was recently transferred from the ICU.
31.A nurse is instructing a client who has diabetes mellitus about regular insulin
storage. Which of the following instructions should the nurse include? -
ANSWER Store open insulin vials at room temperature for up to 1 month.,
