Pharmacology assessment (B) 2019
1. A nurse is reviewing laboratory results for a client who is receiving heparin via
continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the
medication infusion for which of the following client findings?
A) Potassium mEq/L
B) aPTT times the control
C) Hemoglobin g/dL
D) Platelets 96,000/mm^3 Correct answer- D) Platelets 96,000/mm^3
2. A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over
1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the
manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.) Correct
answer- 100gtt/min
3. A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary
incontinence. The nurse should instruct the client to report which of the following
findings as an adverse effect of the medication? (Select all that apply.)
A) Dry mouth
B) Tinnitus
C) Blurred vision
D) Bradycardia
E) Dry eyes Correct answer- A) Dry mouth
C) Blurred vision
E) Dry eyes
4. A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of
the following client outcomes should the nurse administer chlordiazepoxide?
A) Minimizes diaphoresis
B) Maintain abstinence
C) Lessen craving
D) Prevent delirium tremens Correct answer- D) Prevent delirium tremens
5. A nurse is assessing a client who is taking amitriptyline for depression. Which of the
following findings should the nurse identify as an adverse effect of the medication?
A) Tinnitus
B) Urinary frequency
C) Dry mouth
D) Diarrhea Correct answer- C) Dry mouth
,6. A nurse is providing follow-up care to a client who is taking lisinopril. Which of the
following manifestations should the nurse instruct the client to report as an adverse
effect of lisinopril?
A) Drowsiness
B) Hallucinations
C) Persistent cough
D) Weight gain Correct answer- C) Persistent cough
7. A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The
nurse should report which of the following findings to the provider as an adverse effect
of the medication?
A) Constipation
B) Tinnitus
C) Hypoglycemia
D) Joint pain Correct answer- B) Tinnitus
8. A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching?
A) The med should be taken prior to 1hr prior to eating
B) It takes 48hr for therapeutic effects to occur
C) Tablets should not be crushed or chewed
D) Decreased respiration might occur Correct answer- D) Decreased respiration
might occur
9. A nurse is teaching about a new prescription for ciprofloxacin to an older adult client
who has a urinary tract infection. The nurse should identify which of the following
statements as an indication that the client understands the teaching?
A) I will take this med with an antacid to prevent GI upset
B) I will stop taking this med when I no longer have pain upon urination
C) I will report any signs of tendon pain/swelling
D) I will take this med with milk Correct answer- C) I will report any signs of tendon
pain or swelling
10. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for ranitidine. Which of the following instructions should the nurse include?
A) Take med on empty stomach for full effect
B) You may discontinue this med when stomach discomfort subsides
C) Report skin yellowing
D) Store med in fridge Correct answer- C) Report skin yellowing
, 11. A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that
which of the following medications can potentiate nephrotoxicity if administered
concurrently?
A) Famotidine
B) Levofloxacin
C) Metoclopramide
D) Gentamicin Correct answer- D) Gentamicin
12. A nurse is providing discharge teaching to a client who has a new prescription for
furosemide twice daily. The nurse should include which of the following instructions in
the teaching? (Select all that apply.)
A) take 2nd dose at bed time
B) Inc intake of potassium rich food
C) Obtain weight weekly
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing Correct answer- B) Inc
intake of potassium rich food
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
13. A nurse in the emergency department is caring for a client who has myasthenia gravis
and is in a cholinergic crisis. Which of the following medications should the nurse plan to
administer?
A) Potassium iodide
B) Glucagon
C) Atropine
D) Protamine Correct answer- C) Atropine
14. A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of
the following information should the nurse include in the teaching?
A) Plan to inc dosage each weak by 200mg increments
B) Prolonged use of med can cause glaucoma
C) Drink 2L of water daily
D) Fine red rash is transient and can be treated with antihistamines Correct answer-
C) Drink 2L of water daily
15. A nurse is instructing a client on the application of nitroglycerin transdermal patches.
Which of the following statements by the client indicates an understanding of the
teaching?
A) I should apply a patch every 5min if I develop chest pain
B) I will take the patch off right after my evening meal
C) I will leave the patch off at least 1 day each week
D) I should discard the used patch by flushing it down the toilet Correct answer- B) I
will take the patch off right after my evening meal
1. A nurse is reviewing laboratory results for a client who is receiving heparin via
continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the
medication infusion for which of the following client findings?
