Answer Guide Med-Surg Success Questions- Pharmacology Comprehensive
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
1. The client asks the clinic nurse if 4
he should take 2,000 mg of vita-
min C a day to 1. The normal recommended daily dose of
prevent getting a cold. On which vitamin C is 60 to 100 mg for healthy
scientific rationale should the adults, but nothing cures the virus which
nurse base the causes the common cold.
response? 2. Echinacea is an herbal preparation thought
1. Vitamin C in this dosage will to limit the severity of a cold and is sold in
help cure the common cold. OTC preparations, but it does not have to
2. This vitamin must be taken with be taken with vitamin C.
echinacea to be effective. 3. This dose is already too high, and watersoluble
3. This dose of vitamin C is vitamins in excess of the body's
not high enough to help prevent needs are excreted in the urine.
colds. 4. Megadoses can lead to crystals in the
4. Megadoses of vitamin C may urine, and crystals can lead to the formation
cause crystals to form in the of renal calculi (stones) in the
urine. kidneys. Therefore, megadoses should
not be taken because there is no
therapeutic value.
2. The client recently has had a my- 2
ocardial infarction. Which medica-
tions should the 1. Vitamin K helps prevent clotting, and
nurse anticipate the health-care NSAIDs are recommended for inflammatory
provider recommending to pre- disorders and to relieve mild to
vent another heart moderate pain.
attack? 2. Vitamin E is an antioxidant and is useful
1. Vitamin K and a nonsteroidal in the treatment and prevention of
anti-inflammatory drug. coronary artery disease, and aspirin
2. Vitamin E and a daily low-dose is an antiplatelet which prevents platelet
aspirin. aggregation.
3. Vitamin A and an anticoagu- 3. Vitamin A is required for healthy eyes,
1 4/16/2026
, Answer Guide Med-Surg Success Questions- Pharmacology Comprehensive
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
lant. gums, teeth and for fat metabolism. Anticoagulants
4. Vitamin B complex and an iron are prescribed for clients with a
supplement. high risk for clot formation.
4. Vitamin B complex is used for healthy function
of the nervous system, cell repair, and
formation of red blood cells; iron supplements
are recommended for clients with
iron-deficiency anemia.
3. The client diagnosed with essen- 3
tial hypertension calls the clinic
and tells the nurse she 1. OTC decongestant medications used for
needs something for the flu. the flu cause vasoconstriction of the
Which information should the blood vessels, which would increase the
nurse tell the client? client's hypertension and therefore
1. OTC medications for the flu should be avoided. The client should let
should not be taken because of the flu run its course.
your hypertension. 2. OTC medications should not be taken by
2. If OTC medications do not re- the client with essential hypertension.
lieve symptoms within three (3) 3. The nurse should provide the information
days, contact the HCP. to the client about what medications to
3. Tell the client to ask the phar- take and should not refer the client to
macist to recommend an OTC the pharmacist.
medication for the flu. 4. It is too late for the flu vaccine because the
4. Make an appointment for the client is already ill with the flu.
client to receive the influenza vac-
cine.
4. Which laboratory test should the 3
nurse monitor for the client re-
ceiving the 1. The potassium level is not affected by the
intravenous steroid Solu-Medrol? administration of steroids.
2 4/16/2026
, Answer Guide Med-Surg Success Questions- Pharmacology Comprehensive
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
1. Potassium level. 2. Culture and sensitivity reports should be
2. Sputum culture and sensitivity. monitored to determine if the proper antibiotic
3. Glucose level. is being administered.
4. Arterial blood gases. 3. Steroids are excreted as glucocorticoids
from the adrenal gland and are responsible
for insulin resistance by the cells,
which may cause hyperglycemia.
4. There is no reason why the nurse would
question administering a steroid based on
an arterial blood gas result.
5. The client diagnosed with asth- 4
ma is prescribed the mast cell in-
hibitor cromolyn. 1. Cromolyn is used prophylactically to prevent
Which statement by the client exercise-induced asthma attacks. It is
indicates the need for further administered in routine daily doses to
teaching? prevent asthma attacks.
1. "I will take two puffs of my in- 2. Rinsing the mouth will help prevent the
haler before I exercise." growth of bacteria secondary to medication
2. "I will rinse my mouth with wa- left in the mouth.
ter after taking the medication." 3. Holding the breath for 10 seconds keeps
3. "After inhaling the medication, the medication in the lungs.
