CAPSTONE PHARM PRE-ASSESSMENT QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client is prescribed propanolol. Which of the following client history findings would require
the nurse to clarify this medication prescription?
• Asthma
• Hypertension
• Tachydysrhythmias
• Urolithiasis ✔✔1) Asthma
Clients with asthma should avoid Beta2 Blockade agents such as propanolol.
Brochoconstrictioncan occur. Clients with asthma should be administered a beta1 selective
agent
A nurse is caring for a client prescribed montelukast. Which of the following should the
nurse include in teaching related to this medication?
• Advise client to take the medication once daily at bedtime
• This medication is for acute management of asthma
• Avoid dairy products while taking this medication
,• If the client forgets to take the medication for a few days he can double up on doses to
catchup ✔✔1) Advise client to take the medication once daily at bedtime
Clients should take montelukast once daily at bedtime
A 45-year-old client is taking methylprednisolone. What pharmacologic action should the
nurseexpect with this therapy?
1) Suppression of beta2 receptors
2)Suppression of airway mucus
production
• Fortification of bones
• Suppression of candidiasis ✔✔2) Suppression of airway mucus production
Corticosteroids, such as methylprenisolone will suppress airway mucus production
A nurse has just administered a wrong medication to a client. Which of the following
actionsshould the nurse take next?
• No action is needed
• Report error to the provider
, • Complete an institutional incident report
• Inform the client that the wrong medication was given ✔✔2) Report the error to the provider
The nurse should acknowledge the error and report it to the provider for further orders. The
nurseshould also monitor the client for adverse effects. The nurse should also complete an
incident report per institutional policy after notifying the health care provider
A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the
following instructions should the nurse include in client education regarding taking the
first dose of this medication?
• Change positions slowly and lie down if dizziness occurs
• There is no need to avoid normal activities
• Avoid dairy products while taking this medication
• Do not eat green leafy vegetables ✔✔1) Change positions slowly and lie down if dizziness
occurs
First-dose orthostatic hypotension can occur with doxazosin. The nurse should instruct
clients to change position slowly and to lie down if feeling dizzy, lightheaded or faint
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client is prescribed propanolol. Which of the following client history findings would require
the nurse to clarify this medication prescription?
• Asthma
• Hypertension
• Tachydysrhythmias
• Urolithiasis ✔✔1) Asthma
Clients with asthma should avoid Beta2 Blockade agents such as propanolol.
Brochoconstrictioncan occur. Clients with asthma should be administered a beta1 selective
agent
A nurse is caring for a client prescribed montelukast. Which of the following should the
nurse include in teaching related to this medication?
• Advise client to take the medication once daily at bedtime
• This medication is for acute management of asthma
• Avoid dairy products while taking this medication
,• If the client forgets to take the medication for a few days he can double up on doses to
catchup ✔✔1) Advise client to take the medication once daily at bedtime
Clients should take montelukast once daily at bedtime
A 45-year-old client is taking methylprednisolone. What pharmacologic action should the
nurseexpect with this therapy?
1) Suppression of beta2 receptors
2)Suppression of airway mucus
production
• Fortification of bones
• Suppression of candidiasis ✔✔2) Suppression of airway mucus production
Corticosteroids, such as methylprenisolone will suppress airway mucus production
A nurse has just administered a wrong medication to a client. Which of the following
actionsshould the nurse take next?
• No action is needed
• Report error to the provider
, • Complete an institutional incident report
• Inform the client that the wrong medication was given ✔✔2) Report the error to the provider
The nurse should acknowledge the error and report it to the provider for further orders. The
nurseshould also monitor the client for adverse effects. The nurse should also complete an
incident report per institutional policy after notifying the health care provider
A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the
following instructions should the nurse include in client education regarding taking the
first dose of this medication?
• Change positions slowly and lie down if dizziness occurs
• There is no need to avoid normal activities
• Avoid dairy products while taking this medication
• Do not eat green leafy vegetables ✔✔1) Change positions slowly and lie down if dizziness
occurs
First-dose orthostatic hypotension can occur with doxazosin. The nurse should instruct
clients to change position slowly and to lie down if feeling dizzy, lightheaded or faint