A) Potassium mEq/L
B) aPTT times the control
C) Hemoglobin g/dL
D) Platelets 96,000/mm^3 Correct answer- D) Platelets 96,000/mm^3
2. A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over
1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the
manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.) Correct
answer- 100gtt/min
3. A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary
incontinence. The nurse should instruct the client to report which of the following
findings as an adverse effect of the medication? (Select all that apply.)
A) Dry mouth
B) Tinnitus
C) Blurred vision
D) Bradycardia
E) Dry eyes Correct answer- A) Dry mouth
C) Blurred vision
E) Dry eyes
4. A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of
the following client outcomes should the nurse administer chlordiazepoxide?
A) Minimizes diaphoresis
B) Maintain abstinence
C) Lessen craving
D) Prevent delirium tremens Correct answer- D) Prevent delirium tremens
5. A nurse is assessing a client who is taking amitriptyline for depression. Which of the
following findings should the nurse identify as an adverse effect of the medication?
A) Tinnitus
B) Urinary frequency
C) Dry mouth
D) Diarrhea Correct answer- C) Dry mouth
,6. A nurse is providing follow-up care to a client who is taking lisinopril. Which of the
following manifestations should the nurse instruct the client to report as an adverse
effect of lisinopril?
A) Drowsiness
B) Hallucinations
C) Persistent cough
D) Weight gain Correct answer- C) Persistent cough
7. A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The
nurse should report which of the following findings to the provider as an adverse effect
of the medication?
A) Constipation
B) Tinnitus
C) Hypoglycemia
D) Joint pain Correct answer- B) Tinnitus
8. A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching?
A) The med should be taken prior to 1hr prior to eating
B) It takes 48hr for therapeutic effects to occur
C) Tablets should not be crushed or chewed
D) Decreased respiration might occur Correct answer- D) Decreased respiration
might occur
9. A nurse is teaching about a new prescription for ciprofloxacin to an older adult client
who has a urinary tract infection. The nurse should identify which of the following
statements as an indication that the client understands the teaching?
A) I will take this med with an antacid to prevent GI upset
B) I will stop taking this med when I no longer have pain upon urination
C) I will report any signs of tendon pain/swelling
D) I will take this med with milk Correct answer- C) I will report any signs of tendon
pain or swelling
10. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for ranitidine. Which of the following instructions should the nurse include?
A) Take med on empty stomach for full effect
B) You may discontinue this med when stomach discomfort subsides
C) Report skin yellowing
D) Store med in fridge Correct answer- C) Report skin yellowing
, 11. A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that
which of the following medications can potentiate nephrotoxicity if administered
concurrently?
A) Famotidine
B) Levofloxacin
C) Metoclopramide
D) Gentamicin Correct answer- D) Gentamicin
12. A nurse is providing discharge teaching to a client who has a new prescription for
furosemide twice daily. The nurse should include which of the following instructions in
the teaching? (Select all that apply.)
A) take 2nd dose at bed time
B) Inc intake of potassium rich food
C) Obtain weight weekly
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing Correct answer- B) Inc
intake of potassium rich food
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
13. A nurse in the emergency department is caring for a client who has myasthenia gravis
and is in a cholinergic crisis. Which of the following medications should the nurse plan to
administer?
A) Potassium iodide
B) Glucagon
C) Atropine
D) Protamine Correct answer- C) Atropine
14. A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of
the following information should the nurse include in the teaching?
A) Plan to inc dosage each weak by 200mg increments
B) Prolonged use of med can cause glaucoma
C) Drink 2L of water daily
D) Fine red rash is transient and can be treated with antihistamines Correct answer-
C) Drink 2L of water daily
15. A nurse is instructing a client on the application of nitroglycerin transdermal patches.
Which of the following statements by the client indicates an understanding of the
teaching?
A) I should apply a patch every 5min if I develop chest pain
B) I will take the patch off right after my evening meal
C) I will leave the patch off at least 1 day each week
D) I should discard the used patch by flushing it down the toilet Correct answer- B) I
will take the patch off right after my evening meal
