Question 11 of 50
RN Capstone Pharmacology 1 A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review? (Select all that apply.)
- Potassium level
- WBC with differential
- BUN level
- Hemoglobin level
- Glucose level
Question 14 of 50
A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching?
- “Take the medication immediately after a meal.”
- “Drink 8 ounces of milk when taking the medication.”
- “Take the medication before bedtime.”
- “Take one tablet of the medication on the same date each month.”
Question 16 of 50
A nurse is providing teaching to a client who is starting to take finasteride for the treatment of male pattern baldness. Which of the following statements by the client indicates an understanding of the teaching?
- “This medication can increase the size of my prostate gland.”
- “This medication can increase my risk for impotence.”
- “This medication might increase the amount of ejaculate.”
- “This medication should increase my hair growth in 1 month.”
Question 21
A nurse is teaching a client who has a new prescription for hydrochlorothiazide. Which of the following statements should the nurse include?
- “This medication can decrease my blood pressure.”
- “This medication should be taken at bedtime.”
- “This medication can cause your blood sugar to drop.”
- “This medication will increase your potassium levels.”
Question 22
A nurse is assessing a client who is taking atorvastatin. Which of the following findings should the nurse report to the provider?
- Constipation
- Muscle tenderness
- Headache
- Insomnia
Question 23
A nurse is caring for a client who is refusal to take their prescribed medication. Which of the following actions should the nurse take? RN Capstone Pharmacology 1
- Inform the client that they will be discharged if they refuse.
- Ask the client to describe their concerns.
- Administer the medication while the client is sleeping.
- Tell the client’s family about the refusal.
Question 24
A nurse is reviewing the laboratory results of a client who is taking gentamicin. Which of the following laboratory values should the nurse monitor?
- Creatinine
- Serum glucose
- Potassium
- Hemoglobin
Question 25
A nurse is reviewing the medical records of four clients. Which of the following clients is at risk for hypokalemia? (Select all that apply.)
- A client taking prednisone
- A client taking torsemide
- A client taking polystyrene sulfonate
- A client taking hydrochlorothiazide
Question 26
A nurse is reviewing a medication error report. Which of the following is an example of a medication error?
- Administering a medication via the oral route instead of IV.
- Name confusion between two medications with similar sounding names
- Giving a medication 30 minutes before the scheduled time.
- Administering a generic form of a brand-name medication.
Question 27
A nurse is assessing a client who is taking furosemide. Which of the following findings should the nurse report to the provider? (Select all that apply.)
- Muscle weakness
- Fatigue
- Hypertension
- Bradycardia RN Capstone Pharmacology 1
Question 28
A nurse is caring for a client who has depression. Which of the following medications should the nurse expect the provider to prescribe?
- Citalopram
- Haloperidol
- Lithium
- Risperidone
Question 29
A nurse is teaching a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching?
- “I will limit my fluid intake while taking this medication.”
- “I will take this medication on an empty stomach.”
- “I will have my blood checked to monitor the medication levels.”
- “I should stop taking the medication if I feel better.”
Question 33
A nurse is providing teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include?
- “Discard the medication after 1 month.”
- “Take the medication with a full glass of water.”
- “Store unused tablets at room temperature.”
- “Chew the tablet before swallowing.”
Question 34
A nurse is assessing a client who is using a fluticasone inhaler. Which of the following findings should the nurse report to the provider?
- White coating in the mouth
- Dry mouth
- Increased appetite
- Insomnia
Question 35
A nurse is reviewing the laboratory results of a client who is taking clozapine. Which of the following results should the nurse report to the provider?
- Neutrophil count $650/mm^3$ ($2,500$ to $8,000/mm^3$)
- Platelet count $200,000/mm^3$
- Hemoglobin $14 g/dL$
- WBC $6,000/mm^3$
Question 36
A nurse is providing teaching to a client who is taking phenazopyridine. Which of the following instructions should the nurse include?
- “This medication will turn your urine blue.”
- “Increase your fluid intake.”
- “Take the medication on an empty stomach.”
- “Discontinue the medication if your urine changes color.”
Question 37
A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medications should the nurse expect to administer?
- Naloxone
- Bisacodyl
- Flumazenil
- Pentazocine
Question 38
RN Capstone Pharmacology 1. A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler?
- “You should gargle with water after each use of this inhaler.”
- “There is no need to use a spacer for this inhaler.”
- “You should use this inhaler for any acute incidents of shortness of breath.”
- “Use the beclomethasone inhaler before using your albuterol inhaler to increase absorption.”
Question 39
A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy? RN Capstone Pharmacology 1
- Sitagliptin
- Glipizide
- Metoprolol
- Losartan
Question 40
A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)
- Assess the client’s gag reflex before offering oral intake
- Listen to the client’s breath sounds
- Monitor the client’s oxygen saturation
- Monitor the client for manifestations of bleeding
- Assess the client’s puncture site
- Observe the client for manifestations of a pneumothorax
Question 41
A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider? RN Capstone Pharmacology 1
- “I hope this new medication won’t make my high blood pressure worse.”
- “I want to keep using my albuterol when I feel like I need it.”
- “I am allergic to atropine.”
- “I usually have a glass of red wine with dinner.”
Question 42
A nurse is caring for a client who has a prescription for metoclopramide. Which of the following outcomes should the nurse use to evaluate the effectiveness of this medication?
- Suppressed cough
- Relaxed muscles
- Reduced nausea
- Decreased pain
Question 43
A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?
- Vomiting
- Dilated pupils
- Bruising
- Peripheral edema
Question 44
A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching?
- “I should not crush this medication before taking it.”
- “I should discontinue this medication when my symptoms subside.”
- “I will need to have regular eye exams while taking this medication.”
- “If I miss a dose of my medication, I can take a double dose the next time.”
Question 45
A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?
- Decreased excretion of urine sodium
- Increased urinary output
- Decreased serum glucose
- Increased blood pressure
Question 46
A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take?
- Monitor the client for weight gain.
- Monitor for hypoglycemia for 3 hr after pramlintide administration.
- Inject the pramlintide in the client’s upper arm.
- Administer pramlintide 30 min prior to a meal.
Question 47
A nurse is caring for a client who is receiving an IV infusion of heparin. Which of the following findings should indicate to the nurse the client is at risk for hemorrhage? (Select all that apply.)
- Thrombocytopenia
- Neutropenia
- Hypokalemia
- Hyperglycemia
- Fever
- Dark stools
Question 48
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch to treat angina. Which of the following instructions should the nurse include? RN Capstone Pharmacology 1
- “Apply a new patch if you have chest pain.”
- “Remove the patch for 10 to 12 hours each day.”
- “Apply the patch to the same site as the previous patch.”
- “Massage the patch into the skin after application.”
Question 49
A nurse is assessing a client who has been taking digoxin for 1 month. Which of the following findings should the nurse report to the provider as an indication of digoxin toxicity? (Select all that apply.)
- Fatigue
- Nausea
- Blurred vision
- Digoxin 2.2 ng/mL
- Heart rate 55/min
Question 50
A nurse is reviewing the medical record of a client who has a new prescription for a combined oral contraceptive (COC). Which of the following findings in the client’s health history should the nurse identify as a contraindication to taking a COC?
- History of migraines with aura
- History of seasonal allergies
- History of appendectomy
- BMI of 24
