Portage Learning / NUR MISC / ATI pharm quiz 1
1
Pharmacology Pre-Assessment Quiz
A client has been prescribed metoclopramide. Which of the following should the nurse include in
client education regarding this
medication?
Select one:
a. Notify your provider if you experience restlessness or spasms of the face or neck. An
adverse effect of Reglan is extrapyramidal symptoms. The client should stop the
medication and notify the provider if these occur.
b. This medication can cause urinary frequency.
c. Decrease your fluid intake while taking this medication.
d. This medication can cause insomnia.
A 52-year-old client with a history of angina has been prescribed transdermal nitroglycerin.
Which of the following adverse effects is not
seen with this therapy?
Select one:
a. Headache
b. Orthostatic hypotension
c. Tolerance
d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect lung
function. Physiologically, vasodilation
should effect capillary perfusion and decrease lung secretions.
A nurse is caring for a client prescribed montelukast. Which of the following should the nurse
include in teaching related to this
medication?
Select one:
a. Advise client to take the medication once daily at bedtime. Clients should take
montelukast once daily at bedtime.
b. If the client forgets to take the medication for a few days he can double up on doses to catch
up.
c. Avoid dairy products while taking this medication.
d. This medication is for acute management of asthma
A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the
following instructions should be included
in client teaching about this medication?
Select one:
a. Take the medication on an empty stomach to maximize absorption.
The nurse should instruct the clients to take iron on an empty stomach, such as 1 hr
before meals to maximize absorption. Stomach acid
increases absorption. If GI adverse effects occur, the client can take with food to
,Portage Learning / NUR MISC / ATI pharm quiz 1
2
increase adherence to therapy even though absorption is also
, Portage Learning / NUR MISC / ATI pharm quiz 1
3
decreased.
b. Take prescribed antacids at the same time as this medication.
c. Decrease dietary fiber intake while taking this medication.
d. Notify your provider if your stool becomes dark green.
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular
insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number
of units of insulin that the nurse should prepare in the insulin syringe?
42 Units
Each order of for units of insulin is combined in the same syringe. The nurse should
withdraw the regular insulin into the syringe first.
A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of the following
interventions should the nurse take while
caring for this client?
Select one:
a. Increase client's 4-hr limit as needed.
b. Encourage the client to use the PCA before dressing changes. The nurse should
encourage the client to use the PCA
prophylactically prior to activities that are likely to augment pain levels.
c. Advise the client to use the pump sparingly to prevent addiction.
d. Encourage the client's family to administer PCA while client is sleeping.
A nurse is reviewing the medication class, benzodiazepines. The nurse would use caution when
administering benzodiazepines to which
of the below clients?
Select one:
a. A client with insomnia.
b. A client with renal failure.
c. A client with hypertension.
d. A client with glaucoma. Correct – benzodiazepines can increase intraocular pressure
due to the pupil-dilating effects of the
Medication.
A client has been prescribed lisinopril. Which of the following medication interactions should the
nurse instruct this client about?
Select one:
a. Escitalopram
b. Potassium supplements Correct. Potassium supplements and potassium-sparing
diuretics increase the risk of hyperkalemia in clients
taking ACE inhibitors such as lisinopril.
Clients should only take potassium supplements if prescribed by the provider. Clients
1
Pharmacology Pre-Assessment Quiz
A client has been prescribed metoclopramide. Which of the following should the nurse include in
client education regarding this
medication?
Select one:
a. Notify your provider if you experience restlessness or spasms of the face or neck. An
adverse effect of Reglan is extrapyramidal symptoms. The client should stop the
medication and notify the provider if these occur.
b. This medication can cause urinary frequency.
c. Decrease your fluid intake while taking this medication.
d. This medication can cause insomnia.
A 52-year-old client with a history of angina has been prescribed transdermal nitroglycerin.
Which of the following adverse effects is not
seen with this therapy?
Select one:
a. Headache
b. Orthostatic hypotension
c. Tolerance
d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect lung
function. Physiologically, vasodilation
should effect capillary perfusion and decrease lung secretions.
A nurse is caring for a client prescribed montelukast. Which of the following should the nurse
include in teaching related to this
medication?
Select one:
a. Advise client to take the medication once daily at bedtime. Clients should take
montelukast once daily at bedtime.
b. If the client forgets to take the medication for a few days he can double up on doses to catch
up.
c. Avoid dairy products while taking this medication.
d. This medication is for acute management of asthma
A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the
following instructions should be included
in client teaching about this medication?
Select one:
a. Take the medication on an empty stomach to maximize absorption.
The nurse should instruct the clients to take iron on an empty stomach, such as 1 hr
before meals to maximize absorption. Stomach acid
increases absorption. If GI adverse effects occur, the client can take with food to
,Portage Learning / NUR MISC / ATI pharm quiz 1
2
increase adherence to therapy even though absorption is also
, Portage Learning / NUR MISC / ATI pharm quiz 1
3
decreased.
b. Take prescribed antacids at the same time as this medication.
c. Decrease dietary fiber intake while taking this medication.
d. Notify your provider if your stool becomes dark green.
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular
insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number
of units of insulin that the nurse should prepare in the insulin syringe?
42 Units
Each order of for units of insulin is combined in the same syringe. The nurse should
withdraw the regular insulin into the syringe first.
A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of the following
interventions should the nurse take while
caring for this client?
Select one:
a. Increase client's 4-hr limit as needed.
b. Encourage the client to use the PCA before dressing changes. The nurse should
encourage the client to use the PCA
prophylactically prior to activities that are likely to augment pain levels.
c. Advise the client to use the pump sparingly to prevent addiction.
d. Encourage the client's family to administer PCA while client is sleeping.
A nurse is reviewing the medication class, benzodiazepines. The nurse would use caution when
administering benzodiazepines to which
of the below clients?
Select one:
a. A client with insomnia.
b. A client with renal failure.
c. A client with hypertension.
d. A client with glaucoma. Correct – benzodiazepines can increase intraocular pressure
due to the pupil-dilating effects of the
Medication.
A client has been prescribed lisinopril. Which of the following medication interactions should the
nurse instruct this client about?
Select one:
a. Escitalopram
b. Potassium supplements Correct. Potassium supplements and potassium-sparing
diuretics increase the risk of hyperkalemia in clients
taking ACE inhibitors such as lisinopril.
Clients should only take potassium supplements if prescribed by the provider. Clients
