RN PHARMACOLOGY ONLINE
PRACTICE 2019 TEST A Questions and
Answers
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following actions of sucralfate should the
nurse include in the teaching?
Decreases stomach acid secretion
Neutralizes acids in the stomach
Forms a protective barrier over ulcers
Treat ulcers by eradication H. pylori
Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further
irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like substance
that coats the ulcer, creating a barrier to hydrochloric acid and pepsin.
A nurse is providing teaching to a client who has multiple sclerosis and a new
prescription for methylprednisolone. Which of the following instructions should the nurse
include? (Select all that apply.)
Blood glucose levels will be monitored during therapy.
Avoid contact with people who have known infections.
Take the medication 1 hr. before breakfast.
Decrease dietary intake of foods
containing potassium.
Grapefruit juice can increase the effects of the medication.
Avoid contact with people who have known infections.
Grapefruit juice can increase the effects of the medication
Blood glucose levels will be monitored during therapy is correct. The nurse should
monitor the client for hyperglycemia while providing methylprednisolone to the client.
Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can
require management with insulin or antihyperglycemics. Avoid contact with people who
have known infections is correct. The nurse should instruct the client to avoid exposure
to infectious agents, such as contact with those who have active infections or illnesses.
Glucocorticoids, such as methylprednisolone, depress the immune system, placing the
client at an increased risk for developing an infection. Take the medication 1 hr. before
breakfast is incorrect. The nurse should instruct the client to take the medication with
food or milk to decrease gastrointestinal upset. Decrease dietary intake of foods
containing potassium is incorrect. The nurse should instruct the client to increase
,RN PHARMACOLOGY ONLINE
PRACTICE 2019 TEST A Questions and
Answers
dietary intake of potassium-rich foods while taking this medication. Glucocorticoids,
such as methylprednisolone, deplete potassium in the body, which manifests as
hypokalemia. Grapefruit juice can increase the effects of the medication is correct. The
nurse should instruct the client that grapefruit and grapefruit juice can increase the level
of methylprednisolone in the body.
A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick.
Which of the following information should the nurse include in the teaching?
Chew on the medication stick to release the medication.
Leave the medication stick in one location of the mouth until melted.
Allow the medication 1 hr. for analgesia effects to begin.
Store unused medication sticks in a storage container.
The nurse should instruct the client to store unused, used, or partially used medication
sticks in the safe storage container that comes in the kit when the medication is initially
prescribed.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure.
The nurse should identify which of the following findings as an indication of
hypokalemia?
Tall, tented T-waves
Presence of U-waves
Widened QRS complex
ST elevation
The nurse should identify the presence of U-waves as a manifestation of hypokalemia,
an adverse effect of furosemide.
A nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium. The nurse should instruct the client that taking the docusate sodium daily can
minimize which of the following adverse effects of morphine?
Constipation
Drowsiness
, RN PHARMACOLOGY ONLINE
PRACTICE 2019 TEST A Questions and
Answers
Facial flushing
Itching
Constipation is a common adverse effect of morphine that can be minimized by taking
docusate sodium, a stool softener that promotes easier evacuation of stool by
increasing water and fat in the intestine.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
The nurse should monitor the client for which of the following adverse effects?
Weight loss
Increased intraocular pressure
Auditory hallucinations
Bibasilar crackles
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema.
Therefore, the nurse should recognize lung crackles as an indicator of a potential
complication and stop the infusion.
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for famotidine. Which of the following instructions should the nurse include?
"Take the medication on an empty stomach for full effectiveness."
"You may discontinue this medication when stomach discomfort subsides."
"Report yellowing of the skin."
"You will be taking this medication for 2 weeks.
Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client
to monitor for and report yellowing of the skin or eyes to the provider.
A nurse is assessing a client after administering a second dose of cefazolin IV. The
nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following
medications should the nurse administer first?
