PHARMACOLOGY
1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was
effective if the:
a) Thyroid stimulating hormone (TSH) level is 2 micro units/mL
b) Total t4 level is 2 mcg/dL
2. A nurse providing teaching to a client who has just been prescribed prazosin (Minipress)
which of the following client statement indicates understanding of teaching:
a) I will not use a salt substitute while taking meds
b) I will move slowly from sitting to standing to prevent falls
3. A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
statement by the patient indicates further teaching:
a) I should expect a rash to develop
b) I may develop hair or face or chest
4. A nurse is receiving a telephone prescription for an antibiotic from a client's provider.
Which of the following is the nurse required to do:
a) Read the prescription back to the provider after transcribing
b) Write the trade name for the prescribed medicine
5. A nurse is providing teaching to an adolescent and her family regarding a new prescription
of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client
statements indicates the understanding of the teaching:
a) I will keep a seizure frequency chart
b) I will skip a dose if I am experiencing nausea
6. A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and
digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which
of the following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium
1|Page
, 7. A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
Which of the following client findings requires an incident report:
a) The client is also taking linsinophrel (Prinivil)
b) The client reports shortness of breath
8. A nurse is providing teaching to a female client who has been newly diagnosed with a
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that
phenytoin can decrease the effectiveness of which of the following:
a) Ethunyl estradiol/desogestrel (Cyclessa)
b) Fluroxetine (Prozac)
9. A nurse providing teaching to a client who is diagnosed with migraine headaches. The client is
prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in
her instructions:
a) Take 1SL tablet three times a day before meals
b) Take 1SL tablet at onset of migraine
10. A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of
digoxin (Lanoxin). The client's serum digoxin level is 0.7 mg/mL. Which of the following
actions should the nurse take:
a) Give the medication
b) Request a dose increase
11. A nurse is planning to provide medication education for a client who will begin a course of
therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the
client to avoid during the course of therapy:
a) Coffee
b) Beer
12. A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten).
Which of the following statements by the client indicates a need for further teaching:
a) I will take the medication 1 hr. before my
meals
b) I will use a salt substitute with my meal
2|Page
1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid)
0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was
effective if the:
a) Thyroid stimulating hormone (TSH) level is 2 micro units/mL
b) Total t4 level is 2 mcg/dL
2. A nurse providing teaching to a client who has just been prescribed prazosin (Minipress)
which of the following client statement indicates understanding of teaching:
a) I will not use a salt substitute while taking meds
b) I will move slowly from sitting to standing to prevent falls
3. A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which
statement by the patient indicates further teaching:
a) I should expect a rash to develop
b) I may develop hair or face or chest
4. A nurse is receiving a telephone prescription for an antibiotic from a client's provider.
Which of the following is the nurse required to do:
a) Read the prescription back to the provider after transcribing
b) Write the trade name for the prescribed medicine
5. A nurse is providing teaching to an adolescent and her family regarding a new prescription
of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client
statements indicates the understanding of the teaching:
a) I will keep a seizure frequency chart
b) I will skip a dose if I am experiencing nausea
6. A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and
digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which
of the following actions should the nurse take first:
1) Apply a cardiac monitor
2) Provides foods high in potassium
1|Page
, 7. A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.
Which of the following client findings requires an incident report:
a) The client is also taking linsinophrel (Prinivil)
b) The client reports shortness of breath
8. A nurse is providing teaching to a female client who has been newly diagnosed with a
seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that
phenytoin can decrease the effectiveness of which of the following:
a) Ethunyl estradiol/desogestrel (Cyclessa)
b) Fluroxetine (Prozac)
9. A nurse providing teaching to a client who is diagnosed with migraine headaches. The client is
prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in
her instructions:
a) Take 1SL tablet three times a day before meals
b) Take 1SL tablet at onset of migraine
10. A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of
digoxin (Lanoxin). The client's serum digoxin level is 0.7 mg/mL. Which of the following
actions should the nurse take:
a) Give the medication
b) Request a dose increase
11. A nurse is planning to provide medication education for a client who will begin a course of
therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the
client to avoid during the course of therapy:
a) Coffee
b) Beer
12. A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten).
Which of the following statements by the client indicates a need for further teaching:
a) I will take the medication 1 hr. before my
meals
b) I will use a salt substitute with my meal
2|Page
