Pharmacology WGU
1. While caring for a client who is taking furosemide (Lasix), the nurse recog- nizes dietary teaching has been
affective if the patient includes which foods in the daily menus: Oranges and sweet potatoes, they help to replace
potassium losses from the Furosemide
2. A client newly diagnosed with diabetes tells the nurse, "I cant take any insulin from pigs or cows." Which
response bu the nurse is best.: Most insulin is synthetic now, so your insulin won't be from animal sources.
3. While providing medications to clients on the cardiac unit, the nurse antic- ipates that hydralazine
hydrochloride and isosorbide dinitrate (BiDi) would most likely be prescribed for which of the following clients?:
a 64 year old african american male diagnosed with heart failure
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (ancef) as
ordered 30 mins preoperatively. The nurse knows that teaching has been affective by which of the following client
statements?-
: This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery
5. While caring for a patient with a history of hypothyroidism, the nurse expects which medications to be
included in the patients medication list?: - Levothyroxine sodium (Synthroid)
6. A 55 year old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper GI tract.
What statement would the nurse include in the client's teaching?: You will be asked to drink a barium contrast about
30 minutes before the test to help highlight any digestive problems. It is used to assist in viewing the upper GI tract to
allow the practitioner to diagnose conditions
7. Which medication order should the nurse use to carry out palliative care measures for a 29 year old woman
with advanced cancer?: Morphine Sulfate (Roxanol) 5mg PO every 4 hours as needed for pain. This is a common
treatment for palliative care
8. A woman experiencing menopausal symptoms asks the nurse about con- jugated estrogen (Pramarin).
Which of the following statements by the indi- vidual indicates an understanding for the medications origin.: "I
was told the medication is actually derived from the urine of pregnant horses."
-estrogen is derived from a pregnant mare's urine.
9. What describes the benefit of the use of pharmacogenetics in the treatment of conditions?: Pharmacogenetics is
used to identify the best drug and dose to be used.
10.The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47
year old woman reports being allergic
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, Pharmacology WGU
to iodine. Which tests should the nurse inform the physician of the iodine allergy?: Thyroid scan, CAT scan, MRI
11.While shopping for an over-the-counter cough suppressant, the nurse identifies the medication will be
classified as a : Schedule 5 medication
-have the lowest potential for abuse, some may still need a prescription, OTC cough suppressants are in this category
12.Describe the role of the DEA in maintaining patient safety.: Indicating which medications are controlled
substances and enforcing laws
13.The nurse provides a patient who was admitted with GERD a dose of IV pantoprazole (protonix). 15
mins later, the patient calls for help and is gasping for breath. Emergency measures are instituted and the
patient is
transferred to the ICU. Which action should be included in the nurse's follow up activities.: Identify the episode as
an adverse reaction and ensure it is reported to the FDA. The FDA tracks adverse reactions to monitor for the need to hav
the drug recalled. The MedWatch program is voluntary.
14.A patient with advanced colorectal cancer is going to start taking long-act- ing morphine sulfate (MS
Contin). Which of the following statements by the nurse is best?: "I am faxing the prescription to the pharmacy, but
you must also take this written prescription with you to pick it up.
15.A patient with a compressed disc in the lumbar region takes Vicodin every 6 hours for pain control. The
patient tells the nurse, "This pain medication just doesn't seem to be working anymore." How should the nurse
respond?: "You may be developing a tolerance to the medication." This indicates a need to change medication, increase
dose, or add additional medications.
16.A co-worker tearfully confides that she is struggling with a growing depen- dence on sleeping medication and
other drugs to maintain her work schedule on the night shift. Which action by the nurse is best?: Refer the
coworker to the employee assistance program
17.A clinical trial is helping to register a patient to a phase 2 double-blind trial comparing a new medication to
a placebo. What should the nurse include in the patient teaching?: -This trail is designed to determine if a benefit is
found when using the drug
-A computer will randomly determine which people get the actual study drug
-Neither you, the doctor nor I will know if you are getting the real medication or not
18.The nurse manager on a surgical unit suspects one of the nurses may be dealing with a substance abuse
problem. What symptoms would support this suspicion?: -The individual has lost an estimated ten pounds in the last
8 weeks
-the individual has made two medication errors in the past week
-the individual is irritable and withdrawn
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8
1. While caring for a client who is taking furosemide (Lasix), the nurse recog- nizes dietary teaching has been
affective if the patient includes which foods in the daily menus: Oranges and sweet potatoes, they help to replace
potassium losses from the Furosemide
2. A client newly diagnosed with diabetes tells the nurse, "I cant take any insulin from pigs or cows." Which
response bu the nurse is best.: Most insulin is synthetic now, so your insulin won't be from animal sources.
