NURS 406 PHARMACOLOGY ASSESSMENT 1
AND 2
Assessment 1
1. The first action the nurse should take is to assess the client for
injury due to medication error.
Assess the client
2. A nurse is reviewing the medical record of a client who received
medications 1 hr ago and reports having chest pain. The nurse
should recognize that chest pain can be an adverse effect of which
of the following medication?
Albuterol
Furosemi
de
Digoxin
Atenolol
3. A nurse is providing teaching to a client who has a new prescription
for ranitidine for the treatment of Zollinger-Ellison syndrome. The
nurse should explain to the client that ranitidine treats ulcers
through which of the following actions?
It decreases stomach motility
It reduces gastric acid production
It forms a protective barrier in the
stomach lining. It neutralizes gastric
acid.
4. A nurse is caring for a client who has open-angle glaucoma and a
new prescription for acetazolamide. Prior to administering the first
dose, the nurse should ask the client if they have allergy to which of
the following medication classifications?
Nitrates
Sulfa-based
medications
Antilipemic agents
Proton pump
inhibitors
5. A nurse is caring for a client who has HIV and is starting therapy with
ritonavir and zidovudine. The client asks why they must take both
medications. Which of the following response should the nurse make?
If you take the two medications together, it will shorten the duration of you….
Taking the two medications together keeps you from becoming resistant
to either of them. Taking the two medication together keeps you from
developing toxicity from either of them Zidovudine will help protect you
from the possible adverse effects of ritonavir
, 6. A nurse is providing teaching to a client who has type 2 diabetes
mellitus and is starting to take immediate release exenatide.
Which of the following client statements indicates an
understanding of the teaching?
I will discard the open injector pen after two months
I will inject the medication into the muscle
of my thigh I will store open injector pens
at room temperature
I will take this medication one hour before morning and evening meals.
7. A nurse is providing teaching to a client who has a new prescription
for folic acid. The client states I thought that was only given during
pregnancy. Which of the following statements should the nurse
make?
Folic acid is important for stimulating the immune
system Folic acid is given to increase the
absorption of the medication
Folic acid is administered to minimize the manifestations of benign
prostatic hyperplasia Folic acid important for the building of blood cells.
8. A nurse in the PACU is caring for a client who has received general
anesthesia and has manifestation of malignant hyperthermia. Which
of the following medications should the nurse expect to administer?
Diazepam
Dantrolene
Cyclobenzapr
ine
Metaxalone
9. A nurse is caring for a client who refuses a prescribed influenza
immunization. Which of the following actions should the nurse
take first?
Contact the provider who prescribed the
immunization Ask the client to describe
their concerns
Provide the client with education about the
immunization Document the client refusal of
the immunization
10. A nurse is caring for a client who has a prescription for a
hypotonic Iv fluid. Which of the following solution the nurse expects to
administer?
0.45% sodium chloride
0.9% sodium chloride
3% sodium
chloride
Lactated
ringers
, 11. A nurse in an emergency department is caring for a client
who has a new prescription for acetylcysteine. For which of the
following condition should the nurse expect to administer this
medication?
Gastrointestinal
bleed Acute
bronchospasm
Morphine toxicity
Acetaminophen
toxicity
12. A nurse is obtaining vital signs for a client who has been taking
propranolol. Which of the following finding should the nurse identify
as an adverse effect of the medication?
Respiratory rate
20/min Oral
temperature 37.8
Blood pressure
118/78 mm Apical
pulse 50 /min
13. A nurse is providing teaching to a client who has neuropathic
pain and a new prescription for amitriptyline once per day. Which
of the following information should the nurse include in the
teaching?
Increase fluids while taking the medication
Expect an elevation in blood pressure with initial doses of
the medication Stop the medication immediately if urine
becomes orange in color
Take the medication in the morning
14. A nurse is providing teaching to a client who has a new
prescription for oral extended-release potassium chloride tablets.
Which of the following instructions should the nurse include in the
teaching?
Do not crush this
medication Dissolve the
tablet in your mouth
Take this medication on an empty
stomach Take this medication
every other day
15. A nurse is providing teaching to a client who has a new
prescription for levothyroxine. Which of the following
statements by the client indications an understanding of the
teaching?
