1. Which statement is the scientific rationale for the combination drug
carbidopa/levodopa prescribed to a client diagnosed with Parkinson’s disease?
a. The carbidopa delays the breakdown of the levodopa in the periphery so more
dopamine gets to the brain
b. Thedicat ion is less expensive when combined, so it is more affordable to clients
on a fixed income
c. The carbidopa breaks down in the periphery and causes vasoconstriction of
the blood vessels
d. Carbidopa increases the action of levodopa on the renal arteries, increasing renal perfusion.
2. The client with increased intracranial pressure is receiving mannitol. Which intervention
should the nurse implement to evaluate the effectiveness of the medication?
a. Monitor the client’s vital signs
b. Maintain strict intake and output
c. Assess the client’s neurological status
d. Check the client’s serum osmolality level
3. A patient is going to take their first does of immediate-release gabapentin. What is the
best way to take it?
a. Early in the morning before going to work
b. Right before going to bed
c. Must be taken with a full meal
d. Taken with an antacid to reduce adverse effects
4. The client who has been prescribed phenytoin for epilepsy calls the clinic and reports a
measles-like rash. Which intervention should the nurse implement?
a. Instruct the client to come to the clinic immediately
b. Determine if the client is drinking grapefruit juice
c. Encourage the client to apply a hydrocortisone cream to the rash
d. Explain that this is a common side effect of this medication
, Pharmacology Worksheet
5. The client with a seizure disorder who is taking carbamazepine tells the clinic nurse, “I
am taking evening primrose oil for my premenstrual (PMS) cramps and it is really
working.” Which statement is the nurse’s best response?
a. “You should inform your HCP about taking the herb.”
b. “It is very dangerous to take both the herb and the carbamazepine.”
c. “Herbs are natural substances and I am glad it is helping your PMS.”
d. “Are you sure you should be taking hers along with carbamazepine?”
6. The nurse is teaching the client diagnosed with angina about sublingual nitroglycerin
(NTG). Which statement indicates that the client needs MORE medication teaching?
a. “I will always carry my nitroglycerin in a dark-colored bottle.”
b. “If I have chest pain, I will put a tablet underneath my tongue.”
c. “If my pain is not relieved with one tablet, I will get medical help.”
d. “I should expect to get a headache after taking my nitroglycerin.”
7. The nurse is preparing to administer adenosine for the client diagnosed with supraventricular
tachycardia (SVT). Which assessment finding would indicate the effectiveness of the medication?
a. The client’s ECG tracing shows normal sinus rhythm.
b. The client’s apical pulse is within normal limits.
c. The client’s blood pressure is above 100/60.
d. The client’s serum adenosine level is 1.8 mg/dL.
8. The client is scheduled for a bilateral adrenalectomy for Cushing’s disease. Which information
regarding the prescribed prednisone should the nurse teach? Select all that apply:
a. When discontinuing this medication, it must be tapered.
b. Take the medication regularly; do not skip doses
c. Stop taking the medication if you develop a round face.
d. Notify the HCP if you start feeling thirsty all the time.
e. Wear a Medic Alert bracelet in case of an emergency.
9. The client diagnosed with diabetes insipidus is prescribed desmopressin. Which
comorbid condition warrants a change in medication?