3. While providing medications to clients on the cardiac unit, the nurse antic- ipates that hydralazine
hydrochloride and isosorbide dinitrate (BiDi) would most likely be prescribed for which of the following clients?:
a 64 year old african american male diagnosed with heart failure
4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (ancef) as
ordered 30 mins preoperatively. The nurse knows that teaching has been affective by which of the following client
statements?-
: This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery
5. While caring for a patient with a history of hypothyroidism, the nurse expects which medications to be
included in the patients medication list?: - Levothyroxine sodium (Synthroid)
6. A 55 year old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper GI tract.
What statement would the nurse include in the client's teaching?: You will be asked to drink a barium contrast about
30 minutes before the test to help highlight any digestive problems. It is used to assist in viewing the upper GI tract to
allow the practitioner to diagnose conditions
7. Which medication order should the nurse use to carry out palliative care measures for a 29 year old woman
with advanced cancer?: Morphine Sulfate (Roxanol) 5mg PO every 4 hours as needed for pain. This is a common
treatment for palliative care
8. A woman experiencing menopausal symptoms asks the nurse about con- jugated estrogen (Pramarin).
Which of the following statements by the indi- vidual indicates an understanding for the medications origin.: "I
was told the medication is actually derived from the urine of pregnant horses."
-estrogen is derived from a pregnant mare's urine.
9. What describes the benefit of the use of pharmacogenetics in the treatment of conditions?: Pharmacogenetics is
used to identify the best drug and dose to be used.
10.The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47
year old woman reports being allergic
1/
8
, Pharmacology WGU
to iodine. Which tests should the nurse inform the physician of the iodine allergy?: Thyroid scan, CAT scan, MRI
11.While shopping for an over-the-counter cough suppressant, the nurse identifies the medication will be
classified as a : Schedule 5 medication
-have the lowest potential for abuse, some may still need a prescription, OTC cough suppressants are in this category
12.Describe the role of the DEA in maintaining patient safety.: Indicating which medications are controlled
substances and enforcing laws
13.The nurse provides a patient who was admitted with GERD a dose of IV pantoprazole (protonix). 15
mins later, the patient calls for help and is gasping for breath. Emergency measures are instituted and the
patient is
transferred to the ICU. Which action should be included in the nurse's follow up activities.: Identify the episode as
an adverse reaction and ensure it is reported to the FDA. The FDA tracks adverse reactions to monitor for the need to hav
the drug recalled. The MedWatch program is voluntary.
14.A patient with advanced colorectal cancer is going to start taking long-act- ing morphine sulfate (MS
Contin). Which of the following statements by the nurse is best?: "I am faxing the prescription to the pharmacy, but
you must also take this written prescription with you to pick it up.
15.A patient with a compressed disc in the lumbar region takes Vicodin every 6 hours for pain control. The
patient tells the nurse, "This pain medication just doesn't seem to be working anymore." How should the nurse
respond?: "You may be developing a tolerance to the medication." This indicates a need to change medication, increase
dose, or add additional medications.
16.A co-worker tearfully confides that she is struggling with a growing depen- dence on sleeping medication and
other drugs to maintain her work schedule on the night shift. Which action by the nurse is best?: Refer the
coworker to the employee assistance program
17.A clinical trial is helping to register a patient to a phase 2 double-blind trial comparing a new medication to
a placebo. What should the nurse include in the patient teaching?: -This trail is designed to determine if a benefit is
found when using the drug
-A computer will randomly determine which people get the actual study drug
-Neither you, the doctor nor I will know if you are getting the real medication or not
18.The nurse manager on a surgical unit suspects one of the nurses may be dealing with a substance abuse
problem. What symptoms would support this suspicion?: -The individual has lost an estimated ten pounds in the last
8 weeks
-the individual has made two medication errors in the past week
-the individual is irritable and withdrawn
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8
