PHARMACOLOGY Final Exam 40 Q&A With Updated
100% Correct Solution 2023/AGRADE
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which
information is most important for the nurse to assess? - ANSWER: Consumption of
any alcohol or tyramine-rich foods.
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time.
What side effects should the nurse assess the client for during the initial dose? -
ANSWER: Dystonia.
While reviewing the client's electronic medical record (EMR), the nurse assesses a
client who is at risk for a possible interaction with an over-the-counter (OTC)
decongestant. Which client health history should the nurse report to the healthcare
provider concerning the OTC medication? (Select all that apply.) - ANSWER: Closed
angle glaucoma.
Chronic hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the nurse implement first? -
ANSWER: Withhold medication and report symptoms and vital signs to healthcare
provider.
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the best
course of treatment for the nurse to administer? - ANSWER: High dose
methylprednisolone intravenously.
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the medication is being
therapeuitc? - ANSWER: A decrease in blood ammonia levels.
The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client indicates an
understanding of how the medication works? - ANSWER: It facilitates the transport
of glucose into the cells.
The nurse should withhold which medication if a client reports nausea, vomiting, and
diarrhea? - ANSWER: Colchicine (Mitigare, Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD)
asks the nurse how the medication will help. Which is the best explanation to
provide the client? - ANSWER: It will promote rapid tissue healing.
, A nurse is providing medication education for a client prescribed a beta-blocking
agents for treatment of glaucoma. Which statement by the client demonstrates an
understanding of the mechanism of the medication? - ANSWER: It inhibits the
aqueous humor production.
A nurse is planning a teaching session for a client newly prescribed a miotic drug for
the treatment of glaucoma. Which information should the nurse include in the
teaching session? - ANSWER: The medication enhances the aqueous humor outflow.
The healthcare provider (HCP) prescribes a medication for an older adult client who
is reporting insomnia, and the HCP instructs the client to return in two weeks. The
nurse should question which prescription? - ANSWER: Eszopiclone (Lunesta) 10
milligrams orally at bedtime.
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with
discharge teaching, the nurse should include which instruction? - ANSWER: Take at
same time each day one hour before eating a meal.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone.
When teaching about this drug, which information in the client's history requires
special emphasis by the nurse? - ANSWER: Works twenty hours a week as a lifeguard
at the local pool.
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to
a client. Which assessment finding should the nurse use to evaluate the effectiveness
of the medication? - ANSWER: The number on the numeric pain scale.
Based on the blood culture and sensitivity results, the healthcare provider prescribes
an IV aminoglycoside antibiotic and discontinues the current prescription for another
broad spectrum antibiotic. The medication administration record indicates that the
client received the broad spectrum antibiotic two hours ago. Which action should
the nurse implement? - ANSWER: Administer the initial dose of the aminoglycoside
antibiotic as soon as possible.
The nurse is providing medication teaching for a client who recently received a
prescription for clozapine (Clozaril). Which instruction should be included in this
client's teaching plan? - ANSWER: Rise slowly from a lying position.
A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which
instruction should the nurse include in this client's teaching? - ANSWER: Place under
the tongue as needed every 5 minutes up to 3 times.
Which side effects should the nurse monitor for a client who is receiving
dexamethasone (Decadron) following neurosurgery? (Select all that apply.) -
ANSWER: Mood swings.
Increased weight gain.
100% Correct Solution 2023/AGRADE
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which
information is most important for the nurse to assess? - ANSWER: Consumption of
any alcohol or tyramine-rich foods.
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time.
What side effects should the nurse assess the client for during the initial dose? -
ANSWER: Dystonia.
While reviewing the client's electronic medical record (EMR), the nurse assesses a
client who is at risk for a possible interaction with an over-the-counter (OTC)
decongestant. Which client health history should the nurse report to the healthcare
provider concerning the OTC medication? (Select all that apply.) - ANSWER: Closed
angle glaucoma.
Chronic hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the nurse implement first? -
ANSWER: Withhold medication and report symptoms and vital signs to healthcare
provider.
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the best
course of treatment for the nurse to administer? - ANSWER: High dose
methylprednisolone intravenously.
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the medication is being
therapeuitc? - ANSWER: A decrease in blood ammonia levels.
The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client indicates an
understanding of how the medication works? - ANSWER: It facilitates the transport
of glucose into the cells.
The nurse should withhold which medication if a client reports nausea, vomiting, and
diarrhea? - ANSWER: Colchicine (Mitigare, Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD)
asks the nurse how the medication will help. Which is the best explanation to
provide the client? - ANSWER: It will promote rapid tissue healing.
, A nurse is providing medication education for a client prescribed a beta-blocking
agents for treatment of glaucoma. Which statement by the client demonstrates an
understanding of the mechanism of the medication? - ANSWER: It inhibits the
aqueous humor production.
A nurse is planning a teaching session for a client newly prescribed a miotic drug for
the treatment of glaucoma. Which information should the nurse include in the
teaching session? - ANSWER: The medication enhances the aqueous humor outflow.
The healthcare provider (HCP) prescribes a medication for an older adult client who
is reporting insomnia, and the HCP instructs the client to return in two weeks. The
nurse should question which prescription? - ANSWER: Eszopiclone (Lunesta) 10
milligrams orally at bedtime.
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with
discharge teaching, the nurse should include which instruction? - ANSWER: Take at
same time each day one hour before eating a meal.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone.
When teaching about this drug, which information in the client's history requires
special emphasis by the nurse? - ANSWER: Works twenty hours a week as a lifeguard
at the local pool.
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to
a client. Which assessment finding should the nurse use to evaluate the effectiveness
of the medication? - ANSWER: The number on the numeric pain scale.
Based on the blood culture and sensitivity results, the healthcare provider prescribes
an IV aminoglycoside antibiotic and discontinues the current prescription for another
broad spectrum antibiotic. The medication administration record indicates that the
client received the broad spectrum antibiotic two hours ago. Which action should
the nurse implement? - ANSWER: Administer the initial dose of the aminoglycoside
antibiotic as soon as possible.
The nurse is providing medication teaching for a client who recently received a
prescription for clozapine (Clozaril). Which instruction should be included in this
client's teaching plan? - ANSWER: Rise slowly from a lying position.
A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which
instruction should the nurse include in this client's teaching? - ANSWER: Place under
the tongue as needed every 5 minutes up to 3 times.
Which side effects should the nurse monitor for a client who is receiving
dexamethasone (Decadron) following neurosurgery? (Select all that apply.) -
ANSWER: Mood swings.
Increased weight gain.
