VATI PN PHARMACOLOGY EXAM
QUESTIONS WITH CORRECT MARKING
SCHEME
A nurse is assisting with the care of a client who has a myasthenia gravis and is
experiencing a cholinergic crisis. Which of the following medications should the
nurse expect the RN to administer?
💊 Bethanechol
💊 Propranolol
💊 Atropine
💊 Epinephrine
ANSWER: ATROPINE.
A nurse is caring for a client who has bipolar disorder and a new prescription for
lithium. Which of the following laboratory values should the nurse plan to monitor
for potential adverse effects?
�Prothrombin Time
�Hematocrit
�Sodium
�Potassium
ANSWER: SODIUM.
A nurse is reinforcing teaching with a client who has a prescription for
rosuvastatin to treat high cholesterol levels. For which of the following adverse
effects should the nurse instruct the client to monitor and report to the provider
immediately?
➖ Muscle weakness
➖ Headache
➖ Abdominal pain
➖ Insomnia
ANSWER: MUSCLE WEAKNESS.
,A nurse is reinforcing teaching with a newly licensed nurse regarding safe
procedures for medication administration. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
➖ "I will identify the client by verifying the client's name using the room number."
➖ "I can administer antibiotics 1 hour before the scheduled time."
➖ "I will check the label on the client's medication three times before
administering it."
➖ "I will leave the client's medication at the client's bedside."
ANSWER: "I WILL CHECK THE LABEL ON THE CLIENT'S MEDICATION THREE
TIMES BEFORE ADMINISTERING IT."
A nurse is preparing to administer Lactated Ringer's solution 350 mL to infuse
over 1 hr. The drop factor of the tubing is 10 gtt/mL. The nurse should set the
manual IV infusion to deliver how many gtt/min? (Round answer to the nearest
whole number.)
ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 = 58.333
A nurse is collecting data from a client who is receiving morphine to relieve post-
operative pain. The client's respiratory rate is 9/min. The nurse should notify the
provider and expect a stat prescription for which of the following medications?
💊 Naloxone
💊 Glucagon
💊Flumazenil
💊 Protamine
ANSWER: NALOXONE.
A nurse is reinforcing teaching with a client who has a new prescription for
insulin. The client is taking propranolol. The nurse should teach the client to
monitor for which of the following findings as a manifestation of hypoglycemia?
➖ Tachycardia
➖ Difficulty breathing
➖ Sleep disturbance
➖ Hunger
ANSWER: HUNGER.
Adverse Effects of Propranolol
, Insomnia and nightmares, and can cause difficulty breathing.
A nurse is reinforcing dietary teaching with a client who is taking furosemide.
Which of the following foods should the nurse recommend as the best source of
potassium?
➖ 1 cup baked potatoes
➖ 1 cup fresh blueberries
➖ 1 cup fresh watermelon
➖ 1 cup raw chopped cabbage
ANSWER: 1 CUP BAKED POTATOES.
A nurse is reinforcing teaching with a client who has been prescribed isoniazid.
Which of the following client statements indicates an understanding of the
teaching?
➖ "I should expect my urine to turn reddish in color."
➖ "I will have a skin test to determine when I am no longer contagious."
➖ "I should notify my provider if I develop numbness in my feet."
➖ "I should expect to take this medication for 6 weeks."
ANSWER: "I SHOULD NOTIFY MY PROVIDER IF I DEVELOP NUMBNESS IN MY
FEET."
A nurse is assisting with the care of a client who has oral benzodiazepine toxicity.
The client has an IV infusing and is nonresponsive. Which of the following
interventions should the nurse anticipate first?
➖ Administering norepinephrine via continuous IV infusion
➖ Administering IV flumazenil
➖ Performing gastric lavage
➖ Preparing the client for mechanical ventilation
ANSWER: ADMINISTERING IV FLUMAZENIL.
A nurse is reinforcing teaching with a client who has chronic stable angina and a
prescription for sublingual nitroglycerin tablets. Which of the following
instructions should the nurse include in the teaching?
➖ "Replace your bottle of tablets every 3 months for best effectiveness."
➖ "Place one tablet under the tongue 30 minutes before exercise to prevent
angina chest pain."
