(PN Pharm) A Pathophysiologic Approach Adams -
Holland – Urban Questions with Answers
A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of
the following foods should the nurse include in the teaching as an appropriate food choice? - correct
answers>>>Yogurt
A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should
the nurse take when documenting the medication error? - correct answers>>>Document the notification
of the client's provider
A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone. Which of
the following findings indicates a therapeutic effect of the medication? - correct answers>>>Clear,
bilateral breath sounds
A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal
patch. Which of the following statements by the client indicates an understanding of the teaching? -
correct answers>>>While using the patch, I will be careful when rising from a chair
A nurse is reviewing the medication administration record of a client who has a history of Stevens-
Johnson Syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications
should the nurse identify as contradicted for this client? - correct answers>>>Furosemide
A nurse is collecting data from a client who is taking lithium to treat bipolar disorders. Which of the
following findings should the nurse report to the provider? - correct answers>>>Slurred Speech
An older adult client who has terminal cancer reports pain at the level of 5 using a 0 to 10 pain scale. The
client has a prescription for morphine 15mg orally every 4 hours. The client's children express concern
that the client is receiving too much of the medication. Which of the following responses should the
nurse make? - correct answers>>>The dose should remain constant to prevent breakthrough pain
A nurse is collecting data from a client who has been taking levodopa/carbiopa. Which of the following
findings should indicate to the nurse that the medication is effective? - correct answers>>>The client is
able to wash his face
,A nurse is reinforcing teaching about nicotine polacrilex gum with a client who smokes three packs of
cigarettes per day. Which of the following statements should the nurse include in the teaching? - correct
answers>>>You should chew the gum for a whole 30 minutes before discarding
A nurse is reviewing the medication administration record for a client who has a new prescription for
tobramycin to treat pulmonary infection. Which of the following medications should the nurse identify
as increasing the risk for ototoxicity while taking tobramycin? - correct answers>>>Furosemide
A nurse is reinforcing discharge teaching with a client who has type 2 diabetes mellitus and a new
prescription for metformin. The nurse should instruct the client to monitor for What should the client
monitor for which of the following manifestations as adverse effects of this medication? - correct
answers>>>Muscle Pain
Fatigue
Metallic Taste
A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new
prescription for sumatriptan. The nurse should instruct the client to report which of the following
manifestations to the provider as a averse effect of this medication? - correct answers>>>Chest Tightness
A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. Which of the
following manifestations should the nurse monitor to determine whether the treatment is effective? -
correct answers>>>Improved social interactions
A nurse is collecting data prior to administering digoxin to a client. For which of the following findings
should the nurse withhold this medication and notify the provider? - correct answers>>>Apical pulse
52/min
A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The
nurse should monitor the client for which of the following manifestations as an adverse effect of the
medication? - correct answers>>>Diarrhea
,A nurse is a provider's office is reviewing the immunization records of a 12-month-old infant who is
immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for
this client? - correct answers>>>MMR (measles, mumps, rubella)
A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate To
treat motion sickness. Which of the following this order is in the clients medical records should the nurse
report to the provider? - correct answers>>>Benign prostatic hyperplasia
A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which
of the following clients statements indicate an understanding of the teaching? - correct answers>>>I will
rinse my mouth after I use this inhaler
A nurse is caring for a client who is having an acute asthma attack. Which of the following medications
should the nurse administer first? - correct answers>>>Albuterol
The nurse is collecting data from a client who has hyperthyroidism and a new prescription for
propylthiouracil . The nurse should monitor the client for which of the following manifestation's as an
adverse effect of this medication? - correct answers>>>Sore throat
And nurses caring for a client who has genital herpes. Which of the following medications to the nurse
expect administer? - correct answers>>>Acyclovir
A nurse is reviewing a clients medical history before administering hydromorphone for post operative
pain. The nurse should notify the provider of which of the following findings before administering this
medication? - correct answers>>>Benign prostatic hyperplasia
A nurse is assisting with the care of a client who is preterm labor and is receiving magnesium sulfate by
continuous IV infusion which of the following findings indicates magnesium toxicity? - correct
answers>>>Hyporeflexia
A nurse is collecting data from a client who is taking tobramycin. Which of the following findings should
the nurse report to the provider immediately? - correct answers>>>oliguria
, A nurse is preparing to administer cefazolon 1g in 100mL 0.9% sodium chloride to infuse over 30 min.
The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to
deliver how many gtt/ml? - correct answers>>>50 gtt/min
A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute
alcohol withdrawal. The nurse should identify which of the following interventions as the priority? -
correct answers>>>Implement seizure precautions
A nurse is reinforcing teaching with a client who has type one diabetes and is learning to self administer
NPH insulin. Which of the following clients actions indicate an understanding of the teaching? - correct
answers>>>The client wipes the cap with alcohol prior to filling the syringe
A nurse is caring for a client who has kidney failure and has been taking epoetin Alfa. Which of the
following is a therapeutic affect of this medication? - correct answers>>>Increased Hgb
A nurse is monitoring a client who is two hours post operative and has a prescription for opioids
analgesics. Which of the following actions provides the nurse with the priority data to determine the
clients need for analgesia? - correct answers>>>Asked the client to rate her pain level
A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen.
