PN NCLEX 6th EDITION – PHARMACOLOGY/ENDOCRINE
The nurse reinforces medication instructions to a client who is taking levothyroxine (Synthroid).
The nurse instructs the client to notify the health care provider (HCP) if which sign/symptom
occurs?
- Tremors
A client has self-administered his first injection of regular insulin at 7:30 am, before breakfast.
This client should be instructed to closely monitor for signs of hypoglycemia at which time?
- 11:00 am
The nurse is collecting data from a client receiving pioglitazone (Actos) 30 mg orally daily.
Which finding indicates that the client is experiencing the expected result of the action of this
medication?
- Decreased fasting blood glucose and reduced hemoglobin A1C (HbA1c)
The nurse is collecting data from a client seen in the health care clinic for the first time. When
the nurse asks the client about current prescribed medications, the client tells the nurse that
metformin (Glucophage) is taken daily. Based on this finding, the nurse elicits data from the
client regarding the presence of which condition?
- Diabetes Mellitus
Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin neutral
protamine Hagedorn (NPH) insulin daily. Which prescription change does the nurse anticipate
during therapy with the prednisone?
- An increased amount of daily Humulin NPH insulin
The nurse realizes that the client taking metformin (Glucophage) needs further teaching when
the client makes which statement?
- "I should treat hypoglycemic episodes due to metformin with glucose tablets only."
, A client with a partial right adrenalectomy is placed on corticosteroid replacement therapy.
Which data would indicate that the client is experiencing an adverse effect related to the
pharmacological treatment?
- Tarry stools
The nurse reinforces instructions to a client with myxedema about the dosage, method of
administration, and side effects of levothyroxine sodium (Synthroid). Which statement by the
client indicates an understanding of the nurse's instructions?
- "I will report any episodes of palpitations, chest pain, or dyspnea."
Lispro (Humalog) insulin is prescribed three times a day, with the amount based on blood
glucose levels. The nurse determines that the client understands teaching regarding lispro
insulin if which statement is made?
- "I will take the lispro 10 to 15 minutes before I eat breakfast, lunch, and dinner."
The community health nurse visits a client at home who has been prescribed prednisone 5 mg
orally daily. The nurse reinforces teaching for the client about the medication. Which statement
made by the client indicates a need for further teaching?
- "I can take aspirin or my antihistamine if I need it."
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes
mellitus who takes insulin. The nurse knows that which is the most appropriate intervention?
- The medication is withheld and the HCP is called to question the prescription for the client.
The nurse is monitoring a client receiving levothyroxine sodium (Synthroid) for hypothyroidism.
Which findings indicate the presence of a side effect associated with this medication? Select all
that apply.
- Insomnia
- Weight loss
- Mild heat intolerance
- Insomnia
The nurse reinforces medication instructions to a client who is taking levothyroxine (Synthroid).
The nurse instructs the client to notify the health care provider (HCP) if which sign/symptom
occurs?
- Tremors
A client has self-administered his first injection of regular insulin at 7:30 am, before breakfast.
This client should be instructed to closely monitor for signs of hypoglycemia at which time?
- 11:00 am
The nurse is collecting data from a client receiving pioglitazone (Actos) 30 mg orally daily.
Which finding indicates that the client is experiencing the expected result of the action of this
medication?
- Decreased fasting blood glucose and reduced hemoglobin A1C (HbA1c)
The nurse is collecting data from a client seen in the health care clinic for the first time. When
the nurse asks the client about current prescribed medications, the client tells the nurse that
metformin (Glucophage) is taken daily. Based on this finding, the nurse elicits data from the
client regarding the presence of which condition?
- Diabetes Mellitus
Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin neutral
protamine Hagedorn (NPH) insulin daily. Which prescription change does the nurse anticipate
during therapy with the prednisone?
- An increased amount of daily Humulin NPH insulin
The nurse realizes that the client taking metformin (Glucophage) needs further teaching when
the client makes which statement?
- "I should treat hypoglycemic episodes due to metformin with glucose tablets only."
, A client with a partial right adrenalectomy is placed on corticosteroid replacement therapy.
Which data would indicate that the client is experiencing an adverse effect related to the
pharmacological treatment?
- Tarry stools
The nurse reinforces instructions to a client with myxedema about the dosage, method of
administration, and side effects of levothyroxine sodium (Synthroid). Which statement by the
client indicates an understanding of the nurse's instructions?
- "I will report any episodes of palpitations, chest pain, or dyspnea."
Lispro (Humalog) insulin is prescribed three times a day, with the amount based on blood
glucose levels. The nurse determines that the client understands teaching regarding lispro
insulin if which statement is made?
- "I will take the lispro 10 to 15 minutes before I eat breakfast, lunch, and dinner."
The community health nurse visits a client at home who has been prescribed prednisone 5 mg
orally daily. The nurse reinforces teaching for the client about the medication. Which statement
made by the client indicates a need for further teaching?
- "I can take aspirin or my antihistamine if I need it."
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes
mellitus who takes insulin. The nurse knows that which is the most appropriate intervention?
- The medication is withheld and the HCP is called to question the prescription for the client.
The nurse is monitoring a client receiving levothyroxine sodium (Synthroid) for hypothyroidism.
Which findings indicate the presence of a side effect associated with this medication? Select all
that apply.
- Insomnia
- Weight loss
- Mild heat intolerance
- Insomnia
