lOMoARcPSD| 63525276
1. what is the goal of pharmacologic therapy in the treatment of Parkinson’s disease?
A. To block dopamine receptors in presynaptic and postsynaptic neurons
B. To reduce the amount of dopamine available in the substantia nigra
C. To increase the amount of acetylcholine in the presynaptic neurons
D. To balance cholinergic and dopamine activity in the brain
2. Which client would the nurse consider as having the highest predisposition to an adverse reaction
to amedication?
A. 40-year-old man with kidney disease
B. 50-year-old man with seasonal allergies
C. 9-year-old boy with an ear infection
D. 55-year-old woman with cystitis
3. Before giving a medication to an 80-year-old client, the nurse consults the facility’s medication
manual. The manual states that older adult clients are at increased risk for hepatic side effects when
taking this medication. Which is the best action for the nurse to take?
A. Notify the provider that this medication is contraindicated for this client.
B. Ensure that the medication is given at the correct time to minimize the risk of adverse effects
C. Request an order to give the medication intravenously so that the medication does not pass through
the liver.
D. Contact the provider to discuss an order for pretherapy laboratory work.
4. The nurse is administering valproic acid to a client for seizures and finds a serum range for valproic
acid of 130 mcg/ml. What does the nurse anticipate the provider will do?
A. Change the medication
B. Make no changes
C. Decrease the dose
D. Increase the daily dose
5. The nurse anticipates that which of the following medication will be ordered for the
management of spasticity in the client with multiple sclerosis (MS)?
A. Baclofen
, lOMoARcPSD| 63525276
B. Dantrolene
C. Metaxalone
D. Diazepam
6. A teenager was brought into the emergency room following a lorazepam overdose. What
antidote would the nurse expect to administer?
A. Physostigmine
B. Flumazenil
C. Acetylcysteine
D. Naloxone
7. The provider orders Phenobarbital 180 mg IV stat. Phenobarbital is supplied as 60 mg/ ml. How
many milliliters should the nurse administer? Round as a whole number = 3
8. The nurse is providing education on baclofen to a client with multiple sclerosis. What statement
by the client indicates that further teaching is needed?
A. Side effects may include drowsiness, dizziness, and weakness.
B. I should only consume alcohol in small quantities.
C. I will contact my provider if I have difficulty urinating
D. Stopping the medication suddenly may cause withdrawal symptoms
9. The following order has been written for your client: morphine 1 mg intravenously (IV) every 2 hours
as needed for pain. Which of these is true regarding this order?
A. Every two hours, the nurse will assess the need for morphine to determine if 1 mg IV should be
given.
B. Morphine will be given every 2 hours.
C. If the client is still in severe pain 1 hour after the last dose, the nurse can administer an additional 1
mg of morphine.
D. Morphine will be given enterally.
10. A client taking carbidopa/levodopa is concerned because their urine has become dark orange. What
action should the nurse take?
, lOMoARcPSD| 63525276
A. Assess the client for signs of liver failure.
B. Request an order for a liver function panel from the provider
C. Teach the client that this is a normal side effect.
D. Contact the provider immediately to report the finding.
11. A client has been on medication for dementia and appears jaundiced. What does the nurse suspect?
A. The client should have his potassium checked.
B. The medication may be negatively impacting the client’s kidneys.
C. The client should have his creatinine checked.
D. The medication may be negatively impacting the client’s liver
12. After administering medication to a client, the client complains of an upset stomach. The nurse
interprets this as an unavoidable secondary effect of the medication and identifies it as which of the
following?6
A. Paradoxical effect
B. Teratogenic effect
C. Side effect
D. Intended effect
13. A client took an overdose of a tricyclic antidepressant. What adverse effects would the nurse expect?
(select all that apply.)
A. Constipation
B. Tachycardia
C. Sleepiness
D. Drooling
E. Watery eyes
14. A client is prescribed valproic acid for management of a seizure disorder. To maximize the client’s
safety, the nurse should plan to monitor for which potential complications of this medication? (select all
that apply)
A. Thrombocytopenia
1. what is the goal of pharmacologic therapy in the treatment of Parkinson’s disease?
