NR PHARM AND PARENTERAL THERAPIES
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
A client admitted with an acute exacerbation of asthma has been
prescribed methylprednisolone sodium succinate IV. Which of the
following findings should the nurse report to the provider immediately?
Select one:
a. Blood glucose 120
mg/dL b. Increased
hunger
c. Mild wheezing
d. Oral temperature of 100.5 F◦ - d. Oral temperature of 100.5 F◦
A client diagnosed with bipolar disorder and prescribed lithium carbonate is
being discharged from the hospital. Which of the following medication
prescriptions should the nurse should question?
Select one:
a. Valproic acid 250 mg by mouth three times
per day b. Ranitidine 150 mg by mouth daily
c. Captopril 25 mg by mouth twice per day
d. Furosemide 20 mg by mouth twice per day - d. Furosemide 20 mg by
mouth twice per day
Valproic acid is an anticonvulsant and not contraindicated with a Bipolar
, NR PHARM AND PARENTERAL THERAPIES
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
disorder.
A client diagnosed with depression has been prescribed fluoxetine. Which
of the following information should the nurse emphasize?
Select one:
a. Take the medication in the morning
b. Maintain an adequate fluid and sodium
balance c. Take the medication at bedtime
d. Avoid foods high in tyramine - a. Take the medication in the morning
Take the medication in the morning, as insomnia is a side effect of SSRIs.
A client diagnosed with preterm labor has been prescribed nifedipine. The
client asks the nurse why this particular medication has been prescribed.
Which of the following statements by the nurse is correct?
Select one:
a. To relax your muscles of your uterus
b. To lower your blood pressure
c. To promote development of your baby's lungs
d. To decrease the intensity of your pain - a. To relax your muscles of your
uterus
, NR PHARM AND PARENTERAL THERAPIES
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
The use of nifedipine for the treatment of preterm labor is an unlabeled use
of the drug. Nifedipine, a calcium channel blocker, is more commonly used
to treat high blood pressure and heart disease. Smooth muscle tissue, like
the uterus, needs calcium to contract. Nifedipine blocks the passage of
calcium into certain tissues, relaxing the uterine muscles and smooth
muscles of blood vessels throughout the body.
A client experiences postural hypotension during initial drug therapy
with diltiazem. Which of the following would be most important for the
nurse to recommend to this client?
Select one:
a. Eat small, frequent meals during the day.
b. Lie down for 30 minutes after taking the
medication. c. Drink additional oral fluids each
day.
d. Rise slowly from a sitting or lying position. - d. Rise slowly from a
sitting or lying position.
Rise slowly from a sitting or lying position. This will allow them to adjust to the
upright position; slowly rising allows the heart to adjust the cardiac output to
, NR PHARM AND PARENTERAL THERAPIES
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
pump harder to maintain adequate BP to offset any orthostatic hypotension
from occurring.
A client experiencing pain has been prescribed meperidine 30mg IM every
three hours, as needed for pain. The vial available is merperidine 75mg/1
mL. How much merperidine should the nurse administer?
Select one:
a. 0.5 ml
b. 1.4 ml
c. 0.4 ml
d. 2.5 ml - c. 0.4 ml
0.4 mL of merperidine will be administered by
the nurse. 30 mg / x = 75 mg / 1 mL
30 = 75x
30/75 = 0.4 ml
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of
potassium/L to infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse
calculates the flow rate to be: gtt/min.
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
A client admitted with an acute exacerbation of asthma has been
prescribed methylprednisolone sodium succinate IV. Which of the
following findings should the nurse report to the provider immediately?
Select one:
a. Blood glucose 120
mg/dL b. Increased
hunger
c. Mild wheezing
d. Oral temperature of 100.5 F◦ - d. Oral temperature of 100.5 F◦
A client diagnosed with bipolar disorder and prescribed lithium carbonate is
being discharged from the hospital. Which of the following medication
prescriptions should the nurse should question?
Select one:
a. Valproic acid 250 mg by mouth three times
per day b. Ranitidine 150 mg by mouth daily
c. Captopril 25 mg by mouth twice per day
d. Furosemide 20 mg by mouth twice per day - d. Furosemide 20 mg by
mouth twice per day
Valproic acid is an anticonvulsant and not contraindicated with a Bipolar
, NR PHARM AND PARENTERAL THERAPIES
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
disorder.
A client diagnosed with depression has been prescribed fluoxetine. Which
of the following information should the nurse emphasize?
Select one:
a. Take the medication in the morning
b. Maintain an adequate fluid and sodium
balance c. Take the medication at bedtime
d. Avoid foods high in tyramine - a. Take the medication in the morning
Take the medication in the morning, as insomnia is a side effect of SSRIs.
A client diagnosed with preterm labor has been prescribed nifedipine. The
client asks the nurse why this particular medication has been prescribed.
Which of the following statements by the nurse is correct?
Select one:
a. To relax your muscles of your uterus
b. To lower your blood pressure
c. To promote development of your baby's lungs
d. To decrease the intensity of your pain - a. To relax your muscles of your
uterus
, NR PHARM AND PARENTERAL THERAPIES
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
The use of nifedipine for the treatment of preterm labor is an unlabeled use
of the drug. Nifedipine, a calcium channel blocker, is more commonly used
to treat high blood pressure and heart disease. Smooth muscle tissue, like
the uterus, needs calcium to contract. Nifedipine blocks the passage of
calcium into certain tissues, relaxing the uterine muscles and smooth
muscles of blood vessels throughout the body.
A client experiences postural hypotension during initial drug therapy
with diltiazem. Which of the following would be most important for the
nurse to recommend to this client?
Select one:
a. Eat small, frequent meals during the day.
b. Lie down for 30 minutes after taking the
medication. c. Drink additional oral fluids each
day.
d. Rise slowly from a sitting or lying position. - d. Rise slowly from a
sitting or lying position.
Rise slowly from a sitting or lying position. This will allow them to adjust to the
upright position; slowly rising allows the heart to adjust the cardiac output to
, NR PHARM AND PARENTERAL THERAPIES
QUESTIONS WITH ANSWERS 2022/2023
ASSUARED SUCCESS
pump harder to maintain adequate BP to offset any orthostatic hypotension
from occurring.
A client experiencing pain has been prescribed meperidine 30mg IM every
three hours, as needed for pain. The vial available is merperidine 75mg/1
mL. How much merperidine should the nurse administer?
Select one:
a. 0.5 ml
b. 1.4 ml
c. 0.4 ml
d. 2.5 ml - c. 0.4 ml
0.4 mL of merperidine will be administered by
the nurse. 30 mg / x = 75 mg / 1 mL
30 = 75x
30/75 = 0.4 ml
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of
potassium/L to infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse
calculates the flow rate to be: gtt/min.
