RN Pharmacology EXAM QUESTIONS AND
ANSWERS LATEST UPDATE
The nurse is providing medication information to a client who is beginning
medication therapy with enalapril. The nurse should tell the client that which is an
anticipated, although unpleasant, side effect of this medication?
Persistent dry cough
A client is brought into the emergency department for suspected tricyclic
antidepressant overdose. Place the actions that the nurse should take in order of
priority. All options must be used.
1.Check airway and maintain patency.
2.Administer oxygen.
3. Check and monitor vital signs.
4. Obtain an electrocardiogram.
5.Prepare gastric lavage with activated charcoal.
6.Prepare to administer prescribed medications.
The nurse is analyzing the laboratory studies on a client receiving dantrolene.
Which laboratory test would identify an adverse effect associated with the
administration of this medication?
Liver function tests
The nurse is reviewing a client's medication reconciliation form in the medical
record and notes that the client is taking tamsulosin at home. Which medication,
if started in the hospital, should the nurse question?
Cimetidine
A client gives the home health nurse a bottle of clomipramine. The nurse notes
that the medication has not been taken by the client in 2 months. Which behavior
observed in the client would validate noncompliance with this medication?
Frequent hand washing with hot, soapy water
, The home health nurse visits a client who is taking phenytoin for control of
seizures. During the assessment, the nurse notes that the client is taking birth
control pills. Which information should the nurse include in the teaching plan?
There is the potential of decreased effectiveness of birth control pills while taking
phenytoin.
Etanercept is prescribed for a client with rheumatoid arthritis. The nurse should
monitor the client for which side/adverse effect of the medication following
administration?
Dyspnea
Etanercept is an antiarthritic medication that is administered via the subcutaneous
route. Side/adverse effects include heart failure (noted by manifestations of dyspnea
and congested lung sounds on auscultation), hypertension or hypotension, pancreatitis,
or gastrointestinal hemorrhage. Headache, dizziness, and abdominal discomfort are not
side/adverse effects of the medication.
A client is started on tolbutamide once daily. The nurse should instruct the client
to monitor for which intended effect of this medication?
Decreased blood glucose
Tolbutamide is an oral hypoglycemic agent. It is not used to enhance weight loss, treat
infection, or decrease blood pressure.
The nurse is collecting subjective and objective data from a client and notes that
the client is taking capecitabine. The nurse determines that this medication has
been prescribed to treat which condition?
Metastatic breast cancer
Capecitabine is an antimetabolite used to treat metastatic breast cancer that is resistant
to other therapy. It also is used to treat colon cancer. It is not used to treat
hypothyroidism, kidney dysfunction, or Cushing's syndrome.
Oral bethanechol chloride is prescribed for the client. The nurse should instruct
the client to take this medication at which time?
ANSWERS LATEST UPDATE
The nurse is providing medication information to a client who is beginning
medication therapy with enalapril. The nurse should tell the client that which is an
anticipated, although unpleasant, side effect of this medication?
Persistent dry cough
A client is brought into the emergency department for suspected tricyclic
antidepressant overdose. Place the actions that the nurse should take in order of
priority. All options must be used.
1.Check airway and maintain patency.
2.Administer oxygen.
3. Check and monitor vital signs.
4. Obtain an electrocardiogram.
5.Prepare gastric lavage with activated charcoal.
6.Prepare to administer prescribed medications.
The nurse is analyzing the laboratory studies on a client receiving dantrolene.
Which laboratory test would identify an adverse effect associated with the
administration of this medication?
Liver function tests
The nurse is reviewing a client's medication reconciliation form in the medical
record and notes that the client is taking tamsulosin at home. Which medication,
if started in the hospital, should the nurse question?
Cimetidine
A client gives the home health nurse a bottle of clomipramine. The nurse notes
that the medication has not been taken by the client in 2 months. Which behavior
observed in the client would validate noncompliance with this medication?
Frequent hand washing with hot, soapy water
, The home health nurse visits a client who is taking phenytoin for control of
seizures. During the assessment, the nurse notes that the client is taking birth
control pills. Which information should the nurse include in the teaching plan?
There is the potential of decreased effectiveness of birth control pills while taking
phenytoin.
Etanercept is prescribed for a client with rheumatoid arthritis. The nurse should
monitor the client for which side/adverse effect of the medication following
administration?
Dyspnea
Etanercept is an antiarthritic medication that is administered via the subcutaneous
route. Side/adverse effects include heart failure (noted by manifestations of dyspnea
and congested lung sounds on auscultation), hypertension or hypotension, pancreatitis,
or gastrointestinal hemorrhage. Headache, dizziness, and abdominal discomfort are not
side/adverse effects of the medication.
A client is started on tolbutamide once daily. The nurse should instruct the client
to monitor for which intended effect of this medication?
Decreased blood glucose
Tolbutamide is an oral hypoglycemic agent. It is not used to enhance weight loss, treat
infection, or decrease blood pressure.
The nurse is collecting subjective and objective data from a client and notes that
the client is taking capecitabine. The nurse determines that this medication has
been prescribed to treat which condition?
Metastatic breast cancer
Capecitabine is an antimetabolite used to treat metastatic breast cancer that is resistant
to other therapy. It also is used to treat colon cancer. It is not used to treat
hypothyroidism, kidney dysfunction, or Cushing's syndrome.
Oral bethanechol chloride is prescribed for the client. The nurse should instruct
the client to take this medication at which time?
