RN Pharmacology 2023

Question 9

RN Pharmacology 2023. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Insomnia
Tinnitus
Fluid retention
Orthostatic hypotension

Question 10

A nurse is caring for a client who is receiving phenytoin. Which of the following conditions should the nurse identify as an indication for this medication?

Liver failure
Kidney transplant
Endocarditis
Seizures

Question 11

A nurse in a mental health clinic is evaluating a client who is taking escitalopram. Which of the following statements by the client indicates this medication is having a therapeutic effect?

“When I get in tense situations, I notice that I focus on my breathing pattern.”
“I’ve asked my boss for special accommodations to help my anxiety.”
“When I take the stairs to the third floor, I don’t get shortness of breath.”
“I avoid crowds so that I don’t have feelings of nervousness.”

Question 12

A nurse is preparing to administer acyclovir 10 \mg/kg IV to a client who weighs 132 lbs. Available is acyclovir IV injectable solution 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer: 12

Question 13

A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication? RN Pharmacology 2023

Increase in bowel function
Decrease in respiratory rate
Increase in heart rate
Decrease in body temperature

Question 14

A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?

Tachycardia
Hypertension
Rapid rise in temperature
Severe headache

Question 15

A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?

Bradypnea
Rhinitis
Hyperkalemia
Tachycardia

Question 16

A nurse is assessing the vital signs of a client who is to begin taking verapamil. For which of the following findings should the nurse withhold the medication?

Respiratory rate 12/min
Pulse oximetry 94%
Heart rate 48/min
BP 140/100 mm Hg

Question 17

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following prescribed medications should the nurse anticipate administering to the client?

Methadone
Bupropion
Lorazepam
Disulfiram

Question 18

A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

The client had chemotherapy 12 hr before the medication was administered.
The vial was out of the refrigerator for 2 hr before the medication was administered.
The client had a decreased neutrophil count before the medication was administered.
The client reported feeling nauseous after the medication was administered. RN Pharmacology 2023

Question 19

A nurse is caring for a toddler who has a prescription for a prescription PRN opioid analgesic. Which of the following findings indicate the nurse should administer the medication?

Somnolence
Facial frowning
Relaxed facial affect
Heart rate of 120/min

Question 20

A nurse is assessing a client who has hypertension and is receiving propranolol. Which of the following findings require an intervention by the nurse?

SaO_2 95% on 2 L/min of oxygen
Heart rate of 56/min
Blood pressure 106/68 mm Hg
Respirations 22/min

Question 21

A nurse is reviewing the electronic medical record of a client who has been taking famotidine for 6 months. Which of the following findings indicates the therapy has been ineffective?

Heartburn
Tinnitus
Fever
Muscle cramps

Question 22

A nurse is preparing to administer a new prescription of fluoxetine to a client. Which of the following client information indicates a contraindication to administering the medication?

Takes metoprolol daily
Has type 2 diabetes mellitus
Takes selegiline daily
History of panic disorder

Question 23

A nurse is reviewing the medication administration record for a client who received propranolol from a nurse on the previous shift. The nurse notes the client had an apical heart rate of 48/min prior to administration of the medication. Which of the following actions should the nurse take?

Call the nurse to return to the facility.
Notify the pharmacy.
File an incident report.
Notify the ethics committee.

Question 24

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

“Lie down for 1 hour after administering the medication.”
“Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.”
“Plan to self-administer this medication for the next 6 months.”
“Administer the medication into one nostril once per week.”

Question 25

A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?

Prime the tubing with 0.9% sodium chloride.
Use a gravity flow set.
Discard the medication if it is yellow.
Administer the medication over 2 hr.

Question 26 of 70

A nurse is preparing to administer medication to a client who has a prescription for epoetin alfa. Which of the following routes of administration should the nurse plan to use?

Inhalation
Intravenous
Oral
Transdermal

Question 27 of 70

A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

“I should notify my provider if my stools turn black.”
“I should take this medication with 8 ounces of milk.”
“I should stay upright for at least 15 minutes after taking this medication.”
“I should take an antacid with this medication to prevent stomach upset.”

Question 28 of 70

A nurse is creating a medication reconciliation list for a client. Which of the following information should the nurse include in the reconciliation?

The over-the-counter medications that the client takes at home.
The client’s discontinued medications.
The medications that the client has taken in the last 24 hr.
The client’s medication allergies.

Question 29 of 70

A nurse is teaching a newly licensed nurse about medications used to treat breakthrough cancer pain. Which of the following medications should the nurse include in the teaching?

