Pharmacology Alternate Item Format Quiz 2023 with
complete solution
A client with a history of duodenal ulcer is admitted to the hospital with status
asthmaticus. Which of the following medications should the nurse question?
Select all that apply.
Select one or more:
a. lisinopril
b. naproxen
c. furosemide
d. prednisone
e. sucralfate
b. naproxen
d. prednisone
NSAIDs such as naproxen can contribute to gastric irritation.
Corticosteroids such as prednisone are associated with an increased incidence of
peptic ulcers and thus should be questioned if prescribed to a client with a history of
duodenal ulcer.
A client asks "Why can't I take Prednisone every day for my arthritis like my
grandmother did?" The nurse correctly explains that corticosteroids can have
which of the following adverse effects when used continuously? Select all that
apply.
Select one or more:
a. Susceptibility to infection
b. Hypoglycemia
c. Osteoporosis
d. Bronze coloration of the skin
e. Truncal obesity
a. Susceptibility to infection
c. Osteoporosis
e. Truncal obesity
Continuous administration of high dose glucocorticoids will cause Cushing's syndrome.
Cushing's syndrome includes fluid retention, hypertension, weight gain, and fat
redistribution with truncal obesity, 'moon face', and 'buffalo hump.' Additional symptoms
may include: susceptibility to infection, hyperglycemia, osteoporosis, menstrual
irregularities, thin fragile skin, and hirsutism.
A nurse is providing education for a client prescribed digoxin. Which of the
following statements by the client demonstrates an understanding? Select all that
, apply.
Select one or more:
a. "This medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
c. "This medication will change the color of my urine."
d. "I understand I need weekly laboratory testing."
e. "I will contact my provider if I experience excessive nausea".
a. "This medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
e. "I will contact my provider if I experience excessive nausea".
Digoxin will cause the client's heart rate to beat slower. Digoxin slows electrical
conduction between the atria and the ventricles of the heart and is useful in treating
abnormally rapid atrial rhythms such as atrial fibrillation, atrial flutter, and atrial
tachycardia.
The client will need to seek medical attention right away if experiencing visual changes.
This is a severe side effect of the medication and could mean that the client is receiving
too much of the medication.
The client will need to seek medical attention right away if experiencing severe or
excessive nausea. This is a severe side effect of the medication and could mean that
the client is receiving too much of the medication.
A nurse is providing education to a client diagnosed with glaucoma. The nurse
should instruct the client to avoid which of the following medications? Select all
that apply.
Select one or more:
a. Diphenhydramine
b. Methylphenidate
c. Acetazolamide
d. Timolol maleate
e. Scopolamine
a. Diphenhydramine
b. Methylphenidate
e. Scopolamine
Atropine derivative, causes pupil dilation, anticholinergic.
Methylphenidate is a sympathomimetic amine; cholinergic inhibition.
Diphenhydramine blocks the action of acetylcholine; anticholinergics.
A client is prescribed 10 units of regular insulin and 30 units of NPH daily. What
order will the nurse complete the below insulin administration steps. (Place the
following steps in the correct order).
A. Inject air into the vial of regular insulin
B. Using the same syringe, withdraw 10 units of regular insulin
complete solution
A client with a history of duodenal ulcer is admitted to the hospital with status
asthmaticus. Which of the following medications should the nurse question?
Select all that apply.
Select one or more:
a. lisinopril
b. naproxen
c. furosemide
d. prednisone
e. sucralfate
b. naproxen
d. prednisone
NSAIDs such as naproxen can contribute to gastric irritation.
Corticosteroids such as prednisone are associated with an increased incidence of
peptic ulcers and thus should be questioned if prescribed to a client with a history of
duodenal ulcer.
A client asks "Why can't I take Prednisone every day for my arthritis like my
grandmother did?" The nurse correctly explains that corticosteroids can have
which of the following adverse effects when used continuously? Select all that
apply.
Select one or more:
a. Susceptibility to infection
b. Hypoglycemia
c. Osteoporosis
d. Bronze coloration of the skin
e. Truncal obesity
a. Susceptibility to infection
c. Osteoporosis
e. Truncal obesity
Continuous administration of high dose glucocorticoids will cause Cushing's syndrome.
Cushing's syndrome includes fluid retention, hypertension, weight gain, and fat
redistribution with truncal obesity, 'moon face', and 'buffalo hump.' Additional symptoms
may include: susceptibility to infection, hyperglycemia, osteoporosis, menstrual
irregularities, thin fragile skin, and hirsutism.
A nurse is providing education for a client prescribed digoxin. Which of the
following statements by the client demonstrates an understanding? Select all that
, apply.
Select one or more:
a. "This medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
c. "This medication will change the color of my urine."
d. "I understand I need weekly laboratory testing."
e. "I will contact my provider if I experience excessive nausea".
a. "This medication will cause my heart to beat slower."
b. "I will contact my provider if I experience visual changes."
e. "I will contact my provider if I experience excessive nausea".
Digoxin will cause the client's heart rate to beat slower. Digoxin slows electrical
conduction between the atria and the ventricles of the heart and is useful in treating
abnormally rapid atrial rhythms such as atrial fibrillation, atrial flutter, and atrial
tachycardia.
The client will need to seek medical attention right away if experiencing visual changes.
This is a severe side effect of the medication and could mean that the client is receiving
too much of the medication.
The client will need to seek medical attention right away if experiencing severe or
excessive nausea. This is a severe side effect of the medication and could mean that
the client is receiving too much of the medication.
A nurse is providing education to a client diagnosed with glaucoma. The nurse
should instruct the client to avoid which of the following medications? Select all
that apply.
Select one or more:
a. Diphenhydramine
b. Methylphenidate
c. Acetazolamide
d. Timolol maleate
e. Scopolamine
a. Diphenhydramine
b. Methylphenidate
e. Scopolamine
Atropine derivative, causes pupil dilation, anticholinergic.
Methylphenidate is a sympathomimetic amine; cholinergic inhibition.
Diphenhydramine blocks the action of acetylcholine; anticholinergics.
A client is prescribed 10 units of regular insulin and 30 units of NPH daily. What
order will the nurse complete the below insulin administration steps. (Place the
following steps in the correct order).
A. Inject air into the vial of regular insulin
B. Using the same syringe, withdraw 10 units of regular insulin
