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Course
Prophecy RN Pharmacology (RN200)
1. Which of the following medications is classified as a beta-blocker?
A. Lisinopril
B. Metoprolol
C. Furosemide
D. Prednisone
Correct Answer: B. Metoprolol
Explanation: Metoprolol is a beta-blocker used to treat high blood pressure and heart
conditions. Beta-blockers work by blocking the effects of adrenaline on the beta receptors
in the heart, reducing heart rate and blood pressure.
2. A patient is prescribed warfarin. Which of the following foods should the nurse instruct
the patient to limit in their diet?
A. Leafy green vegetables
B. Bananas
C. Citrus fruits
D. Whole grains
Correct Answer: A. Leafy green vegetables
Explanation: Warfarin is an anticoagulant that interferes with vitamin K, which is found in
high amounts in leafy green vegetables. Consuming too much can counteract the effects of
warfarin.
3. The nurse is caring for a patient who is receiving digoxin. Which of the following signs or
symptoms would indicate digoxin toxicity?
A. Vomiting and blurred vision
B. Dry mouth and constipation
C. Rash and fever
D. Rapid pulse and sweating
Correct Answer: A. Vomiting and blurred vision
Explanation: Digoxin toxicity can present with nausea, vomiting, blurred vision, and visual
,disturbances such as yellow halos around lights. It is important to monitor patients for
these symptoms, especially if the patient is at risk for toxicity.
4. A patient is taking lorazepam for anxiety. Which of the following should the nurse
instruct the patient to avoid while on this medication?
A. Drinking grapefruit juice
B. Drinking alcohol
C. Eating high-fat meals
D. Taking vitamin supplements
Correct Answer: B. Drinking alcohol
Explanation: Lorazepam is a benzodiazepine, and drinking alcohol while on this
medication can increase the sedative effects and lead to dangerous respiratory depression
or even overdose.
5. Which of the following is a common side effect of opioid analgesics?
A. Increased appetite
B. Drowsiness and constipation
C. Dry mouth and sweating
D. Increased heart rate
Correct Answer: B. Drowsiness and constipation
Explanation: Opioids often cause drowsiness, constipation, and a decreased level of
consciousness. It is important to monitor patients for these side effects and manage them
appropriately.
6. A nurse is administering a dose of insulin to a diabetic patient. Which of the following
assessments should be completed prior to administration?
A. Blood pressure
B. Heart rate
C. Blood glucose level
D. Respiratory rate
Correct Answer: C. Blood glucose level
Explanation: Insulin is administered to control blood sugar levels, and the blood glucose
level should be checked before administering insulin to ensure the correct dosage and
prevent hypoglycemia.
,7. A patient has been prescribed amoxicillin for an infection. The nurse should monitor the
patient for which of the following potential side effects?
A. Diarrhea and yeast infections
B. Increased energy and alertness
C. Weight loss and headache
D. Hypertension and palpitations
Correct Answer: A. Diarrhea and yeast infections
Explanation: Amoxicillin, an antibiotic, can disrupt the normal flora of the gut and vagina,
leading to side effects such as diarrhea and yeast infections.
8. The nurse is preparing to administer a dose of furosemide to a patient with heart failure.
Which of the following laboratory values should be closely monitored?
A. Serum sodium levels
B. Serum potassium levels
C. Serum calcium levels
D. Serum creatinine levels
Correct Answer: B. Serum potassium levels
Explanation: Furosemide is a diuretic that can cause hypokalemia (low potassium levels)
due to increased excretion of potassium in the urine. It is important to monitor serum
potassium levels to prevent electrolyte imbalances.
9. A patient is prescribed atenolol for hypertension. What should the nurse instruct the
patient to report?
A. A persistent cough
B. Dizziness and lightheadedness
C. Increased appetite
D. Increased urinary frequency
Correct Answer: B. Dizziness and lightheadedness
Explanation: Atenolol is a beta-blocker that may cause dizziness, lightheadedness, or
fainting, especially when standing up quickly. Patients should report these symptoms to
avoid falls and other complications.
, 10. A nurse is administering a dose of acetaminophen to a patient. Which of the following is
an important consideration for this medication?
A. It can cause gastrointestinal irritation.
B. It should be used cautiously in patients with liver disease.
C. It can increase the risk of bleeding.
D. It should be taken with food to avoid nausea.
Correct Answer: B. It should be used cautiously in patients with liver disease.
Explanation: Acetaminophen is metabolized in the liver, and excessive use or use in patients
with liver disease can cause liver damage. The nurse should monitor liver function and
instruct the patient to avoid alcohol while taking acetaminophen.
11. A nurse is caring for a patient who is receiving an intravenous infusion of magnesium
sulfate for the treatment of eclampsia. Which of the following should the nurse monitor
closely?
A. Blood pressure
B. Respiratory rate
C. Blood glucose level
D. Hemoglobin and hematocrit
Correct Answer: B. Respiratory rate
Explanation: Magnesium sulfate can cause respiratory depression as a side effect. The nurse
should monitor the respiratory rate closely, especially if the patient is receiving high doses of
magnesium sulfate. Signs of magnesium toxicity include respiratory depression, decreased
reflexes, and hypotension.
12. A patient is receiving gentamicin intravenously for a severe bacterial infection. What
should the nurse monitor to prevent adverse effects?
A. Serum potassium levels
B. Serum creatinine and urine output
C. Blood pressure and heart rate
D. Respiratory rate
Correct Answer: B. Serum creatinine and urine output
Explanation: Gentamicin is an aminoglycoside antibiotic that can be nephrotoxic. The nurse
should monitor renal function by checking serum creatinine levels and urine output to prevent
kidney damage.
13. The nurse is caring for a patient who is taking a selective serotonin reuptake inhibitor
(SSRI) for depression. Which of the following is a potential side effect of SSRIs?