Acetaminophen PO
Aspirin rectal
Fentanyl transmucosal
Ketorolac IM

Question 30 of 70

A nurse is teaching a client who has rheumatoid arthritis about a new prescription for infliximab. Which of the following statements should the nurse include in the teaching? RN Pharmacology 2023

“You might sunburn more easily while receiving this medication.”
“You will receive an infusion of the medication every week for 6 weeks.”
“You might experience a metallic taste during infusions of the medication.”
“You will be at an increased risk for infection while receiving this medication.”

Question 31 of 70

A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hyperkalemia. Which of the following actions should the nurse take?

Discontinue the infusion.
Obtain arterial blood gasses.
Warm formula to room temperature.
Place the client on a cardiac monitor.

Question 32 of 70

A nurse is caring for a client who is receiving total parenteral nutrition. The nurse should monitor the client for which of the following adverse effects?

Diarrhea
Aspiration pneumonia
Electrolyte imbalance
Nausea

Question 33 of 70

A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?

Document this as an expected finding.
Prepare the client for dialysis.
Check the client’s liver function test results.
Instruct the client to increase his fluid intake.

Question 34 of 70

A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication?

Hepatitis B vaccine within the last week
Chronic kidney disease
Diabetes mellitus
Alcohol use disorder

Question 35 of 70

A nurse is preparing to administer an influenza vaccine into a client’s deltoid muscle. Which of the following actions should the nurse take?

Insert the needle at a 90° angle.
Use a 2-inch needle to administer the medication.
Instruct the client to extend their elbow prior to administration.
Aspirate after inserting the needle.

Question 36 of 70

A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

“You should anticipate taking medication to treat your disease for at least the next 3 years.”
“You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease.”
“You will need to take two or more medications to treat your disease.”
“You should report monthly to have your blood drawn to monitor kidney function while taking medication.”

Question 37 of 70

A nurse is transcribing a new prescription for a client which states, “Diphenhydramine 50 mg NOW.” Which of the following actions should the nurse take?

Inform the client there is a prescription available if needed.
Administer the medication within 90 min.
Contact the provider to clarify the prescription.
Notify the pharmacy to send the medication immediately.

Question 38 of 70

A nurse is providing teaching to a client who has diabetes insipidus and is receiving desmopressin. Which of the following statements should the nurse include in the teaching?

“You can expect to have less urine output when you are taking this medication.”
“You will need to check your blood glucose every morning while taking this medication.”
“Your urine might have a reddish tint while taking this medication.”
“You will need weekly laboratory work to determine your blood clotting time.”

Question 39 of 70

A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication?

Dissolve the medication in water before administering it.
Instruct the client to swallow the medication with a sip of water.
Insert the medication against the mucous membrane of the cheek.
Place the medication on the client’s tongue for dissolution

Question 40

A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

“Increase your intake of dairy products to increase the absorption of this medication.”
“Take the medication with an antacid if it upsets your stomach.”
“Drink the elixir using a straw to prevent staining your teeth.”
“Stop taking the medication if your stools become green or black.”
“Increase your fiber intake to prevent constipation.”

Question 41

A nurse is providing teaching to a client who is receiving intermittent parenteral cyclosporine. Which of the following conditions should the nurse recognize as an indication for this medication?

Seizures
Kidney transplant
Hypokalemia
Endocarditis

Question 42

A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

Fever
Melena
Abdominal cramping
Hair loss

Question 43

A nurse is preparing to administer digoxin 0.125 mg PO. Available is digoxin 0.25 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5

Question 44

A nurse is caring for a client who is taking rifampin. Which of the following findings should the nurse monitor for as an adverse effect of the medication?

Irregular heart rate
Jaundice
Constipation
Blurred vision

Question 45

A home health nurse is providing teaching to a client who has heart failure and a prescription for digoxin. The nurse should include that which of the following is an adverse effect of the medication? RN Pharmacology 2023

Ringing in the ears
Blurred vision
Constipation
Weight gain

Question 46

A nurse is assessing a client who was prescribed levothyroxine tablets for hypothyroidism. Which of the following statements by the client indicates they are taking the medication correctly?

“I take my medication while I am eating breakfast.”
“I take my medication along with a calcium supplement.”
“I take my medication with a full glass of water.”
“I avoid green leafy vegetables in my diet.”

Question 47

A nurse is reviewing a provider’s prescriptions for medications. Which of the following prescriptions should the nurse clarify with the provider?

Lisinopril 5 mg PO once daily
Insulin glargine 10 units subcutaneously daily
Spironolactone 25 mg PO once daily
Timolol 0.25% 1 drop twice daily OU

Question 48

A nurse is preparing to administer subcutaneous heparin to a client. Which of the following actions should the nurse take?

