PN Pharmacology 2023

Question 1

PN Pharmacology 2023. A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take?

• Return the medication to the automated dispensing cabinet for later use.
• Dispose of the medication with a second nurse as a witness.
• Document the refusal and store the opened medication at the nurse’s station.
• Encourage the client to take the medication and reassess in 30 minutes.

Question 2

A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error?

• Furosemide 10 mg PO daily
• Furosemide 10.0 mg PO daily
• Furosemide 10 mg PO BID
• Furosemide 10 mg by mouth daily

Question 3

A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?

• “I will apply the patch to the same site every day.”
• “While using this patch, I will be careful when rising from a chair.”
• “I should leave the patch on for 24 hours a day.”
• “I will rub lotion on my skin before applying the patch.”

Question 4

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?

• Obtain the client’s blood pressure
• Contact the client’s provider
• Inform the charge nurse
• Complete an incident report

Question 5

A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer?

• Albuterol
• Salmeterol
• Montelukast
• Fluticasone

Question 6

A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

• 21 gtt/min
• 31 gtt/min
• 42 gtt/min
• 63 gtt/min

Question 7

A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat hypertension. Which of the following conditions should the nurse include as a contraindication for this medication?

• Hypertension
• Tachycardia
• Bradycardia
• Hyperglycemia

Question 8

A nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the following findings should indicate to the nurse that the medication is effective?

• The client is able to wash his face.
• The client experiences fewer seizures.
• The client reports decreased heartburn.
• The client is able to sleep through the night.

Question 9

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. Which of the following conditions in the client’s medical record should the nurse report to the provider?

• Benign prostatic hyperplasia
• Hypertension
• Gastric ulcer
• Hypothyroidism

Question 10

A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice?

• Yogurt
• Aged cheddar cheese
• Smoked salmon
• Pepperoni pizza

Question 11

A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following should the nurse monitor to determine whether the treatment is effective?

• Improved social interactions
• Decreased obsessive-compulsive thoughts
• Decreased hand tremors
• Improved urinary control

Question 12

A nurse is monitoring a client who is to start therapy with spironolactone. Which of the following serum lab results should the nurse report to the provider?

• Sodium 140 mEq/L
• Potassium 5.3 mEq/L
• Chloride 99 mEq/L
• Magnesium 1.9 mEq/L

Question 13

A nurse is preparing to administer ofloxacin drops to a child who has otitis media. Which of the following actions should the nurse plan to take?

• Chill the medication before administration.
• Gently massage the tragus after administration.
• Insert a cotton swab into the ear canal to remove excess medication.
• Place the child in semi-Fowler’s position.

Question 14

A nurse is preparing to administer the hepatitis B vaccine IM to a 2-month-old infant. Which of the following actions should the nurse take?

• Insert the needle at a 45° angle.
• Inject the vaccine using a 1.5-inch needle.
• Administer the vaccine in the vastus lateralis.
• Administer the vaccine at a rate of 1 mL per 5 seconds.

Question 15

A nurse is collecting data from a client who has gout and is taking allopurinol. Which of the following adverse effects should the nurse identify as the priority to report to the provider?

• Nausea
• Diarrhea
• Rash
• Metallic taste in mouth

Question 16

A nurse is preparing to administer a first-time dose of cefaclor PO to a client. Which of the following actions should the nurse take?

• Tell the client to monitor for indications of hearing loss.
• Check the client for an allergy to penicillin.
• Perform a culture and sensitivity after the initial dose.
• Inform the client to expect constipation while taking the medication. PN Pharmacology 2023

Question 17

A nurse is caring for a client who has been taking hydrocodone with acetaminophen for a wrist fracture. The nurse observes that the client is increasingly drowsy with slurred speech. Which of the following medications should the nurse prepare to administer?

• Diphenhydramine
• Flumazenil
• Naloxone
• Atropine

Question 18

A nurse is caring for a client who has a new prescription for tetracycline. The client asks the nurse if tetracycline can be taken with aluminum-hydroxide suspension. Which of the following responses should the nurse make?

• “Take the two medications together with 8 ounces of water.”
• “Aluminum-hydroxide suspension decreases the absorption of tetracycline.”
• “Aluminum-hydroxide suspension helps minimize the side effects of tetracycline.”
• “Taking the medications together can cause nausea.”

Question 19

A nurse is preparing to administer 20 mg of famotidine in 50 mL 0.9% sodium chloride by intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• 25

Question 20

A nurse is collecting data from an older adult client who is taking streptomycin. Which of the following findings should the nurse identify as an adverse effect of this medication?

• Hearing loss
• Polyuria
• Constipation
• Hypotension

Question 21

A nurse is collecting data from a client who has been taking hydrochlorothiazide to treat hypertension over a 3-month period. Which of the following findings should the nurse expect?

• Decreased peripheral edema
• Reduction in orthostatic hypotension
• Increased potassium level
• Improved pulse strength

Question 22

A nurse is providing instructions for a client who is prescribed levodopa/carbidopa for Parkinson’s disease. Which of the following client statements indicates an understanding of the teaching?

• “I can take Vitamin B6 to make the medication work better.”
• “I can suck on hard candy to relieve dry mouth after taking my medication.”
• “I will take my medication with a high-protein food.”
• “I will take an extra dose of medication if I experience increased tremors.” PN Pharmacology 2023

Question 23

A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?

• Gastric emptying rate increases.
• Hepatic enzymes process medications more rapidly.
• Brain receptors become less sensitive to medications.
• Renal excretion time slows for medication.

Question 24

A nurse is reviewing the medical record of a client who is scheduled to receive the hepatitis B vaccine. Which of the following findings should the nurse identify as a contraindication for administering this vaccine?

• The client has a temperature of 37.3° C (99.1° F). PN Pharmacology 2023
• The client is allergic to yeast.
• The client was exposed to an individual who has pertussis.
• The client previously had a severe reaction to the influenza vaccine.