Pharmacology practice exam 1 - Hesi
The LPN administers isoproterenol (Isuprel) to a client with heart block. The LPN should
evaluate the client for which physical response?
a)thirst and dry mucous membranes
b)decrease in gastric motility
c)increased heart rate
d)bronchoconstriction Correct answer- c
a client who is comatose is admitted after an overdose of baclofen (lioresal). what
nursing action should the practical nurse implement?
A) provide continuous telemetry monitoring
B) monitor for signs of respiratory arrest
C) administer prescribed naloxone (narcan)
D) keep a dose of diazepam at the bedside Correct answer- b
a client with ADHD is prescribed amphetamine (adderall). which side effect should the
practical nurse explain is commonly experienced?
A) difficulty sleeping
B) increased fatigue
C) improved appetite
D) decreased heart rate Correct answer- A
the practical nurse discusses antihypertensive drug therapy with several clients
diagnoses with high blood pressure. to improve client understanding, the PN should
emphasize that which medication preserves renal function in a client with diabetes?
A) verapamil (calan)
B) captopril (capoten)
C) clonidine (catapres)
D) nifedipine (procardia) Correct answer- B
the practical nurse should recommend that oral contraceptives be avoided in which
group of women?
A) women who smoke
B) multigravidous women
C) monogamous women
D) women with an intrauterine device Correct answer- A
a female client with recurring headaches tells the practical nurse that she has been
taking at least 4 grams of acetaminophen a day. which lab study should the lpn review
for this client?
a) creatinine clearance
, b) hepatic enzymes
c) coagulation values
d) arterial blood gases Correct answer- B
the healthcare provider prescribes cycloplegic and mydriatric opthalmic drops for a
client who is having a cataract removal. what explanation about the drug actions should
the practical nurse provide the client?
A) reduces intraocular pressure
B) relieves eye pain
c) treats conjunctivitis
D) dilates the pupil Correct answer- d
the lpn ovserves a think white coating on the tongue of a client who takes fluphenazine
(prolixing). what instructions should the lpn reinforce with the client about this
medication?
a-no treatment is needed as the coating should subside in a couple of weeks
b- attempt to stop smoking if the white coating on your tongue persists
c- if you taking any inhalants, was the mouthpiece after each use
D- brush your teeth and tongue, floss, gargle, and notify the healthcare provider Correct
answer- D
an older client who takes risperidone (risperdal), an antipsychotic, is complaining of
constipation. which dietary changes should the lpn recommend?
A- increase daily green veggies and bran
B- take a laxative and stool softener daily
C- eat liver and turnips once a week
D- use a retention enema every four days Correct answer- A
a 35 week gestation primigravida who takes lithium (eskalith) tells the lpn that she would
like to breastfeed her infant. what information should the pn provide to the client
A- the medication does not cross the placental barrier
B- mood swings will occur if lithium is discontinued
C- breast mil should be discarded after each oral dose of lithium
D- the drug is excreted in breast milk so use formula to feed the infant Correct answer-
D
the lpn is unable to arouse a client who is receiving meperidine (demerol) for
postoperative pain. the client is stuporous, has constricted pupils, and a respiratory rate
of 8 breaths per minute. which prn medication should thelpn give the client
A- nalaxone (narcan)
B- promethazine (phenergan)
C- metoclopramide (reglan)
D- bethanechol (urecholine) Correct answer- A
The LPN administers isoproterenol (Isuprel) to a client with heart block. The LPN should
evaluate the client for which physical response?
a)thirst and dry mucous membranes
b)decrease in gastric motility
c)increased heart rate
d)bronchoconstriction Correct answer- c
a client who is comatose is admitted after an overdose of baclofen (lioresal). what
nursing action should the practical nurse implement?
A) provide continuous telemetry monitoring
B) monitor for signs of respiratory arrest
C) administer prescribed naloxone (narcan)
D) keep a dose of diazepam at the bedside Correct answer- b
a client with ADHD is prescribed amphetamine (adderall). which side effect should the
practical nurse explain is commonly experienced?
A) difficulty sleeping
B) increased fatigue
C) improved appetite
D) decreased heart rate Correct answer- A
the practical nurse discusses antihypertensive drug therapy with several clients
diagnoses with high blood pressure. to improve client understanding, the PN should
emphasize that which medication preserves renal function in a client with diabetes?
A) verapamil (calan)
B) captopril (capoten)
C) clonidine (catapres)
D) nifedipine (procardia) Correct answer- B
the practical nurse should recommend that oral contraceptives be avoided in which
group of women?
A) women who smoke
B) multigravidous women
C) monogamous women
D) women with an intrauterine device Correct answer- A
a female client with recurring headaches tells the practical nurse that she has been
taking at least 4 grams of acetaminophen a day. which lab study should the lpn review
for this client?
a) creatinine clearance
, b) hepatic enzymes
c) coagulation values
d) arterial blood gases Correct answer- B
the healthcare provider prescribes cycloplegic and mydriatric opthalmic drops for a
client who is having a cataract removal. what explanation about the drug actions should
the practical nurse provide the client?
A) reduces intraocular pressure
B) relieves eye pain
c) treats conjunctivitis
D) dilates the pupil Correct answer- d
the lpn ovserves a think white coating on the tongue of a client who takes fluphenazine
(prolixing). what instructions should the lpn reinforce with the client about this
medication?
a-no treatment is needed as the coating should subside in a couple of weeks
b- attempt to stop smoking if the white coating on your tongue persists
c- if you taking any inhalants, was the mouthpiece after each use
D- brush your teeth and tongue, floss, gargle, and notify the healthcare provider Correct
answer- D
an older client who takes risperidone (risperdal), an antipsychotic, is complaining of
constipation. which dietary changes should the lpn recommend?
A- increase daily green veggies and bran
B- take a laxative and stool softener daily
C- eat liver and turnips once a week
D- use a retention enema every four days Correct answer- A
a 35 week gestation primigravida who takes lithium (eskalith) tells the lpn that she would
like to breastfeed her infant. what information should the pn provide to the client
A- the medication does not cross the placental barrier
B- mood swings will occur if lithium is discontinued
C- breast mil should be discarded after each oral dose of lithium
D- the drug is excreted in breast milk so use formula to feed the infant Correct answer-
D
the lpn is unable to arouse a client who is receiving meperidine (demerol) for
postoperative pain. the client is stuporous, has constricted pupils, and a respiratory rate
of 8 breaths per minute. which prn medication should thelpn give the client
A- nalaxone (narcan)
B- promethazine (phenergan)
C- metoclopramide (reglan)
D- bethanechol (urecholine) Correct answer- A
