PHARM II PRETEST EXAM COMPLETE 2025

1. A nurse is preparing to administer dobutamine to a client who is also receiving a beta-adrenergic blocking agent. Which assessment finding will the nurse prioritize after administering both drugs? - Hypertension 2. An older client with acute sinusitis is administered epinephrine emergently. The nurse should prioritize reporting a change in which assessment finding to the health care provider? - Pulse rate 3. A client presents to the emergency department following a traffic accident. The nurse prepares to administer an adrenergic agent after assessing for signs of shock which includes which finding? - Changes in consciousness 4. A nurse is monitoring a client receiving IV dobutamine. Which assessment finding should the nurse prioritize? - Cardiac arrhythmias 5. A client presents to the emergency department with reports of itching and throat tightness. On assessment the nurse notes urticaria and flushing. Which nursing diagnosis will the nurse determine is most appropriate for this client? - Risk for Allergy Response 6. A nursing instructor has led a discussion on the effects of adrenergic drugs on the body. The instructor determines the session is successful when the students correctly choose which as the effect of beta-1 receptor stimulation? - Increased force of myocardial contractions 7. A nurse is caring for a client who has been receiving an adrenergic medication. Which statement by the client alerts the nurse about an adverse effect of the medication and a reason to call the prescriber? - "I feel a "fluttering" feeling of my heart." 8. A client with a cardiac problem is treated with beta-adrenergic blocking drugs. Which reaction should the nurse point out as a cardiac reaction that impacts the body when a beta-adrenergic blocking drug is given to the client? - Vertigo 9. A nurse is caring for a client who has been prescribed propranolol for angina. After administering the drug, which action would the nurse do? - Ask about relief of symptoms and record responses on the chart. 10. A client with Parkinson disease has been using levodopa. The client is now prescribed labetalol for hypertension. Which finding should the nurse prioritize if noted on assessment? - Decreased effect of levodopa 11. A nurse is caring for a client with an arrhythmia. Which assessment would the nurse prioritize for a client with a life-threatening arrhythmia who is receiving an adrenergic blocking drug intravenously? - Perform continuous cardiac monitoring. 12. A nurse is preparing to administer a transdermal adrenergic blocker. Which medication would the nurse be preparing to administer? - Clonidine 13. A client is asking how alpha adrenergic blocking medications work. Which is the nurse's best response? - "They relax the smooth muscle of blood vessels by vasodilatation." 14. After teaching a group of nursing students about cholinergic drugs, the instructor determines a need for additional teaching when the students choose which drug as being administered orally? - Edrophonium 15. A client with urinary retention is prescribed bethanechol. The nurse will administer this cautiously if which disorder is noted in the client's medical record? - Bradycardia 16. The nurse is caring for a client with myasthenia gravis and has been administering edrophonium. The nurse suspects the client needs an increased dose based on which assessment finding? - Difficulty breathing 17. A nurse is preparing to administer an ophthalmic cholinergic drug to a new client. The nurse should question this administration of the drug if which past history is noted in the client's medical record? - Corneal abrasion 18. A client with myasthenia gravis who is prescribed pyridostigmine comes to the emergency department reporting abdominal cramping, excessive diarrhea, and severe muscle weakness. The nurse would suspect which situation is occurring? - Cholinergic crisis 19. A nurse is preparing to administer a cholinergic medication. To prepare to administer the medication, the nurses is assessing the client for anticholinergic effects. Cholinergic medications act like which neurotransmitter? - Acetylcholine 20. A client diagnosed with myasthenia gravis is being discharged home after a crisis. Which should be included in the teaching plan? - Teach the client to adjust the dosage based on their needs.