I should take this medication
with food I will take three
doses each day
AND 2
Assessment 1
1. The first action the nurse should take is to assess the client for
injury due to medication error.
Assess the client
2. A nurse is reviewing the medical record of a client who received
medications 1 hr ago and reports having chest pain. The nurse
should recognize that chest pain can be an adverse effect of which
of the following medication?
Albuterol
Furosemi
de
Digoxin
Atenolol
3. A nurse is providing teaching to a client who has a new prescription
for ranitidine for the treatment of Zollinger-Ellison syndrome. The
nurse should explain to the client that ranitidine treats ulcers
through which of the following actions?
It decreases stomach motility
It reduces gastric acid production
It forms a protective barrier in the
stomach lining. It neutralizes gastric
acid.
4. A nurse is caring for a client who has open-angle glaucoma and a
new prescription for acetazolamide. Prior to administering the first
dose, the nurse should ask the client if they have allergy to which of
the following medication classifications?
Nitrates
Sulfa-based
medications
Antilipemic agents
Proton pump
inhibitors
5. A nurse is caring for a client who has HIV and is starting therapy with
ritonavir and zidovudine. The client asks why they must take both
medications. Which of the following response should the nurse make?
If you take the two medications together, it will shorten the duration of you….
Taking the two medications together keeps you from becoming resistant
to either of them. Taking the two medication together keeps you from
developing toxicity from either of them Zidovudine will help protect you
from the possible adverse effects of ritonavir
, 6. A nurse is providing teaching to a client who has type 2 diabetes
mellitus and is starting to take immediate release exenatide.
Which of the following client statements indicates an
understanding of the teaching?
I will discard the open injector pen after two months
I will inject the medication into the muscle
of my thigh I will store open injector pens
at room temperature
I will take this medication one hour before morning and evening meals.
7. A nurse is providing teaching to a client who has a new prescription
for folic acid. The client states I thought that was only given during
pregnancy. Which of the following statements should the nurse
make?
Folic acid is important for stimulating the immune
system Folic acid is given to increase the
absorption of the medication
Folic acid is administered to minimize the manifestations of benign
prostatic hyperplasia Folic acid important for the building of blood cells.
8. A nurse in the PACU is caring for a client who has received general
anesthesia and has manifestation of malignant hyperthermia. Which
of the following medications should the nurse expect to administer?
Diazepam
Dantrolene
Cyclobenzapr
ine
Metaxalone
9. A nurse is caring for a client who refuses a prescribed influenza
immunization. Which of the following actions should the nurse
take first?
Contact the provider who prescribed the
immunization Ask the client to describe
their concerns
Provide the client with education about the
immunization Document the client refusal of
the immunization
10. A nurse is caring for a client who has a prescription for a
hypotonic Iv fluid. Which of the following solution the nurse expects to
administer?
0.45% sodium chloride
0.9% sodium chloride
3% sodium
chloride
Lactated
ringers
, 11. A nurse in an emergency department is caring for a client
who has a new prescription for acetylcysteine. For which of the
following condition should the nurse expect to administer this
medication?
Gastrointestinal
bleed Acute
bronchospasm
Morphine toxicity
Acetaminophen
toxicity
12. A nurse is obtaining vital signs for a client who has been taking
propranolol. Which of the following finding should the nurse identify
as an adverse effect of the medication?
Respiratory rate
20/min Oral
temperature 37.8
Blood pressure
118/78 mm Apical
pulse 50 /min
13. A nurse is providing teaching to a client who has neuropathic
pain and a new prescription for amitriptyline once per day. Which
of the following information should the nurse include in the
teaching?
Increase fluids while taking the medication
Expect an elevation in blood pressure with initial doses of
the medication Stop the medication immediately if urine
becomes orange in color
Take the medication in the morning
14. A nurse is providing teaching to a client who has a new
prescription for oral extended-release potassium chloride tablets.
Which of the following instructions should the nurse include in the
teaching?
Do not crush this
medication Dissolve the
tablet in your mouth
Take this medication on an empty
stomach Take this medication
every other day
15. A nurse is providing teaching to a client who has a new
prescription for levothyroxine. Which of the following
statements by the client indications an understanding of the
teaching?
I should take this medication
with food I will take three
doses each day
