100 Questions of Pharmacology y.
100 Questions of Pharmacology
A postpartum client with deep vein thrombosis is being treated with anticoagulant therapy. The
nurse teaches the client that the health care provider (HCP) should be contacted for which noted
side and adverse effects? Select all that apply.
Vertigo
Dysuria
*Epistaxis
*Hematuria
*Ecchymosis
A client is on enalapril for the treatment of hypertension. The nurse teaches the client to seek
emergent care if which is experienced?
Nausea
Insomnia
Dry cough
*Swelling of the tongue
The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a
cough suppressant. The nurse determines that the client needs further instruction if the client
makes which statement?
*"I will take the medication on an empty stomach."
"I won't drink alcohol while taking this
medication."
"I won't do activities that require mental alertness while taking this medication."
"I will use sugarless gum, candy, or oral rinses to decrease dryness in my mouth."
An ambulatory care client with allergic dermatitis has been given a prescription for a tube of
diphenhydramine 1% to use as a topical agent. The nurse determines that the medication was
effective if which finding was noted?
Nighttime sedation
*Decrease in urticaria
Absence of ecchymosis
Healing of burned tissue
A nurse is providing teaching regarding nateglinide. A portion of the teaching involves time of
administration, and the nurse should tell the client to take the medication at which time?
Bedtime
During lunch
During breakfast
*Before each meal
The nurse has administered a dose of docusate. The nurse evaluates that the medication has
been effective if the client experiences which finding?
Decreased heartburn
Decrease in fatty
stools
Relief of sharp abdominal pain
*Bowel movement with soft, formed stool
,100 Questions of Pharmacology y.
A home health nurse is visiting a client who has been started on therapy with clotrimazole. The
nurse determines the effectiveness of the medication by noting a decrease in which problem?
Pain
*Rash
Fever
Sneezing
The nurse is teaching a client with hyperthyroidism about the prescribed medication,
propylthiouracil. The nurse determines that teaching has been successful if the client states to
report which symptom to the health care provider (HCP)?
*Fever
Fatigue
Excitability
Nervousness
A client with chronic atrial fibrillation is being started on quinidine sulfate as maintenance
therapy for dysrhythmia suppression, and the nurse provides instructions to the client about the
medication. Which statement by the client indicates a need for further instruction?
"I will avoid chewing the tablets."
"I will take the dose at the same time each day."
"I will take the medication with food if my stomach becomes upset."
*"I will stop taking the prescribed anticoagulant after starting this new medication."
A client is taking ticlopidine hydrochloride. The nurse should tell the client to avoid which
substance while taking this medication?
Vitamin C
Vitamin D
Acetaminophen
*Acetylsalicylic acid
The health care provider (HCP) writes a prescription for capecitabine for a client who was admitted
to the hospital. The nurse should contact the HCP to verify the prescription if which condition is
noted in the assessment data?
Myalgia
Psoriasis
Rheumatoid arthritis
*Chronic kidney disease
A client received 20 units of Humulin N insulin subcutaneously at 08:00. At what time should the
nurse plan to assess the client for a hypoglycemic reaction?
10:00
11:00
*17:00
24:00
, 100 Questions of Pharmacology y.
The nurse is preparing to administer an intravenous (IV) insulin injection. The vial of regular
insulin has been refrigerated. On inspection of the vial, the nurse finds that the medication is
frozen.
Which should the nurse do?
*Discard the insulin and obtain another vial.
Wait for the insulin to thaw at room temperature.
Check the temperature settings of the
refrigerator.
Rotate the vial between the hands until the medication becomes liquid.
A client with ovarian cancer is being treated with vincristine. The nurse monitors the client,
knowing that which manifestation indicates an adverse effect specific to this medication?
Diarrhea
Hair loss
Chest pain
*Peripheral neuropathy
The adult client with hepatic encephalopathy has a serum ammonia level of 200 mcg/dL (120
mcmol/L) and receives treatment with lactulose. The nurse determines that the client had the best
and most realistic response if the serum ammonia level changed to which value after medication
administration?
5 mcg/dL (3 mcmol/L)
10 mcg/dL (6 mcmol/L)
15 mcg/dL (9 mcmol/L)
*90 mcg/dL (54 mcmol/L)
A health care provider prescribed ticlopidine to the client with thrombotic stroke. The nurse
provides instructions to the client and spouse regarding the medication. Which statement made
by the client indicates that education was effective?
*"I'll take the medicine with meals."
"If I do not feel well, I should skip the medication."
"I won't have another stroke if I take this medicine faithfully."
"If I have any gastrointestinal side effects, I should call the health care provider (HCP)."
The nurse transcribes a medication prescription for ifosfamide for a client with a diagnosis of
germ cell cancer of the testes. The nurse reviews the client's history and looks for another
prescription for which medication, which usually is administered with the antineoplastic
medication?
*Mesna
Melphalan
Prednisone
Bleomycin sulfate
A client receives a dose of scopolamine. The nurse determines that which sign or symptom later
displayed by the client is a result of medication side and adverse effects?
