Q&A Pharmacology
Q&A Pharmacology
1. A post-operative client has a prescription for acetaminophen with codeine. What should the nurse recognizes as a
primary effect of this combination?
A) Enhanced pain relief
B) Minimized side effects
C) Prevention of drug tolerance
D) Increased onset of action
2. A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Which of the
following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the
medication?
A) Headache
B) Mood changes
C) Hyperkalemia
D) Palpitations
3. When providing discharge teaching to a client with asthma, the nurse will warn against the use of which of the
following over-the-counter medications?
A) Cortisone ointments for skin rashes
B) Aspirin products for pain relief
C) Cough medications containing guaifenesin
D) Histamine blockers for gastric distress
4. The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than
younger adults because of which of the following physiological changes of advancing age?
A) Drugs are absorbed more readily from the GI tract
B) Elders have less body water and more fat
C) The elderly have more rapid hepatic metabolism
D) Older people are often malnourished and anemic
5. In providing care for a client with pain from a sickle cell crisis, which one of the following medication orders for pain
control should be questioned by the nurse?
A) Demerol
B) Morphine
C) Methadone
D) Codeine
6. The nurse is administering diltiazem (Cardizem) to a client. Prior to administration, it is important for the nurse to
assess which parameter?
A) Temperature
B) Blood pressure
C) Vision
D) Bowel sounds
7. A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of "feeling hot."
Almost immediately, the client begins to wheeze. What is the nurse's first action?
A) Stop the blood infusion
B) Notify the health care provider
C) Take/record vital signs
D) Send blood samples to lab
8. A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the
nurse to perform?
A) Monitor blood pressure every 4 hours
B) Measure apical pulse prior to administration
C) Maintain accurate intake and output records
D) Record an EKG strip after administration
9. The nurse is caring for a 10 year-old client who will be placed on heparin therapy. Which assessment is critical for
the nurse to make before initiating therapy
A) Vital signs
B) Weight
C) Lung sounds
D) Skin turgor
, Q&A Pharmacology
Q&A Pharmacology
1. A post-operative client has a prescription for acetaminophen with codeine. What should the nurse recognizes as a
primary effect of this combination?
A) Enhanced pain relief
B) Minimized side effects
C) Prevention of drug tolerance
D) Increased onset of action
2. A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Which of the
following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the
medication?
A) Headache
B) Mood changes
C) Hyperkalemia
D) Palpitations
3. When providing discharge teaching to a client with asthma, the nurse will warn against the use of which of the
following over-the-counter medications?
A) Cortisone ointments for skin rashes
B) Aspirin products for pain relief
C) Cough medications containing guaifenesin
D) Histamine blockers for gastric distress
4. The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than
younger adults because of which of the following physiological changes of advancing age?
A) Drugs are absorbed more readily from the GI tract
B) Elders have less body water and more fat
C) The elderly have more rapid hepatic metabolism
D) Older people are often malnourished and anemic
5. In providing care for a client with pain from a sickle cell crisis, which one of the following medication orders for pain
control should be questioned by the nurse?
A) Demerol
B) Morphine
C) Methadone
D) Codeine
6. The nurse is administering diltiazem (Cardizem) to a client. Prior to administration, it is important for the nurse to
assess which parameter?
A) Temperature
B) Blood pressure
C) Vision
D) Bowel sounds
7. A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of "feeling hot."
Almost immediately, the client begins to wheeze. What is the nurse's first action?
A) Stop the blood infusion
B) Notify the health care provider
C) Take/record vital signs
D) Send blood samples to lab
8. A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the
nurse to perform?
A) Monitor blood pressure every 4 hours
B) Measure apical pulse prior to administration
C) Maintain accurate intake and output records
D) Record an EKG strip after administration
9. The nurse is caring for a 10 year-old client who will be placed on heparin therapy. Which assessment is critical for
the nurse to make before initiating therapy
A) Vital signs
B) Weight
C) Lung sounds
D) Skin turgor
, Q&A Pharmacology
