Pharmacology practice Evolve EXAM
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal
attack, which assessment finding indicates to the nurse that the desired effect has been
achieved? - ANS Client states chest pain is relieved.
Following heparin treatment for a pulmonary embolism, a client is being discharged with a
prescription for warfarin Coumadin. In conducting discharge teaching, the nurse advises the
client to have which diagnostic test monitored regularly after discharge? - ANS Prothrombin
Time (PT/INR).
. A healthcare provider prescribes cephalexin monohydrate Keflex for a client with a
postoperative infection. It is most important for the nurse to assess for what additional drug
allergy before administering this prescription? - ANS Penicillin
A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial
infarction. Which medication prescription decreases both preload and afterload? - ANS
Nitroglycerin
Which dosing schedule should the nurse teach the client to observe for a controlled-release
oxycodone prescription? - ANS Every 12 hours
A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the
optimum time for the nurse to obtain the trough level? - ANS Immediately before the next
antibiotic dose is given
After abdominal surgery, a male client is prescribed low molecular weight heparin LMWH.
During administration of the medication, the client asks the nurse why he is receiving this
medication. Which is the best response for the nurse to provide? - ANS This medication is a
blood thinner given to prevent blood clot formation
A client with Parkinson's disease is taking carbidopa-levodopa Sinemet. Which observation by
the nurse should indicate that the desired outcome of the medication is being achieved? - ANS
Lessening of tremors
A client is receiving metoprolol Lopressor SR. What assessment is most important for the nurse
to obtain? - ANS Blood pressure
The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which
prescription should the nurse prepare to administer this client? - ANS Epinephrine
, A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with
which condition? - ANS Heart failure
Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside Arc-C for chemotherapy? - ANS Inspect the client's oral
mucosa for ulcerations
Which drug is used as a palliative treatment for a client with tumor-induced spinal cord
compression? - ANS Dexamethasone Decadron
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor
antagonist valsartan Diovan has been achieved? - ANS Blood pressure reduced from 160/90 to
130/80
. Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin
for arthritis? - ANS Bismuth subsalicylate Pepto Bismol
A client receiving Doxorubicin Adriamycin intravenously IV complains of pain at the insertion
site, and the nurse notes edema at the site. Which intervention is most important for the nurse
to implement? - ANS Discontinue the IV fluids
The nurse is transcribing a new prescription for spironolactone Adactone for a client who
receives an angiotensin-converting enzyme ACE inhibitor. Which action should the nurse
implement? - ANS Verify both prescriptions with the healthcare provider
The healthcare provider prescribes naloxone Narcan for a client in the emergency room. Which
assessment data would indicate that the naloxone has been effective? - ANS The client's
respiratory rate is 16 breaths/minute
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client
with arthritis. The client reports that she can't hear the nurse's questions because her ears are
ringing. What action should the nurse implement? - ANS Notify the healthcare provider of this
finding immediately
A client is taking hydromorphone Dilaudid PO q4h at home. Following surgery, Dilaudid IV q4h
PRN and butorphanol tartrate Stadol IV q4h PRN are prescribed for pain. The client received a
dose of the Dilaudid IV four hours ago, and is again requesting pain medication. What
intervention should the nurse implement? - ANS Administer only the Dilaudid q4h PRN for pain
The nurse is reviewing the use of the patient-controlled analgesia PCA pump with a client in the
immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate
with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment
has the highest priority before initiating the PCA pump? - ANS The rate and depth of the client's
respirations
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal
attack, which assessment finding indicates to the nurse that the desired effect has been
achieved? - ANS Client states chest pain is relieved.
Following heparin treatment for a pulmonary embolism, a client is being discharged with a
prescription for warfarin Coumadin. In conducting discharge teaching, the nurse advises the
client to have which diagnostic test monitored regularly after discharge? - ANS Prothrombin
Time (PT/INR).
. A healthcare provider prescribes cephalexin monohydrate Keflex for a client with a
postoperative infection. It is most important for the nurse to assess for what additional drug
allergy before administering this prescription? - ANS Penicillin
A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial
infarction. Which medication prescription decreases both preload and afterload? - ANS
Nitroglycerin
Which dosing schedule should the nurse teach the client to observe for a controlled-release
oxycodone prescription? - ANS Every 12 hours
A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the
optimum time for the nurse to obtain the trough level? - ANS Immediately before the next
antibiotic dose is given
After abdominal surgery, a male client is prescribed low molecular weight heparin LMWH.
During administration of the medication, the client asks the nurse why he is receiving this
medication. Which is the best response for the nurse to provide? - ANS This medication is a
blood thinner given to prevent blood clot formation
A client with Parkinson's disease is taking carbidopa-levodopa Sinemet. Which observation by
the nurse should indicate that the desired outcome of the medication is being achieved? - ANS
Lessening of tremors
A client is receiving metoprolol Lopressor SR. What assessment is most important for the nurse
to obtain? - ANS Blood pressure
The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which
prescription should the nurse prepare to administer this client? - ANS Epinephrine
, A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with
which condition? - ANS Heart failure
Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside Arc-C for chemotherapy? - ANS Inspect the client's oral
mucosa for ulcerations
Which drug is used as a palliative treatment for a client with tumor-induced spinal cord
compression? - ANS Dexamethasone Decadron
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor
antagonist valsartan Diovan has been achieved? - ANS Blood pressure reduced from 160/90 to
130/80
. Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin
for arthritis? - ANS Bismuth subsalicylate Pepto Bismol
A client receiving Doxorubicin Adriamycin intravenously IV complains of pain at the insertion
site, and the nurse notes edema at the site. Which intervention is most important for the nurse
to implement? - ANS Discontinue the IV fluids
The nurse is transcribing a new prescription for spironolactone Adactone for a client who
receives an angiotensin-converting enzyme ACE inhibitor. Which action should the nurse
implement? - ANS Verify both prescriptions with the healthcare provider
The healthcare provider prescribes naloxone Narcan for a client in the emergency room. Which
assessment data would indicate that the naloxone has been effective? - ANS The client's
respiratory rate is 16 breaths/minute
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client
with arthritis. The client reports that she can't hear the nurse's questions because her ears are
ringing. What action should the nurse implement? - ANS Notify the healthcare provider of this
finding immediately
A client is taking hydromorphone Dilaudid PO q4h at home. Following surgery, Dilaudid IV q4h
PRN and butorphanol tartrate Stadol IV q4h PRN are prescribed for pain. The client received a
dose of the Dilaudid IV four hours ago, and is again requesting pain medication. What
intervention should the nurse implement? - ANS Administer only the Dilaudid q4h PRN for pain
The nurse is reviewing the use of the patient-controlled analgesia PCA pump with a client in the
immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate
with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment
has the highest priority before initiating the PCA pump? - ANS The rate and depth of the client's
respirations