QUESTIONS WITH CORRECT MARKING
SCHEME
A nurse is assisting with the care of a client who has a myasthenia gravis and is
experiencing a cholinergic crisis. Which of the following medications should the
nurse expect the RN to administer?
💊 Bethanechol
💊 Propranolol
💊 Atropine
💊 Epinephrine
ANSWER: ATROPINE.
A nurse is caring for a client who has bipolar disorder and a new prescription for
lithium. Which of the following laboratory values should the nurse plan to monitor
for potential adverse effects?
�Prothrombin Time
�Hematocrit
�Sodium
�Potassium
ANSWER: SODIUM.
A nurse is reinforcing teaching with a client who has a prescription for
rosuvastatin to treat high cholesterol levels. For which of the following adverse
effects should the nurse instruct the client to monitor and report to the provider
immediately?
➖ Muscle weakness
➖ Headache
➖ Abdominal pain
➖ Insomnia
ANSWER: MUSCLE WEAKNESS.
,A nurse is reinforcing teaching with a newly licensed nurse regarding safe
procedures for medication administration. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
➖ "I will identify the client by verifying the client's name using the room number."
➖ "I can administer antibiotics 1 hour before the scheduled time."
➖ "I will check the label on the client's medication three times before
administering it."
➖ "I will leave the client's medication at the client's bedside."
ANSWER: "I WILL CHECK THE LABEL ON THE CLIENT'S MEDICATION THREE
TIMES BEFORE ADMINISTERING IT."
A nurse is preparing to administer Lactated Ringer's solution 350 mL to infuse
over 1 hr. The drop factor of the tubing is 10 gtt/mL. The nurse should set the
manual IV infusion to deliver how many gtt/min? (Round answer to the nearest
whole number.)
ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 = 58.333
A nurse is collecting data from a client who is receiving morphine to relieve post-
operative pain. The client's respiratory rate is 9/min. The nurse should notify the
provider and expect a stat prescription for which of the following medications?
💊 Naloxone
💊 Glucagon
💊Flumazenil
💊 Protamine
ANSWER: NALOXONE.
A nurse is reinforcing teaching with a client who has a new prescription for
insulin. The client is taking propranolol. The nurse should teach the client to
monitor for which of the following findings as a manifestation of hypoglycemia?
➖ Tachycardia
➖ Difficulty breathing
➖ Sleep disturbance
➖ Hunger
ANSWER: HUNGER.
Adverse Effects of Propranolol
, Insomnia and nightmares, and can cause difficulty breathing.
A nurse is reinforcing dietary teaching with a client who is taking furosemide.
Which of the following foods should the nurse recommend as the best source of
potassium?
➖ 1 cup baked potatoes
➖ 1 cup fresh blueberries
➖ 1 cup fresh watermelon
➖ 1 cup raw chopped cabbage
ANSWER: 1 CUP BAKED POTATOES.
A nurse is reinforcing teaching with a client who has been prescribed isoniazid.
Which of the following client statements indicates an understanding of the
teaching?
➖ "I should expect my urine to turn reddish in color."
➖ "I will have a skin test to determine when I am no longer contagious."
➖ "I should notify my provider if I develop numbness in my feet."
➖ "I should expect to take this medication for 6 weeks."
ANSWER: "I SHOULD NOTIFY MY PROVIDER IF I DEVELOP NUMBNESS IN MY
FEET."
A nurse is assisting with the care of a client who has oral benzodiazepine toxicity.
The client has an IV infusing and is nonresponsive. Which of the following
interventions should the nurse anticipate first?
➖ Administering norepinephrine via continuous IV infusion
➖ Administering IV flumazenil
➖ Performing gastric lavage
➖ Preparing the client for mechanical ventilation
ANSWER: ADMINISTERING IV FLUMAZENIL.
A nurse is reinforcing teaching with a client who has chronic stable angina and a
prescription for sublingual nitroglycerin tablets. Which of the following
instructions should the nurse include in the teaching?
➖ "Replace your bottle of tablets every 3 months for best effectiveness."
➖ "Place one tablet under the tongue 30 minutes before exercise to prevent
angina chest pain."