A. To block dopamine receptors in presynaptic and postsynaptic neurons
B. To reduce the amount of dopamine available in the substantia nigra
C. To increase the amount of acetylcholine in the presynaptic neurons
D. To balance cholinergic and dopamine activity in the brain
2. Which client would the nurse consider as having the highest predisposition to an adverse reaction
to amedication?
A. 40-year-old man with kidney disease
B. 50-year-old man with seasonal allergies
C. 9-year-old boy with an ear infection
D. 55-year-old woman with cystitis
3. Before giving a medication to an 80-year-old client, the nurse consults the facility’s medication
manual. The manual states that older adult clients are at increased risk for hepatic side effects when
taking this medication. Which is the best action for the nurse to take?
A. Notify the provider that this medication is contraindicated for this client.
B. Ensure that the medication is given at the correct time to minimize the risk of adverse effects
C. Request an order to give the medication intravenously so that the medication does not pass through
the liver.
D. Contact the provider to discuss an order for pretherapy laboratory work.
4. The nurse is administering valproic acid to a client for seizures and finds a serum range for valproic
acid of 130 mcg/ml. What does the nurse anticipate the provider will do?
A. Change the medication
B. Make no changes
C. Decrease the dose
D. Increase the daily dose
5. The nurse anticipates that which of the following medication will be ordered for the
management of spasticity in the client with multiple sclerosis (MS)?
A. Baclofen
, lOMoARcPSD| 63525276
B. Dantrolene
C. Metaxalone
D. Diazepam
6. A teenager was brought into the emergency room following a lorazepam overdose. What
antidote would the nurse expect to administer?
A. Physostigmine
B. Flumazenil
C. Acetylcysteine
D. Naloxone
7. The provider orders Phenobarbital 180 mg IV stat. Phenobarbital is supplied as 60 mg/ ml. How
many milliliters should the nurse administer? Round as a whole number = 3
8. The nurse is providing education on baclofen to a client with multiple sclerosis. What statement
by the client indicates that further teaching is needed?
A. Side effects may include drowsiness, dizziness, and weakness.
B. I should only consume alcohol in small quantities.
C. I will contact my provider if I have difficulty urinating
D. Stopping the medication suddenly may cause withdrawal symptoms
9. The following order has been written for your client: morphine 1 mg intravenously (IV) every 2 hours
as needed for pain. Which of these is true regarding this order?
A. Every two hours, the nurse will assess the need for morphine to determine if 1 mg IV should be
given.
B. Morphine will be given every 2 hours.
C. If the client is still in severe pain 1 hour after the last dose, the nurse can administer an additional 1
mg of morphine.
D. Morphine will be given enterally.
10. A client taking carbidopa/levodopa is concerned because their urine has become dark orange. What
action should the nurse take?
, lOMoARcPSD| 63525276
A. Assess the client for signs of liver failure.
B. Request an order for a liver function panel from the provider
C. Teach the client that this is a normal side effect.
D. Contact the provider immediately to report the finding.
11. A client has been on medication for dementia and appears jaundiced. What does the nurse suspect?
A. The client should have his potassium checked.
B. The medication may be negatively impacting the client’s kidneys.
C. The client should have his creatinine checked.
D. The medication may be negatively impacting the client’s liver
12. After administering medication to a client, the client complains of an upset stomach. The nurse
interprets this as an unavoidable secondary effect of the medication and identifies it as which of the
following?6
A. Paradoxical effect
B. Teratogenic effect
C. Side effect
D. Intended effect
13. A client took an overdose of a tricyclic antidepressant. What adverse effects would the nurse expect?
(select all that apply.)
A. Constipation
B. Tachycardia
C. Sleepiness
D. Drooling
E. Watery eyes
14. A client is prescribed valproic acid for management of a seizure disorder. To maximize the client’s
safety, the nurse should plan to monitor for which potential complications of this medication? (select all
that apply)
A. Thrombocytopenia
