Pharmacology Quiz 2. Question 1. A client with peptic ulcer disease is experiencing fewer symptoms because of the suppression of hydrochloric acid secretion into the lumen of the stomach. What medication category is this client most likely receiving?
- a) Proton pump inhibitor
- b) Antacid
- c) Antipeptic agent
- d) Prostaglandin
Question 2. A 20-month-old child is experiencing diarrhea. When planning the child’s care, the nurse should prioritize assessments related to what health problem?
- a) Electrolyte deficiencies
- b) Anorectal bleeding
- c) Anal fissures
- d) Nausea
Question 3 A client who has had diarrhea for several days is seeing improvement and has only had one loose bowel movement during the day. Which food should be introduced back into the diet first?
- a) Baked potato
- b) Fried chicken
- c) Beef stew
- d) Lasagna
Question 4 The nurse is preparing a client for discharge with a prescription for sucralfate and should teach the client to take the medication when?
- a) With meals
- b) With an antacid before breakfast
- c) 1 hour before meals on an empty stomach and at bedtime
- d) After each meal, no more than 15 minutes after finishing
Question 5 The nurse administers psyllium to a client with constipation. What outcome best demonstrates therapeutic effects?
- a) The client’s stool is soft and formed.
- b) The client has a bowel movement within 2 hours.
- c) The client’s fluid intake has increased.
- d) The bulk of the client’s stools has increased.
Question 6 A client with a history of peptic ulcer disease has responded well to treatment with a histamine-2 antagonist. This client is most likely experiencing:
- a) Neutralization of existing stomach acid.
- b) Increase in the pH of the stomach contents.
- c) Protection of the stomach lining.
- d) Reduction in the quantity of hydrochloric acid secreted. Pharmacology Quiz 2
Question 7 A client is undergoing chemotherapy and is experiencing severe nausea. The nurse has administered ondansetron intravenously, with good effect. This client has benefited from:
- a) Competition with histamine at receptor sites.
- b) Increased gastrointestinal motility.
- c) Promotion of gastric emptying.
- d) Blockage of receptors in the chemoreceptor trigger zone (CTZ).
Question 8 During the admission assessment, the client relays that they follow a strict vegan diet. Which deficiency is the client at risk for developing?
- a) Vitamin C
- b) Vitamin A
- c) Vitamin B12
- d) Vitamin E
Question 9 The nurse administers loperamide to decrease the number and liquidity of stool by what mechanism?
- a) Decreasing intestinal motility
- b) Absorbing water from the intestinal lumen
- c) Stimulating the local nerve plexus in the intestinal wall
- d) Increasing the osmotic pressure within the intestinal tract
Question 10 The nurse is preparing to administer bismuth subsalicylate to a client. What assessment is most important to make before administration?
- a) Pain
- b) Electrolytes
- c) Allergy to aspirin
- d) Allergy to opioids
Question 11 The nurse is teaching the parents of a newborn about the purpose of the vitamin K injection the baby will receive. Which statement by the nurse is most appropriate?
- a) “The administration of vitamin K prevents bleeding.”
- b) “Vitamin K will help your baby’s bones grow.”
- c) “This injection helps prevent infection.”
- d) “It helps the baby digest breast milk or formula.”
Question 12 A client with liver cirrhosis and a high ammonia level is showing signs of hepatic encephalopathy. Which medication should the nurse expect to be prescribed?
- a) Loperamide
- b) Psyllium
- c) Lactulose
- d) Magnesium citrate
Question 13 The nurse has administered a prescribed dose of ondansetron IV to a client. What assessment finding best indicates the therapeutic effect for this medication?
- a) Client’s vital signs are within reference ranges.
- b) Client denies nausea.
- c) Client is able to have bowel movements.
- d) Client has increased urine output.
Question 14 The nurse is caring for a client who has begun vomiting. The nurse is aware that which part of the client’s brain has been stimulated?
- a) Limbic system
- b) Hypothalamus
- c) Chemoreceptor trigger zone (CTZ)
- d) Cerebrum. Pharmacology Quiz 2
Question 15 A client with persistent nausea and vomiting has received several doses of promethazine over the past several days. The nurse should assess for which potential adverse effects?
- a) Hypertension, dystonia, and tachycardia
- b) Dry mouth, blurred vision, and urinary retention
- c) Dysphoria, anxiety, and dizziness
- d) Hypotension, confusion, and shuffling gait
Question 16 A nurse is caring for a client who is actively vomiting. What should the nurse consider when choosing the route of administration for an antiemetic?
- a) Parenteral route is the route of choice for this client.
- b) Oral route is always preferred for better absorption.
- c) Rectal route should be avoided in all clients.
- d) The route of administration does not matter.
Question 17 The nurse would question an order for which of the following antiemetic for the treatment of motion sickness-induced nausea?
- a) Prochlorperazine
- b) Dimenhydrinate
- c) Meclizine
- d) Scopolamine
Question 18 (Select all that apply) A client is experiencing hyperkalemia and asks what could lead to this. The nurse would state which of the following could cause this condition?
- a) Potassium-sparing diuretics
- b) Renal impairment
- c) Hypoglycemia
- d) Salt substitutes made with potassium
- e) Coagulation issues
Question 19 (Select all that apply) The nurse provides community education on various Gastrointestinal topics. One of the community members asked what can cause an ulcer. Which of the following would the nurse state can potentially cause an ulcer?
- a) NSAID use
- b) Acetaminophen use
- c) Smoking
- d) Antacid use
- e) H. pylori infection
Question 20 (Select all that apply) Which of the following would be indications of a Vitamin B deficiency? Pharmacology Quiz 2
- a) Glossitis
- b) Gastrointestinal conditions
- c) Neurological problems
- d) Anemia
- e) Cardiovascular issues
