PHARMACOLO
GY
PROCTORED
ASSESSMENT
, Pharmacology – Proctored Review
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg
PO daily. After 6 weeks of treatment the nurse dtermines that the medication was effective if
the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which
of the following client statement indicates understanding of teaching:
1) I will not use a salt substitute while taking meds
2) I will move slowly from sitting to standing to prevent falls
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
statement by the patient indicates further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest
A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of
the following is the nurse required to do:
3) Read the prescription back to the provider after transcribing
4) Write the trade name for the prescribed medicine
A nurse is providing teaching to an adolescent and her family regarding a new prescription of
phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client
statements indicates the understanding of the teaching:
1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing nausea
, A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and
digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the
following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium
A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of
the following client findings requires an incident report:
1) The client is also taking linsinophrel (Prinivil)
2) The client reports shortness of breath
A nurse is providing teaching to a female client who has been newly diagnosed with a seizure
disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can
decrease the effectiveness of which of the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
2) Fluroxetine (Prozac)
A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is
prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse
include in her instructions:
1) Take 1SL tablet three times a day before meals
2) Take 1SL tablet at onset of migrane
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin
(Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should
the nurse take:
1) Give the medication
2) Request a dose increase
GY
PROCTORED
ASSESSMENT
, Pharmacology – Proctored Review
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg
PO daily. After 6 weeks of treatment the nurse dtermines that the medication was effective if
the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which
of the following client statement indicates understanding of teaching:
1) I will not use a salt substitute while taking meds
2) I will move slowly from sitting to standing to prevent falls
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
statement by the patient indicates further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest
A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of
the following is the nurse required to do:
3) Read the prescription back to the provider after transcribing
4) Write the trade name for the prescribed medicine
A nurse is providing teaching to an adolescent and her family regarding a new prescription of
phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client
statements indicates the understanding of the teaching:
1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing nausea
, A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and
digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the
following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium
A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of
the following client findings requires an incident report:
1) The client is also taking linsinophrel (Prinivil)
2) The client reports shortness of breath
A nurse is providing teaching to a female client who has been newly diagnosed with a seizure
disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can
decrease the effectiveness of which of the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
2) Fluroxetine (Prozac)
A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is
prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse
include in her instructions:
1) Take 1SL tablet three times a day before meals
2) Take 1SL tablet at onset of migrane
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin
(Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should
the nurse take:
1) Give the medication
2) Request a dose increase