Which of the following findings should the nurse identify as an adverse effect of this medication? -
correct answers>>>Drowsiness
A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the
following findings indicate an adverse reaction to this medication? - correct answers>>>Hypotension
A nurse is caring for a client who is taking disulfiram And consumed alcohol 12 hours ago. Which of the
following adverse reactions is the priority finding to report to the provider? - correct
answers>>>Respiratory depression
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should
instruct the client to monitor for which of the following adverse affects of his medication? - correct
answers>>>Dry cough
Holland – Urban Questions with Answers
A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of
the following foods should the nurse include in the teaching as an appropriate food choice? - correct
answers>>>Yogurt
A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should
the nurse take when documenting the medication error? - correct answers>>>Document the notification
of the client's provider
A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone. Which of
the following findings indicates a therapeutic effect of the medication? - correct answers>>>Clear,
bilateral breath sounds
A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal
patch. Which of the following statements by the client indicates an understanding of the teaching? -
correct answers>>>While using the patch, I will be careful when rising from a chair
A nurse is reviewing the medication administration record of a client who has a history of Stevens-
Johnson Syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications
should the nurse identify as contradicted for this client? - correct answers>>>Furosemide
A nurse is collecting data from a client who is taking lithium to treat bipolar disorders. Which of the
following findings should the nurse report to the provider? - correct answers>>>Slurred Speech
An older adult client who has terminal cancer reports pain at the level of 5 using a 0 to 10 pain scale. The
client has a prescription for morphine 15mg orally every 4 hours. The client's children express concern
that the client is receiving too much of the medication. Which of the following responses should the
nurse make? - correct answers>>>The dose should remain constant to prevent breakthrough pain
A nurse is collecting data from a client who has been taking levodopa/carbiopa. Which of the following
findings should indicate to the nurse that the medication is effective? - correct answers>>>The client is
able to wash his face
,A nurse is reinforcing teaching about nicotine polacrilex gum with a client who smokes three packs of
cigarettes per day. Which of the following statements should the nurse include in the teaching? - correct
answers>>>You should chew the gum for a whole 30 minutes before discarding
A nurse is reviewing the medication administration record for a client who has a new prescription for
tobramycin to treat pulmonary infection. Which of the following medications should the nurse identify
as increasing the risk for ototoxicity while taking tobramycin? - correct answers>>>Furosemide
A nurse is reinforcing discharge teaching with a client who has type 2 diabetes mellitus and a new
prescription for metformin. The nurse should instruct the client to monitor for What should the client
monitor for which of the following manifestations as adverse effects of this medication? - correct
answers>>>Muscle Pain
Fatigue
Metallic Taste
A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new
prescription for sumatriptan. The nurse should instruct the client to report which of the following
manifestations to the provider as a averse effect of this medication? - correct answers>>>Chest Tightness
A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. Which of the
following manifestations should the nurse monitor to determine whether the treatment is effective? -
correct answers>>>Improved social interactions
A nurse is collecting data prior to administering digoxin to a client. For which of the following findings
should the nurse withhold this medication and notify the provider? - correct answers>>>Apical pulse
52/min
A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The
nurse should monitor the client for which of the following manifestations as an adverse effect of the
medication? - correct answers>>>Diarrhea
,A nurse is a provider's office is reviewing the immunization records of a 12-month-old infant who is
immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for
this client? - correct answers>>>MMR (measles, mumps, rubella)
A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate To
treat motion sickness. Which of the following this order is in the clients medical records should the nurse
report to the provider? - correct answers>>>Benign prostatic hyperplasia
A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which
of the following clients statements indicate an understanding of the teaching? - correct answers>>>I will
rinse my mouth after I use this inhaler
A nurse is caring for a client who is having an acute asthma attack. Which of the following medications
should the nurse administer first? - correct answers>>>Albuterol
The nurse is collecting data from a client who has hyperthyroidism and a new prescription for
propylthiouracil . The nurse should monitor the client for which of the following manifestation's as an
adverse effect of this medication? - correct answers>>>Sore throat
And nurses caring for a client who has genital herpes. Which of the following medications to the nurse
expect administer? - correct answers>>>Acyclovir
A nurse is reviewing a clients medical history before administering hydromorphone for post operative
pain. The nurse should notify the provider of which of the following findings before administering this
medication? - correct answers>>>Benign prostatic hyperplasia
A nurse is assisting with the care of a client who is preterm labor and is receiving magnesium sulfate by
continuous IV infusion which of the following findings indicates magnesium toxicity? - correct
answers>>>Hyporeflexia
A nurse is collecting data from a client who is taking tobramycin. Which of the following findings should
the nurse report to the provider immediately? - correct answers>>>oliguria
, A nurse is preparing to administer cefazolon 1g in 100mL 0.9% sodium chloride to infuse over 30 min.
The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to
deliver how many gtt/ml? - correct answers>>>50 gtt/min
A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute
alcohol withdrawal. The nurse should identify which of the following interventions as the priority? -
correct answers>>>Implement seizure precautions
A nurse is reinforcing teaching with a client who has type one diabetes and is learning to self administer
NPH insulin. Which of the following clients actions indicate an understanding of the teaching? - correct
answers>>>The client wipes the cap with alcohol prior to filling the syringe
A nurse is caring for a client who has kidney failure and has been taking epoetin Alfa. Which of the
following is a therapeutic affect of this medication? - correct answers>>>Increased Hgb
A nurse is monitoring a client who is two hours post operative and has a prescription for opioids
analgesics. Which of the following actions provides the nurse with the priority data to determine the
clients need for analgesia? - correct answers>>>Asked the client to rate her pain level
A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen.
Which of the following findings should the nurse identify as an adverse effect of this medication? -
correct answers>>>Drowsiness
A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the
following findings indicate an adverse reaction to this medication? - correct answers>>>Hypotension
A nurse is caring for a client who is taking disulfiram And consumed alcohol 12 hours ago. Which of the
following adverse reactions is the priority finding to report to the provider? - correct
answers>>>Respiratory depression
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should
instruct the client to monitor for which of the following adverse affects of his medication? - correct
answers>>>Dry cough