I will hold my breath for 10 sec- 4. This medication is used to stabilize the
onds." mast cells in the lungs. During an
4. "When I start to wheeze, I will asthma attack, the mast cells are already
use my inhaler immediately." unstable; therefore, this medication will
not be effective in treating the acute
asthma attack. This statement would
require the nurse to reteach about the
medication.
6.
3 4/16/2026
, Answer Guide Med-Surg Success Questions- Pharmacology Comprehensive
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
The client diagnosed with methi- 3
cillin-resistant Staphylococcus au-
reus (MRSA) is 1. Diarrhea may indicate the client may have a
receiving the aminoglycoside an- superinfection, but it is not the priority
tibiotic vancomycin. Peak and intervention at this time because the
trough levels are antibiotic would still be administered.
ordered for the dose the nurse is 2. The peak level is not drawn until one (1) hour
administering. Which priority in- after the medication has been infused.
tervention should 3. The trough level must be drawn prior to
the nurse implement? administering this dose; therefore, it is
1. Ask the client if he has had any the priority intervention.
diarrhea. 4. The culture and sensitivity (C&S) has
2. Monitor the aminoglycoside already been done because it is known the
peak level. client has MRSA.
3. Determine if the trough level
has been drawn.
4. Check the client's culture and
sensitivity report.
7. The nurse is caring for an elderly 2
client who is eight (8) hours post-
operative hip 1. At eight (8) hours postoperative the client
replacement and is reporting inci- should be on bedrest, and moving the client
sional pain. Which intervention is to a chair will not help the incisional pain
priority for this and could cause hip dislocation.
client? 2. Normal developmental changes in the
1. Assist the client to sit in the bed- organs of the elderly, especially the kidneys
side chair. and liver, result in lower doses of
2. Initiate pain medication at the pain medication needed to achieve
lowest dose. therapeutic levels.
3. Assess the client's pupil size 3. This is a neurological assessment, which is
and accommodation. not pertinent to the extremity assessment.
4 4/16/2026
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
1. The client asks the clinic nurse if 4
he should take 2,000 mg of vita-
min C a day to 1. The normal recommended daily dose of
prevent getting a cold. On which vitamin C is 60 to 100 mg for healthy
scientific rationale should the adults, but nothing cures the virus which
nurse base the causes the common cold.
response? 2. Echinacea is an herbal preparation thought
1. Vitamin C in this dosage will to limit the severity of a cold and is sold in
help cure the common cold. OTC preparations, but it does not have to
2. This vitamin must be taken with be taken with vitamin C.
echinacea to be effective. 3. This dose is already too high, and watersoluble
3. This dose of vitamin C is vitamins in excess of the body's
not high enough to help prevent needs are excreted in the urine.
colds. 4. Megadoses can lead to crystals in the
4. Megadoses of vitamin C may urine, and crystals can lead to the formation
cause crystals to form in the of renal calculi (stones) in the
urine. kidneys. Therefore, megadoses should
not be taken because there is no
therapeutic value.
2. The client recently has had a my- 2
ocardial infarction. Which medica-
tions should the 1. Vitamin K helps prevent clotting, and
nurse anticipate the health-care NSAIDs are recommended for inflammatory
provider recommending to pre- disorders and to relieve mild to
vent another heart moderate pain.
attack? 2. Vitamin E is an antioxidant and is useful
1. Vitamin K and a nonsteroidal in the treatment and prevention of
anti-inflammatory drug. coronary artery disease, and aspirin
2. Vitamin E and a daily low-dose is an antiplatelet which prevents platelet
aspirin. aggregation.
3. Vitamin A and an anticoagu- 3. Vitamin A is required for healthy eyes,
1 4/16/2026
, Answer Guide Med-Surg Success Questions- Pharmacology Comprehensive
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
lant. gums, teeth and for fat metabolism. Anticoagulants
4. Vitamin B complex and an iron are prescribed for clients with a
supplement. high risk for clot formation.
4. Vitamin B complex is used for healthy function
of the nervous system, cell repair, and
formation of red blood cells; iron supplements
are recommended for clients with
iron-deficiency anemia.
