Pharmacology Protected Exam With Answers (125 Solved Questions)

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Pharmacology – Proctored ReviewA patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication was effective ifthe:1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL2) Total t4 level is 2 mcg/dLA nurse providing teaching to a client who has just been prescribed prazosin (Minipress) whichof the following client statement indicates understanding of teaching:1) I will not use a salt substitute while taking meds2) I will move slowly from sitting to standing to prevent fallsA nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Whichstatement by the patient indicates further teaching:1) I should expect a rash to develop2) I may develop hair or face or chestA nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which ofthe following is the nurse required to do:3) Read the prescription back to the provider after transcribing4) Write the trade name for the prescribed medicineA nurse is providing teaching to an adolescent and her family regarding a new prescription ofphenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following clientstatements indicates the understanding of the teaching:1) I will keep a seizure frequency chart2) I will skip a dose if I am experiencing nauseaA nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) anddigoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of

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the following actions should the nurse take first:1) Apply a cardiac monitor2) Provides foods high in potassiumA nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which ofthe following client findings requires an incident report:1) The client is also taking linsinophrel (Prinivil)2) The client reports shortness of breathA nurse is providing teaching to a female client who has been newly diagnosed with a seizuredisorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin candecrease the effectiveness of which of the following:1) Ethunyl estradiol/desogestrel (Cyclessa)2) Fluroxetine (Prozac)A nurse providing teaching to a client who is diagnosed with migrane headaches. The client isprescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurseinclude in her instructions:1) Take 1SL tablet three times a day before meals2) Take 1SL tablet at onset of migraneA nurse is reviewing a client's daily laboratory findings before administering 0.125 mg ofdigoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actionsshould the nurse take:1) Give the medication2) Request a dose increaseA nurse is planning to provide medication education for a client who will begin a course oftherapy with metronidazole (Flagyl). Which of the following should the nurse instruct the clientto avoid during the course of therapy:

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3) Coffee4) BeerA 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:3) I will take the medication 1 hr before my meals4) I will use a salt substitute with my mealsA client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% isprescribed. Which of the following client findings should the nurse recognize as being the bestindication that the medication is achieving it's therapeutic effect:3) Decrease in intraocular pressure4)Lung fluids clear to ausculatationA nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of thefollowing instructions should the nurse include in the teaching plan: (Select all that apply):1) Report muscle pain to provider2) Do not take the medication with grapefruit juice3) Take the medication in the early morning4) Minimize intake of alcoholic beverages5) Expect therapy with this medication to be life longA client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is4x the normal value and his INR is 2. Which of the following actions should the nurse plan totake:1) Decrease the heparin2) Increase the warfarinThe nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) bycontinuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitorindicates late decelerations. Which of the following actions should the nurse take first:1) Turn the client to side lying position2) Discontinue the client's IV meds

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A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. Forwhich of the following side effects should the nurse assess the client:3) Insomnia4) TinnitusA nurse is teaching a client about the use of resedronate (Actonel) to treat osteoporasis. Which ofthe following client statements indicates a need for further teaching:3) I need to set up or stand after taking the risedronate4) I need to take the risdronate with foodA nurse is caring for a client who is receiving haloperidol (Haldol). For which of the followingadverse effects should the nurse be observing:1) vomiting2) AkathesiaA nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nursedocument to indicate the effectiveness of the therapy:1) Increased platelet count2) Increased RBC countA nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of thefollowing should the nurse document as a therapeutic outcome:1) Increase in seizure threshold2) Decrease flexor & extension spasticityA nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For whichshould the nurse monitor related to this medication:1) Paresthesias2) Increased BPA nurse is planning teaching for a client who has depression and is to start a new prescription fortranylcypromine (Parnate). Which should be included in teaching:

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1) Avoid eating citrus fruits while taking this medication2) Move slowly when changing to a standing positionProvide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should thenurse monitor and report:1) Abdominal pain2) Increased thirstA nurse is reveiwing lab results, for a patient who has chronic asthma and is taking prednisone(Deltasome) every other day. Which of the following lab values should the nurse report to thedoctor:3) Blood glucose 200 mg/dL4) BUN 14 mg/dLA nurse is caring for a client receiving zidovudine (Retrovir) for which of the following labresults should the nurse prepare to monitor:3) Serum creatine4) HemoglobinA client informs the nurse at the primary care providers office that he received a prescription fortimolol (timoptic) to treat glaucoma. Which of the following in the client's history shouldconcern you:3) The client has a history of bradycardia4) The client reports that he is taking loratadine (Claritan)A mom of a newborn asks the nurse when her newborn should receive his 1st diptheria, tetanus,and pertusis vaccine (DTAP). Which of the following should the nurse say:1) Birth2) 2 monthsA nurse is preparing to administer warfarin (coumadin) to a client diagnosed with atrialfibrillation. Which action should the nurse take before administering warfarin:

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1) Check INR results2) Monitor the aPTT levelA nurse caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea(Droxia). Which findings should the nurse report- select all that apply:1) hemoglobin 4.2 g/dL2) Hematocrit 42%3) RBC 4,700,000/ mm34) Platelets 75,000/mm35) Neutrophils 1,400 /mm3A nurse assesses a patient with chronic back pain who is receving 650 mg acetaminophen(Tylenol) every 4 hours for pain. PCP has prescribed oxycodone/acetaminophen (Percocet) every4 to 6 hours PRN for breakthrough pain. Which action should the nurse take:3) Place the client on seizure precautions4) Notify the PCPA nurse is teaching a patient who has a peptic ulcer disease and is to start a new prescription forsucralfate (Carafate). The nurse explains to the patient this medication:3) Forms a protective barriers over ulcers4) Treats ulcers by eradicating H. pylorWhich of the following statements made by a client after a teaching session about Warfarin(Coumadin) indicates a need for further teaching:1) I may take aspirin as needed for pain2) I should limit the amount of green, leafy vegetablesA nurse is caring for a patient who has pneumonia. The patient tells the nurse that she ispregnant, but has not told her provider. Which of the following medication orders should thenurse question:

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