Massage the site after administering the medication.
Insert the needle at least 5 cm (2 in) from the umbilicus.
Use a 21-gauge needle for the injection.
Aspirate before injecting the medication.

Question 49

A nurse is caring for a client who has hyperkalemia. Which of the following medications should the nurse plan to administer?

Desmopressin sublingual
Potassium chloride IV
Sodium polystyrene sulfonate PO
Spironolactone PO

Question 50

A nurse is caring for a client who has just received ampicillin/sulbactam via intermittent IV bolus. The nurse should identify which of the following findings as an indication of an anaphylactic reaction?

Decreased blood glucose level
Decreased ALT and AST levels
Hypotension
Hyperactive deep-tendon reflexes

Question 51

A nurse is caring for a child who has cerebral palsy and a prescription for baclofen. Which of the following findings indicates the medication is effective?

Decrease in anxiety
Increase in energy
Increase in appetite
Decrease in spasticity

Question 52

A nurse in the emergency department is reviewing a medication record for a client who reports vomiting blood. The nurse should anticipate that the provider will discontinue which of the following medications?

NPH insulin
Furosemide
Pantoprazole
Clopidogrel

Question 53

A client who has Graves’ disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Increased sleeping
Warmer skin
Increase in pulse rate
Weight loss

Question 54

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Decreased ascites
Decreased jaundice
Increased appetite
Increased energy

Question 55 RN Pharmacology 2023

A nurse is assessing a client who is taking furosemide for heart failure. Which of the following findings indicates an adverse effect of the medication?

Increased blood pressure
Hearing loss
Decreased blood sugar
Ankle edema

Question 56

A nurse is assessing a client who has just received an initial dose of penicillin. Which of the following findings should the nurse identify as an indication of an allergic reaction?

Lethargy
Constipation
Stridor
Nausea

Question 57

A nurse is assessing a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Dry cough
Hyperglycemia
Fever
Pedal edema

Question 58 of 70

A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority? RN Pharmacology 2023

Hypotension (Correct Answer)
Temperature 39C, 102.2F
Leg weakness
Urinary retention

Question 59 of 70

A charge nurse is observing a newly licensed nurse care for a group of clients. Which of the following actions by the newly licensed nurse require the charge nurse to complete an incident report?

The nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg IV bolus.
The nurse provides a morning dose of insulin for a client who has a fasting blood glucose level of 130 mg/dL74 to 106mg/dL
The nurse provides a morning dose of lithium to a client who has a lithium level of 1.8 mEq/L 0.8 to 1.2 m Eq/L). (Correct Answer)
The nurse administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg IM.

Question 60

A nurse is assessing a client who is receiving IV magnesium sulfate for treatment of preeclampsia. Which of the following findings should the nurse report?

24 hr urine output 960 mL (Correct Answer)
1+Deep tendon reflexes
Pupils equal, round, react to light, accommodation
Blood pressure 122/88 mm Hg

Question 61

A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)

Multiple health problems (Correct Answer)
Decreased percentage of body fat
Polypharmacy (Correct Answer)
Increased rate of absorption
Decreased renal function (Correct Answer)

Question 62 of 70

A nurse is performing a medication reconciliation for a client. Which of the following should the nurse recognize as accurate regarding medication reconciliation?

It is done when a medication is administered.
All adverse effects of medications are identified.
The process must be performed by an RN.
It is done to prevent medication errors. (Correct Answer)

Question 63

A nurse is reviewing the medication list for a client who has a new prescription for hydrochlorothiazide. Which of the following should the nurse identify as a potential drug interaction?

Insulin³
Warfarin⁴
Metformin⁵
Digoxin (Correct Answer)

Question 66

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Alopecia
Peripheral edema
Tinnitus
Drowsiness

Question 67

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

Confusion
Insomnia
Bruxism
Weight loss

Question 68 of 70

A nurse is caring for a client who has a new prescription for furosemide. Which of the following findings should the nurse identify as an adverse effect of the medication?

Hypersalivation
Hyperkalemia
Hypotension
Hypoglycemia

Question 69

A nurse is preparing to administer warfarin to a client. Which of the following findings indicates a contraindication?

Blood pressure 144/78 mm Hg
History of artificial heart valve
Heart rate 106/min
Decreased vitamin K level

Question 70 of 70

A nurse is caring for a client. The nurse is assessing the client. The client’s heart rate and temperature are the priority findings.

Word Choices:

pain
skin
weight
heart rate
bowel sounds
temperature

Nursing questions, Pharmacology, RN Pharmacology 2023

Isaura K

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