RASMUSSEN PHARM EXAM 1 2024-2025
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
STUDYGUIDE
A nurse is teaching a client who has a new prescription for
levodopa/carbidopa for Parkinson's disease. Which of the
following instructions should the nurse include?
A. Increase intake of protein-rich foods.
B. Expect muscle twitching to occur.
C. Take this medication with food.
D. Anticipate relief of manifestations in 24 hr. Correct
Answer C. The client should take this medication with food
to reduce GI effects.
A nurse is caring for a client who is receiving moderate
sedation with diazepam IV. The client is oversedated.
Which of the following medications should the nurse
expect to administer to this client?
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine Correct Answer C. CORRECT:
Flumazenil is a competitive benzodiazepine antagonist
used to reverse the sedation and other effects of
benzodiazepines.
,A nurse is teaching a client who has
obsessive-compulsive disorder and has a new prescription
for fluoxetine. Which of the following instructions should
the nurse include?
A. "It can take several weeks before you feel like the
medication is helping."
B. "Take the medication just before bedtime to promote
sleep."
C. "You should take the medication when needed for
obsessive urges."
D. "Monitor for weight gain while taking this medication."
Correct Answer A. CORRECT: Fluoxetine can take 1 to 4
weeks before the client reaches full therapeutic benefit.
A nurse is caring for a client who has a new prescription
for phenelzine, an MAOI, for the treatment of depression.
Which of the following indicates that the client has
developed an adverse effect of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss Correct Answer A. CORRECT: Orthostatic
hypotension is an adverse of effect of MAOIs, including
phenelzine
A nurse is providing teaching to a client who has a new
prescription for amitriptyline for treatment of depression.
Which of the following should the nurse include in the
teaching? (Select all that apply.)
,A. Expect therapeutic effects in 24 to 48 hr.
B. Discontinue the medication after a week of improved
mood.
C. Change positions slowly to minimize dizziness.
D. Decrease dietary fiber intake to control diarrhea.
E. Chew sugarless gum to prevent dry mouth. Correct
Answer C. CORRECT: Changing positions slowly helps
prevent orthostatic hypotension, which is an adverse effect
of amitriptyline.
E. CORRECT: Chewing sugarless gum can minimize dry
mouth, which is an adverse effect of amitriptyline.
A nurse is providing discharge teaching to a client who
has a new prescription for fluoxetine for posttraumatic
stress disorder. Which of the following statements should
the nurse include in the teaching?
A. "You can have a decreased desire for intimacy while
taking this medication."
B. "You should take this medication at bedtime to help
promote sleep."
C. "You will have fewer urinary adverse effects if you
urinate just before taking this medication."
D. "You'll need to wear sunglasses when outdoors due to
the light sensitivity caused by this medication." Correct
Answer A. CORRECT: Decreased libido is a potential
adverse effect of fluoxetine and other SSRIs
, A nurse is caring for a client who has been taking
sertraline for the past 2 days. Which of the following
assessment findings should alert the nurse to the
possibility that the client is developing serotonin
syndrome?
A. Bruising
B. Fever
C. Tinnitus
D. Rash Correct Answer B. CORRECT: Fever is a
manifestation of serotonin syndrome, which can result
from taking an SSRI such as sertraline.
A nurse is reviewing laboratory findings and notes that a
client's lithium level is 2.1 mEq/L. Which of the following is
an appropriate action by the nurse?
•
A. Hold the medication and notify the provider.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test. Correct
Answer A. CORRECT: Hold the medication and notify the
provider is the appropriate action for a client who has
severe toxicity, as evidenced by a plasma lithium level of
2.1 mEq/L.
A nurse is caring for a client who has a new prescription
for lithium. When teaching the client about ways to prevent
lithium toxicity, the nurse should advise the client to do
which of the following?
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
STUDYGUIDE
A nurse is teaching a client who has a new prescription for
levodopa/carbidopa for Parkinson's disease. Which of the
following instructions should the nurse include?
A. Increase intake of protein-rich foods.
B. Expect muscle twitching to occur.
C. Take this medication with food.
D. Anticipate relief of manifestations in 24 hr. Correct
Answer C. The client should take this medication with food
to reduce GI effects.
A nurse is caring for a client who is receiving moderate
sedation with diazepam IV. The client is oversedated.
Which of the following medications should the nurse
expect to administer to this client?
A. Ketamine
B. Naltrexone
C. Flumazenil
D. Fluvoxamine Correct Answer C. CORRECT:
Flumazenil is a competitive benzodiazepine antagonist
used to reverse the sedation and other effects of
benzodiazepines.
,A nurse is teaching a client who has
obsessive-compulsive disorder and has a new prescription
for fluoxetine. Which of the following instructions should
the nurse include?
A. "It can take several weeks before you feel like the
medication is helping."
B. "Take the medication just before bedtime to promote
sleep."
C. "You should take the medication when needed for
obsessive urges."
D. "Monitor for weight gain while taking this medication."
Correct Answer A. CORRECT: Fluoxetine can take 1 to 4
weeks before the client reaches full therapeutic benefit.
A nurse is caring for a client who has a new prescription
for phenelzine, an MAOI, for the treatment of depression.
Which of the following indicates that the client has
developed an adverse effect of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss Correct Answer A. CORRECT: Orthostatic
hypotension is an adverse of effect of MAOIs, including
phenelzine
A nurse is providing teaching to a client who has a new
prescription for amitriptyline for treatment of depression.
Which of the following should the nurse include in the
teaching? (Select all that apply.)
,A. Expect therapeutic effects in 24 to 48 hr.
B. Discontinue the medication after a week of improved
mood.
C. Change positions slowly to minimize dizziness.
D. Decrease dietary fiber intake to control diarrhea.
E. Chew sugarless gum to prevent dry mouth. Correct
Answer C. CORRECT: Changing positions slowly helps
prevent orthostatic hypotension, which is an adverse effect
of amitriptyline.
E. CORRECT: Chewing sugarless gum can minimize dry
mouth, which is an adverse effect of amitriptyline.
A nurse is providing discharge teaching to a client who
has a new prescription for fluoxetine for posttraumatic
stress disorder. Which of the following statements should
the nurse include in the teaching?
A. "You can have a decreased desire for intimacy while
taking this medication."
B. "You should take this medication at bedtime to help
promote sleep."
C. "You will have fewer urinary adverse effects if you
urinate just before taking this medication."
D. "You'll need to wear sunglasses when outdoors due to
the light sensitivity caused by this medication." Correct
Answer A. CORRECT: Decreased libido is a potential
adverse effect of fluoxetine and other SSRIs
, A nurse is caring for a client who has been taking
sertraline for the past 2 days. Which of the following
assessment findings should alert the nurse to the
possibility that the client is developing serotonin
syndrome?
A. Bruising
B. Fever
C. Tinnitus
D. Rash Correct Answer B. CORRECT: Fever is a
manifestation of serotonin syndrome, which can result
from taking an SSRI such as sertraline.
A nurse is reviewing laboratory findings and notes that a
client's lithium level is 2.1 mEq/L. Which of the following is
an appropriate action by the nurse?
•
A. Hold the medication and notify the provider.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test. Correct
Answer A. CORRECT: Hold the medication and notify the
provider is the appropriate action for a client who has
severe toxicity, as evidenced by a plasma lithium level of
2.1 mEq/L.
A nurse is caring for a client who has a new prescription
for lithium. When teaching the client about ways to prevent
lithium toxicity, the nurse should advise the client to do
which of the following?
