(solved) Prophecy RN Pharmacology A; latest Update 2023/2024 Rated 95%

1. Which of the following medications may predispose the client to hearing loss? a. Aspirin--ototoxic b. Ampicillin c. Demerol d. Tylenol 2. The typical acute asthmatic attack is usually due to a combination of bronchial spasm, bronchial edema, and the presence of mucoid secretions in the bronchial lumen. The client with asthma was given mucomyst for which of the following reasons? a. To decrease the viscosity of secretions. b. To encourage the movement of the secretions in the bronchi. c. To stimulate the cough reflex. d. To dilate the bronchi. 3. Most asthmatic attacks respond to Epinephrine (Adrenalin) and it may be used as a therapeutic agent in the treatment of some allergic conditions because it: a. Improves cardiac output due to its positive inotropic effect. b. Acts as a hypertensive agent elevating BP. c. Dilates the bronchi. d. Antagonizes histamine. 4. A 78-year-old-client is taking a combination of 3 drugs: Lasix, Digoxin, and Isordil. Which of the following will be a desired, accumulative effect of the drugs? a. Constipation b. Weight loss = lasix (diuretic), digoxin (improves cardiac output), isordil (vasodilator) c. Postural hypotension d. Dizziness 5. Propanolol (Inderal) is used in the treatment of clients with a. heart block. b. asthma. c. hyperthyroid.—beta-blocker d. pulmonary edema. 6. Which of the following types of insulin is administered IV and during emergency? a. NPH b. Regular insulin c. PZI d. Combination of Regular and NPH 7. A manic-depressive client was placed on MAO inhibitor therapy. Which of the following foods will not be appropriate for the client? a. Fatty foods b. Coffee and tea c. Salty foods d. Vegetables 8. A client who is suffering from Osteoarthritis is given Naprosyn (Naproxen) and asked the nurse, ―How does this drug help me‖? The PN‘s appropriate response would be: a. ―It relieves your spasm.‖ b. ―It prevents demineralization of your bones.‖ c. ―It strengthens bone structures.‖ d. ―It relieves discomfort.‖ 9. A client is receiving Kayexalate (Sodium Polystyrene). Which of the following statements indicates that the client understands the teaching given? a. ―My stool will be hard.‖ b. ―It will lessen the bacteria in my stomach.‖ c. ―It will decrease the serum K⁺ level in my blood.‖ d. ―It will decrease the Ca⁺⁺ level in my blood.‖ 10. All of these infants attended an infant care class with their mothers. Who among these babies can be given an oral polio vaccine? a. Annie, 5 months old, who finished her 120 ml formula an hour ago. b. Ronnie, 3 months old, who upon arriving to the clinic vomited 2X. c. Jocelyn, 6 months with oral thrush. d. Larry, 6 months, teething and drooling. 11. While the client is receiving Heparin therapy, which of these should be readily available? a. Vitamin K b. Protamine Sulfate c. Calcium Gluconate d. Magnesium Sulfate 12. Why Prednisone dosage is decreased gradually and not abruptly? a. Triggers the adrenal cortex to release ACTH to function normally. b. Costicosteroid suppression. c. Adrenal insufficiency. d. GI irritation. 13. Butch is started on Disulfiram (Antabuse) as a part of his treatment for alcoholism. He will continue this medication at home. Which of the following is contraindicated while Butch is taking Disulfiram? a. Elixir of Terpin Hydrate b. Coated Aspirin c. Bicarbonate of Soda d. Antihistamine 14. The nurse will anticipate which of the following effects when administering Epinephrine to the client who is experiencing anaphylactic shock? a. Brochoconstriction and positive inotropic effect. b. Bronchoconstriction and negative inotropic effect. c. Bronchodilation and positive inotropic effect. d. Bronchodilation and negative inotropic effect. 