RN Pharmacology EXAM TEST QUESTIONS
AND ANSWERS (2023/2024) (VERIFIED
ANSWERS)WITH NGN
A provider prescribes phenobarbital for a client who has a seizure
disorder. The medication has a long half-life of 4 days. How many
times per day should the nurse expect to administer this
medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER A. Medications with long half-
lives remain at their therapeutic levels between doses for long
periods of time. The nurse should expect to administer this
medication once a day.
A nurse is infusing IV amphotericin B to a client who has a
systemic fungal
infection. The nurse should monitor the client for which of the
following adverse effects of this medication?
A. hypoglycemia
B.Constipation
C.Fever
D. hyperkalemia - CORRECT ANSWER C. Amphotericin B can
cause fever, chills, and
,nausea during the infusion. Pretreatment with diphenhydramine
and acetaminophen can reduce these effects.
A nurse is administering IV
amphotericin B to a client who has a systemic fungal infection.
The nurse should monitor which of the following laboratory
values? (Select all that apply.)
A.Serum calcium
B.Serum amylase
C. Serum potassium
D. hematocrit
E.Serum creatinine - CORRECT ANSWER C.hypokalemia is a
serious adverse effect of amphotericin B.
The nurse should monitor serum potassium values for
hypokalemia.
D. Amphotericin B can cause bone marrow suppression.
The nurse should monitor CBC and platelet count periodically.
E. Amphotericin B can cause nephrotoxicity.
The nurse should monitor kidney function (with serum
creatinine, BUN, and creatinine clearance)
A nurse is teaching a client who is beginning a course of
metronidazole to treat an infection. For which
of the following adverse effects should the nurse instruct the client
to stop taking metronidazole
and notify the provider?
A. metallic taste
,B.Nausea
C.Ataxia
D.Dark-colored urine - CORRECT ANSWER C. Ataxia, tremors,
paresthesias of the extremities, and seizures are manifestations
of CNS toxicity. The client should stop taking the medication and
notify the provider if any of these effects occur.
A nurse is teaching a client who has active tuberculosis about his
treatment regimen. The client asks
why he must take four different medications. Which of the
following
responses should the nurse make?
A."Four medications decrease the risk for a severe allergic
reaction"
B."Four medications r
educe the chance that the bacteria will become resistant."
C."Four medications r
educe the risk for adverse reactions"
D."Four medications decrease the chance of having a positive
tuberculin skin test. - CORRECT ANSWER B. If the client took
only one medication to treat active
tuberculosis, resistance to the medication would occur quickly.
Taking three or four medications decreases the possibility of
resistance.
A nurse is teaching a client who has a new prescription for
combination oral NRTIs (abacavir, lamivudine, and
, zidovudine) for treatment of hIV. Which of the following
statements
should the nurse include?
A."These medications work by blocking hIV entry into cells."
B."These medications work
by weakening the cell
wall of the hIV virus."
C."These medications work
by inhibiting enzymes to prevent hIV replication."
D."These medications work by preventing protein synthesis within
the hIV cell." - CORRECT ANSWER C. The NRTI antiretroviral
medications
this client takes work by inhibiting the enzyme reverse
transcriptase and preventing
hIV replication
A nurse is caring for a client who takes several antiretroviral
medications, including the NRTI
zidovudine, to treat
hIV infection. The nurse should monitor for which
of the following adverse effects of zidovudine? (Select all that
apply.)
A.Fatigue
B.Blurred vision
C.Ataxia
D. hyperventilation
AND ANSWERS (2023/2024) (VERIFIED
ANSWERS)WITH NGN
A provider prescribes phenobarbital for a client who has a seizure
disorder. The medication has a long half-life of 4 days. How many
times per day should the nurse expect to administer this
medication?
A. One
B. Two
C. Three
D. Four - CORRECT ANSWER A. Medications with long half-
lives remain at their therapeutic levels between doses for long
periods of time. The nurse should expect to administer this
medication once a day.
A nurse is infusing IV amphotericin B to a client who has a
systemic fungal
infection. The nurse should monitor the client for which of the
following adverse effects of this medication?
A. hypoglycemia
B.Constipation
C.Fever
D. hyperkalemia - CORRECT ANSWER C. Amphotericin B can
cause fever, chills, and
,nausea during the infusion. Pretreatment with diphenhydramine
and acetaminophen can reduce these effects.
A nurse is administering IV
amphotericin B to a client who has a systemic fungal infection.
The nurse should monitor which of the following laboratory
values? (Select all that apply.)
A.Serum calcium
B.Serum amylase
C. Serum potassium
D. hematocrit
E.Serum creatinine - CORRECT ANSWER C.hypokalemia is a
serious adverse effect of amphotericin B.
The nurse should monitor serum potassium values for
hypokalemia.
D. Amphotericin B can cause bone marrow suppression.
The nurse should monitor CBC and platelet count periodically.
E. Amphotericin B can cause nephrotoxicity.
The nurse should monitor kidney function (with serum
creatinine, BUN, and creatinine clearance)
A nurse is teaching a client who is beginning a course of
metronidazole to treat an infection. For which
of the following adverse effects should the nurse instruct the client
to stop taking metronidazole
and notify the provider?
A. metallic taste
,B.Nausea
C.Ataxia
D.Dark-colored urine - CORRECT ANSWER C. Ataxia, tremors,
paresthesias of the extremities, and seizures are manifestations
of CNS toxicity. The client should stop taking the medication and
notify the provider if any of these effects occur.
A nurse is teaching a client who has active tuberculosis about his
treatment regimen. The client asks
why he must take four different medications. Which of the
following
responses should the nurse make?
A."Four medications decrease the risk for a severe allergic
reaction"
B."Four medications r
educe the chance that the bacteria will become resistant."
C."Four medications r
educe the risk for adverse reactions"
D."Four medications decrease the chance of having a positive
tuberculin skin test. - CORRECT ANSWER B. If the client took
only one medication to treat active
tuberculosis, resistance to the medication would occur quickly.
Taking three or four medications decreases the possibility of
resistance.
A nurse is teaching a client who has a new prescription for
combination oral NRTIs (abacavir, lamivudine, and
, zidovudine) for treatment of hIV. Which of the following
statements
should the nurse include?
A."These medications work by blocking hIV entry into cells."
B."These medications work
by weakening the cell
wall of the hIV virus."
C."These medications work
by inhibiting enzymes to prevent hIV replication."
D."These medications work by preventing protein synthesis within
the hIV cell." - CORRECT ANSWER C. The NRTI antiretroviral
medications
this client takes work by inhibiting the enzyme reverse
transcriptase and preventing
hIV replication
A nurse is caring for a client who takes several antiretroviral
medications, including the NRTI
zidovudine, to treat
hIV infection. The nurse should monitor for which
of the following adverse effects of zidovudine? (Select all that
apply.)
A.Fatigue
B.Blurred vision
C.Ataxia
D. hyperventilation