3. The client diagnosed with essen- 3
tial hypertension calls the clinic
and tells the nurse she 1. OTC decongestant medications used for
needs something for the flu. the flu cause vasoconstriction of the
Which information should the blood vessels, which would increase the
nurse tell the client? client's hypertension and therefore
1. OTC medications for the flu should be avoided. The client should let
should not be taken because of the flu run its course.
your hypertension. 2. OTC medications should not be taken by
2. If OTC medications do not re- the client with essential hypertension.
lieve symptoms within three (3) 3. The nurse should provide the information
days, contact the HCP. to the client about what medications to
3. Tell the client to ask the phar- take and should not refer the client to
macist to recommend an OTC the pharmacist.
medication for the flu. 4. It is too late for the flu vaccine because the
4. Make an appointment for the client is already ill with the flu.
client to receive the influenza vac-
cine.
4. Which laboratory test should the 3
nurse monitor for the client re-
ceiving the 1. The potassium level is not affected by the
intravenous steroid Solu-Medrol? administration of steroids.
2 4/16/2026
, Answer Guide Med-Surg Success Questions- Pharmacology Comprehensive
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
1. Potassium level. 2. Culture and sensitivity reports should be
2. Sputum culture and sensitivity. monitored to determine if the proper antibiotic
3. Glucose level. is being administered.
4. Arterial blood gases. 3. Steroids are excreted as glucocorticoids
from the adrenal gland and are responsible
for insulin resistance by the cells,
which may cause hyperglycemia.
4. There is no reason why the nurse would
question administering a steroid based on
an arterial blood gas result.
5. The client diagnosed with asth- 4
ma is prescribed the mast cell in-
hibitor cromolyn. 1. Cromolyn is used prophylactically to prevent
Which statement by the client exercise-induced asthma attacks. It is
indicates the need for further administered in routine daily doses to
teaching? prevent asthma attacks.
1. "I will take two puffs of my in- 2. Rinsing the mouth will help prevent the
haler before I exercise." growth of bacteria secondary to medication
2. "I will rinse my mouth with wa- left in the mouth.
ter after taking the medication." 3. Holding the breath for 10 seconds keeps
3. "After inhaling the medication, the medication in the lungs.
I will hold my breath for 10 sec- 4. This medication is used to stabilize the
onds." mast cells in the lungs. During an
4. "When I start to wheeze, I will asthma attack, the mast cells are already
use my inhaler immediately." unstable; therefore, this medication will
not be effective in treating the acute
asthma attack. This statement would
require the nurse to reteach about the
medication.
6.
3 4/16/2026
, Answer Guide Med-Surg Success Questions- Pharmacology Comprehensive
Med-Surg Success Questions- Pharmacology Comprehensive
Study online at https://quizlet.com/_jaos12
The client diagnosed with methi- 3
cillin-resistant Staphylococcus au-
reus (MRSA) is 1. Diarrhea may indicate the client may have a
receiving the aminoglycoside an- superinfection, but it is not the priority
tibiotic vancomycin. Peak and intervention at this time because the
trough levels are antibiotic would still be administered.
ordered for the dose the nurse is 2. The peak level is not drawn until one (1) hour
administering. Which priority in- after the medication has been infused.
tervention should 3. The trough level must be drawn prior to
the nurse implement? administering this dose; therefore, it is
1. Ask the client if he has had any the priority intervention.
diarrhea. 4. The culture and sensitivity (C&S) has
2. Monitor the aminoglycoside already been done because it is known the
peak level. client has MRSA.
3. Determine if the trough level
has been drawn.
4. Check the client's culture and
sensitivity report.
7. The nurse is caring for an elderly 2
client who is eight (8) hours post-
operative hip 1. At eight (8) hours postoperative the client
replacement and is reporting inci- should be on bedrest, and moving the client
sional pain. Which intervention is to a chair will not help the incisional pain
priority for this and could cause hip dislocation.
client? 2. Normal developmental changes in the
1. Assist the client to sit in the bed- organs of the elderly, especially the kidneys
side chair. and liver, result in lower doses of
2. Initiate pain medication at the pain medication needed to achieve
lowest dose. therapeutic levels.
3. Assess the client's pupil size 3. This is a neurological assessment, which is
and accommodation. not pertinent to the extremity assessment.
4 4/16/2026