Diphenhydramine
PRACTICE 2019 TEST A Questions and
Answers
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following actions of sucralfate should the
nurse include in the teaching?
Decreases stomach acid secretion
Neutralizes acids in the stomach
Forms a protective barrier over ulcers
Treat ulcers by eradication H. pylori
Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further
irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like substance
that coats the ulcer, creating a barrier to hydrochloric acid and pepsin.
A nurse is providing teaching to a client who has multiple sclerosis and a new
prescription for methylprednisolone. Which of the following instructions should the nurse
include? (Select all that apply.)
Blood glucose levels will be monitored during therapy.
Avoid contact with people who have known infections.
Take the medication 1 hr. before breakfast.
Decrease dietary intake of foods
containing potassium.
Grapefruit juice can increase the effects of the medication.
Avoid contact with people who have known infections.
Grapefruit juice can increase the effects of the medication
Blood glucose levels will be monitored during therapy is correct. The nurse should
monitor the client for hyperglycemia while providing methylprednisolone to the client.
Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can
require management with insulin or antihyperglycemics. Avoid contact with people who
have known infections is correct. The nurse should instruct the client to avoid exposure
to infectious agents, such as contact with those who have active infections or illnesses.
Glucocorticoids, such as methylprednisolone, depress the immune system, placing the
client at an increased risk for developing an infection. Take the medication 1 hr. before
breakfast is incorrect. The nurse should instruct the client to take the medication with
food or milk to decrease gastrointestinal upset. Decrease dietary intake of foods
containing potassium is incorrect. The nurse should instruct the client to increase
,RN PHARMACOLOGY ONLINE
PRACTICE 2019 TEST A Questions and
Answers
dietary intake of potassium-rich foods while taking this medication. Glucocorticoids,
such as methylprednisolone, deplete potassium in the body, which manifests as
hypokalemia. Grapefruit juice can increase the effects of the medication is correct. The
nurse should instruct the client that grapefruit and grapefruit juice can increase the level
of methylprednisolone in the body.
A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick.
Which of the following information should the nurse include in the teaching?
Chew on the medication stick to release the medication.
Leave the medication stick in one location of the mouth until melted.
Allow the medication 1 hr. for analgesia effects to begin.
Store unused medication sticks in a storage container.
The nurse should instruct the client to store unused, used, or partially used medication
sticks in the safe storage container that comes in the kit when the medication is initially
prescribed.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure.
The nurse should identify which of the following findings as an indication of
hypokalemia?
Tall, tented T-waves
Presence of U-waves
Widened QRS complex
ST elevation
The nurse should identify the presence of U-waves as a manifestation of hypokalemia,
an adverse effect of furosemide.
A nurse is caring for a client who has cancer and is taking oral morphine and docusate
sodium. The nurse should instruct the client that taking the docusate sodium daily can
minimize which of the following adverse effects of morphine?
Constipation
Drowsiness
, RN PHARMACOLOGY ONLINE
PRACTICE 2019 TEST A Questions and
Answers
Facial flushing
Itching
Constipation is a common adverse effect of morphine that can be minimized by taking
docusate sodium, a stool softener that promotes easier evacuation of stool by
increasing water and fat in the intestine.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
The nurse should monitor the client for which of the following adverse effects?
Weight loss
Increased intraocular pressure
Auditory hallucinations
Bibasilar crackles
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema.
Therefore, the nurse should recognize lung crackles as an indicator of a potential
complication and stop the infusion.
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for famotidine. Which of the following instructions should the nurse include?
"Take the medication on an empty stomach for full effectiveness."
"You may discontinue this medication when stomach discomfort subsides."
"Report yellowing of the skin."
"You will be taking this medication for 2 weeks.
Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client
to monitor for and report yellowing of the skin or eyes to the provider.
A nurse is assessing a client after administering a second dose of cefazolin IV. The
nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following
medications should the nurse administer first?
Diphenhydramine