*Dry mouth
Diaphoresis
Excessive urination
Pupillary constriction
100 Questions of Pharmacology
A postpartum client with deep vein thrombosis is being treated with anticoagulant therapy. The
nurse teaches the client that the health care provider (HCP) should be contacted for which noted
side and adverse effects? Select all that apply.
Vertigo
Dysuria
*Epistaxis
*Hematuria
*Ecchymosis
A client is on enalapril for the treatment of hypertension. The nurse teaches the client to seek
emergent care if which is experienced?
Nausea
Insomnia
Dry cough
*Swelling of the tongue
The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a
cough suppressant. The nurse determines that the client needs further instruction if the client
makes which statement?
*"I will take the medication on an empty stomach."
"I won't drink alcohol while taking this
medication."
"I won't do activities that require mental alertness while taking this medication."
"I will use sugarless gum, candy, or oral rinses to decrease dryness in my mouth."
An ambulatory care client with allergic dermatitis has been given a prescription for a tube of
diphenhydramine 1% to use as a topical agent. The nurse determines that the medication was
effective if which finding was noted?
Nighttime sedation
*Decrease in urticaria
Absence of ecchymosis
Healing of burned tissue
A nurse is providing teaching regarding nateglinide. A portion of the teaching involves time of
administration, and the nurse should tell the client to take the medication at which time?
Bedtime
During lunch
During breakfast
*Before each meal
The nurse has administered a dose of docusate. The nurse evaluates that the medication has
been effective if the client experiences which finding?
Decreased heartburn
Decrease in fatty
stools
Relief of sharp abdominal pain
*Bowel movement with soft, formed stool
,100 Questions of Pharmacology y.
A home health nurse is visiting a client who has been started on therapy with clotrimazole. The
nurse determines the effectiveness of the medication by noting a decrease in which problem?
Pain
*Rash
Fever
Sneezing
The nurse is teaching a client with hyperthyroidism about the prescribed medication,
propylthiouracil. The nurse determines that teaching has been successful if the client states to
report which symptom to the health care provider (HCP)?
*Fever
Fatigue
Excitability
Nervousness
A client with chronic atrial fibrillation is being started on quinidine sulfate as maintenance
therapy for dysrhythmia suppression, and the nurse provides instructions to the client about the
medication. Which statement by the client indicates a need for further instruction?
"I will avoid chewing the tablets."
"I will take the dose at the same time each day."
"I will take the medication with food if my stomach becomes upset."
*"I will stop taking the prescribed anticoagulant after starting this new medication."
A client is taking ticlopidine hydrochloride. The nurse should tell the client to avoid which
substance while taking this medication?
Vitamin C
Vitamin D
Acetaminophen
*Acetylsalicylic acid
The health care provider (HCP) writes a prescription for capecitabine for a client who was admitted
to the hospital. The nurse should contact the HCP to verify the prescription if which condition is
noted in the assessment data?
Myalgia
Psoriasis
Rheumatoid arthritis
*Chronic kidney disease
A client received 20 units of Humulin N insulin subcutaneously at 08:00. At what time should the
nurse plan to assess the client for a hypoglycemic reaction?
10:00
11:00
*17:00
24:00
, 100 Questions of Pharmacology y.
The nurse is preparing to administer an intravenous (IV) insulin injection. The vial of regular
insulin has been refrigerated. On inspection of the vial, the nurse finds that the medication is
frozen.
Which should the nurse do?
*Discard the insulin and obtain another vial.
Wait for the insulin to thaw at room temperature.
Check the temperature settings of the
refrigerator.
Rotate the vial between the hands until the medication becomes liquid.
A client with ovarian cancer is being treated with vincristine. The nurse monitors the client,
knowing that which manifestation indicates an adverse effect specific to this medication?
Diarrhea
Hair loss
Chest pain
*Peripheral neuropathy
The adult client with hepatic encephalopathy has a serum ammonia level of 200 mcg/dL (120
mcmol/L) and receives treatment with lactulose. The nurse determines that the client had the best
and most realistic response if the serum ammonia level changed to which value after medication
administration?
5 mcg/dL (3 mcmol/L)
10 mcg/dL (6 mcmol/L)
15 mcg/dL (9 mcmol/L)
*90 mcg/dL (54 mcmol/L)
A health care provider prescribed ticlopidine to the client with thrombotic stroke. The nurse
provides instructions to the client and spouse regarding the medication. Which statement made
by the client indicates that education was effective?
*"I'll take the medicine with meals."
"If I do not feel well, I should skip the medication."
"I won't have another stroke if I take this medicine faithfully."
"If I have any gastrointestinal side effects, I should call the health care provider (HCP)."
The nurse transcribes a medication prescription for ifosfamide for a client with a diagnosis of
germ cell cancer of the testes. The nurse reviews the client's history and looks for another
prescription for which medication, which usually is administered with the antineoplastic
medication?
*Mesna
Melphalan
Prednisone
Bleomycin sulfate
A client receives a dose of scopolamine. The nurse determines that which sign or symptom later
displayed by the client is a result of medication side and adverse effects?
*Dry mouth
Diaphoresis
Excessive urination
Pupillary constriction
