PN Pharmacology Online Practice 2020 B w Reasoning
1. 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 interven- tions as the priority?
Suggest the client attend a support group. Administer
naltrexone.
Implement seizure precautions.
Assist the client to identify triggers of alcohol use.: implement seizure precau- tions.
The greatest risk to the client is injury from seizures and falls. Grand mal seizures can occur
during severe alcohol withdrawal. Therefore, the nurse's priority is to implement seizure
precautions to reduce the risk of injury if the client experiences a seizure.
2. 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 an adverse effect of this medication?
Insomnia
Photophobia Chest
tightness
Respiratory depression: chest tightness
The nurse should instruct the client to report chest pain or tightness to the provider because
this can be a manifestation of a vasospastic response.
3. A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg P0 daily, The nurse
should
instruct the client to monitor for which of the following adverse effects of this medication?
Hypokalemia
Blurred vision
Tremors
Dry cough: Dry cough
The nurse should identify that a persistent dry or nonproductive cough is an adverse
, PN Pharmacology Online Practice 2020 B w Reasoning
effect of enalapril. The underlying cause of the dry cough is the accumulation of bradykinin from
the medication. The client should notify the provider of this adverse effect.
4. A nurse is caring for a client who has genital herpes. which of the following medications should
the
nurse expect to administer?
Levofloxacin
Acyclovir
Ceftriaxone
Metronidazole: acyclovir
The client should receive acyclovir, an antiviral medication, to treat genital herpes by reducing
manifestations and the rate of viral shedding.
5. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse
effects of
metformin. The nurse should instruct the client to monitor for which of the following ndings as
manifestations of lactic acidosis? (Select all that apply.)
Muscle pain
Hyperventilation
Weight gain
Constipation
Dizziness: [] muscle pain []
hyperventilation
[] Dizziness
Weight gain is not a manifestation of lactic acidosis. Metformin can cause weight loss rather
than weight gain.
Diarrhea is a manifestation of lactic acidosis rather than constipation.
6. A nurse in a provider's of ce is reviewing the
immunization records of a 12-month-old infant who is
immunocompromised. which of the following vaccines should the nurse iden- tify as contraindicated
for
this client?
Hepatitis A (HepA)
Measles, mumps, and rubella (MMR)
, PN Pharmacology Online Practice 2020 B w Reasoning
Pneumococcal conjugate (PCV13)
Haemophilus B conjugate (Hib): Measles, mumps, and rubella (MMR)
Although most infants should receive the MMR vaccine between the ages of 12 months and 15
months, the nurse should identify that the MMR vaccine is composed of live viruses and is
contraindicated for an infant who is immunocompromised.
7. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to
self-
administer NPH insulin' Which of the following client actions indicates an understanding of the
teaching?
The client shakes the insulin vial prior to drawing up the dose. The client uses the tip of
the plunger to measure the correct dose. The client injects air into the vial after
inverting it.
The client wipes the cap with alcohol prior to filling the syringe.: The client wipes the cap with alcoh
prior to filling the syringe.
The client should wipe the cap with alcohol prior to filling the syringe to reduce the risk for
contamination.
8. A nurse is caring for a client who is having an acute asthma attack. Which of the following
medications should the nurse administer first?
Beclomethasone
Albuterol Cromolyn
Prednisone: albuterol
According to evidence-based practice, the nurse should administer a short-acting beta2 agonist
with a rapid onset when a client is experiencing an acute asthma attack. Therefore, the nurse
should administer the albuterol prior to the other med- ications for prompt relief of airway
constriction.
9. A nurse is collecting data from a client who received morphine IV for pain relief. Which of the
following
ndings is the nurse's priority to report to the provider?
Emesis
Sedation
Respiratory rate 11/min
1. 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 interven- tions as the priority?
Suggest the client attend a support group. Administer
naltrexone.
Implement seizure precautions.
Assist the client to identify triggers of alcohol use.: implement seizure precau- tions.
The greatest risk to the client is injury from seizures and falls. Grand mal seizures can occur
during severe alcohol withdrawal. Therefore, the nurse's priority is to implement seizure
precautions to reduce the risk of injury if the client experiences a seizure.
2. 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 an adverse effect of this medication?
Insomnia
Photophobia Chest
tightness
Respiratory depression: chest tightness
The nurse should instruct the client to report chest pain or tightness to the provider because
this can be a manifestation of a vasospastic response.
3. A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg P0 daily, The nurse
should
instruct the client to monitor for which of the following adverse effects of this medication?
Hypokalemia
Blurred vision
Tremors
Dry cough: Dry cough
The nurse should identify that a persistent dry or nonproductive cough is an adverse
, PN Pharmacology Online Practice 2020 B w Reasoning
effect of enalapril. The underlying cause of the dry cough is the accumulation of bradykinin from
the medication. The client should notify the provider of this adverse effect.
4. A nurse is caring for a client who has genital herpes. which of the following medications should
the
nurse expect to administer?
Levofloxacin
Acyclovir
Ceftriaxone
Metronidazole: acyclovir
The client should receive acyclovir, an antiviral medication, to treat genital herpes by reducing
manifestations and the rate of viral shedding.
5. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse
effects of
metformin. The nurse should instruct the client to monitor for which of the following ndings as
manifestations of lactic acidosis? (Select all that apply.)
Muscle pain
Hyperventilation
Weight gain
Constipation
Dizziness: [] muscle pain []
hyperventilation
[] Dizziness
Weight gain is not a manifestation of lactic acidosis. Metformin can cause weight loss rather
than weight gain.
Diarrhea is a manifestation of lactic acidosis rather than constipation.
6. A nurse in a provider's of ce is reviewing the
immunization records of a 12-month-old infant who is
immunocompromised. which of the following vaccines should the nurse iden- tify as contraindicated
for
this client?
Hepatitis A (HepA)
Measles, mumps, and rubella (MMR)
, PN Pharmacology Online Practice 2020 B w Reasoning
Pneumococcal conjugate (PCV13)
Haemophilus B conjugate (Hib): Measles, mumps, and rubella (MMR)
Although most infants should receive the MMR vaccine between the ages of 12 months and 15
months, the nurse should identify that the MMR vaccine is composed of live viruses and is
contraindicated for an infant who is immunocompromised.
7. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to
self-
administer NPH insulin' Which of the following client actions indicates an understanding of the
teaching?
The client shakes the insulin vial prior to drawing up the dose. The client uses the tip of
the plunger to measure the correct dose. The client injects air into the vial after
inverting it.
The client wipes the cap with alcohol prior to filling the syringe.: The client wipes the cap with alcoh
prior to filling the syringe.
The client should wipe the cap with alcohol prior to filling the syringe to reduce the risk for
contamination.
8. A nurse is caring for a client who is having an acute asthma attack. Which of the following
medications should the nurse administer first?
Beclomethasone
Albuterol Cromolyn
Prednisone: albuterol
According to evidence-based practice, the nurse should administer a short-acting beta2 agonist
with a rapid onset when a client is experiencing an acute asthma attack. Therefore, the nurse
should administer the albuterol prior to the other med- ications for prompt relief of airway
constriction.
9. A nurse is collecting data from a client who received morphine IV for pain relief. Which of the
following
ndings is the nurse's priority to report to the provider?
Emesis
Sedation
Respiratory rate 11/min