15. Which of the following is a potential side effect of Elavil? a. Dizziness upon getting up. b. Diuresis c. Potential addiction to the drug. d. Mental confusion 16. The nurse on the day shift receives a report which says, ―IV solution to be absorbed is 500 ml‖. The IV is infusing at 75 ml/hr. At the end of the shift at 3:30 PM, which of the following amount should be reported to the incoming shift as IV to be absorbed? a. 100 ml b. 300 ml c. 600 ml d. 900 ml 17. A client with schizophrenia, paranoid type, was placed on Haldol therapy due to her agitation. Which of the following is a manifestation of the side effect of major tranquilizer like Haldol? a. Unstable gait b. Extrapyrimidal side effects c. Constipation d. Nausea 18. The client who is taking Haldol is placed on drug therapy to counteract the side effects of Haldol, which drug is appropriate? a. Cogentin b. Antacid c. Vit. K d. Benadryl 19. To prevent the side effect of Decadron it must be taken with a. fluids. b. crackers. GI irritation c. empty stomach. d. high fiber diet. 20. Which of the following indicates that Cogentin is effective? a. The client has improved ability to concentrate. b. The client has decreased tremors. c. The client‘s BP is decreased. d. The client appears more relax and less agitated. 21. Which of the following is a side effect of Lasix? a. Increased urine output. b. Lightheadedness. c. K⁺ level 5.0 mEq/L. d. Urine specific gravity, 1.030. 22. The client is placed on Lithium Carbonate for his manic psychosis. When giving discharge teaching, the PN should include which of the following? a. Limit fluid intake to 1 L/day. b. Inform MD if client develops fatigue and drowsiness. c. Avoid foods such as aged cheese and wine. d. Avoid foods that are salty. 23. Which of the following complaints of the client would the PN suspect a side effect of Streptomycin? a. The client turns up the volume of the television. Streptomycin is ototoxic b. The client complains of burning sensation on urination. c. The client complains of nausea. d. The client complains of rashes on both hands. 24. A student nurse is assigned to an 8-month-old infant who is receiving Lanoxin that is being supplied by pharmacy in suspension form. Which of the following actions by the student nurse reflects the most accurate way of administering liquid (suspension) medication? a. Administer the medication using a teaspoon. b. Administer the medication using a dropper. c. Administer the medication using a medication cup. d. Administer the medication using a 3 ml syringe. 25. Yolanda is a 26-year-old client who is scheduled for breast biopsy. Her preop. Medications are Demerol 40 mg and Atropine 0.4 mg to be given in one syringe. The Demerol vial is labeled 100 mg/ml, the Atropine vial is labeled 1 mg/ml. The total volume of this injection should be: a. 0.5 ml b. 0.8 ml c. 1.1 ml d. 1.4 ml 26. Josh is to receive an antibiotic in 25 ml of IV fluids during a 40-inute period. The IV apparatus delivers 60 drops per ml. Josh should receive how many drops per minute? a. 17 to 18 25 ml X 60 gtt/ml/ 40 minutes = 37.5 b. 27 to 28 c. 37 to 38 d. 47 to 48 27. Adelle is to receive Phenergan 35 mg IM. The drug is available in ampules containing 50 mg in 1 ml of solution. Adelle should receive which of this amount of solution? a. 0.3 ml b. 0.7 ml c. 1.0 ml d. 1.4 ml 28. The doctor ordered Gravol IM 25 mg every 4 hours PRN for vomiting. The available dose is 100mg/2 ml. How much should the PN give to the client? a. 0.25 ml b. 0.50 ml c. 0.125 ml d. 5.0 ml 29. Cynthia came in with a diagnosis of mild dehydration. The physician orders IV 1 liter to be infused in 8 hours. The IV set delivers 10 drops/ml. The PN sets the IV pump at which of the following rate? a. 21 drops/min b. 30 drops/min c. 17 drops/min d. 25 drops/min 30. Which of the following medications will be most likely being ordered on the client with Atrial Fibrillation? a. Morphine Sulfate b. Digoxin c. Inderal d. Oxygen