Question 3: Alendronate Administration
RN Capstone Pharmacology 2. A nurse is providing teaching to a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following instructions should the nurse include?
- Take the medication with a full glass of milk.
- Sit upright for 30 min after taking the medication.
- Take the medication at bedtime.
- Chew the tablet thoroughly before swallowing.
Question 4: Captopril Adverse Effects
A nurse is assessing a client who is taking captopril. Which of the following findings should the nurse identify as an adverse effect of the medication?
- Cough
- Hypokalemia
- Tinnitus
- Blurred vision
Question 5: Warfarin Monitoring
A nurse is reviewing the laboratory results for a client who is receiving a continuous IV infusion of heparin and has a new prescription for oral warfarin. Which of the following laboratory values should the nurse report to the provider?
- aPTT 65 seconds
- INR 5.2
- Platelets 200,000/\text{mm}^3
- Hgb 14 g/dL
Question 6: Digoxin Toxicity
A nurse is assessing a client who is taking digoxin. Which of the following findings should the nurse identify as a manifestation of digoxin toxicity?
- Visual disturbances
- Increased appetite
- Constipation
- Hypertension
Question 7: Spironolactone Electrolytes
A nurse is reviewing the laboratory results for a client who is taking spironolactone. Which of the following findings should the nurse report to the provider? RN Capstone Pharmacology 2
- Sodium 140 mEq/L
- Potassium 5.8 mEq/L
- Chloride 100 mEq/L
- Magnesium 2.0 mEq/L
Question 8: Furosemide Administration
A nurse is preparing to administer furosemide to a client. Which of the following should the nurse check prior to administration?
- Blood pressure
- Temperature
- Oxygen saturation
- Weight
Question 9: Rifampin Side Effects
A nurse is teaching a client who has a new prescription for rifampin. Which of the following information should the nurse include? RN Capstone Pharmacology 2
- “Your urine may turn a reddish-orange color.”
- “Take the medication with food.”
- “Expect to have a persistent cough.”
- “This medication may cause constipation.”
Question 10: Nitroglycerin Patch
A nurse is providing teaching to a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?
- Apply the patch to the same site every day.
- Remove the patch for 10 to 12 hours each day.
- Apply the patch to a hairy area of the skin.
- Leave the patch on for 48 hours.
Question 11: Phenytoin Adverse Effects
A nurse is assessing a client who is taking phenytoin. Which of the following findings should the nurse identify as an adverse effect of the medication?
- Gingival hyperplasia
- Diarrhea
- Increased appetite
- Hypotension
Question 12: Magnesium Sulfate Monitoring
A nurse is monitoring a client who is receiving magnesium sulfate IV. Which of the following findings should the nurse identify as a manifestation of magnesium toxicity?
- Depressed deep tendon reflexes
- Hyperventilation
- Tachycardia
- Increased urinary output
Question 13: Ferrous Sulfate Teaching
A nurse is providing teaching to a client who has a new prescription for ferrous sulfate. Which of the following instructions should the nurse include?
- Take the medication with an antacid.
- Take the medication with orange juice.
- Expect stools to be clay-colored.
- Take the medication with milk.
Question 14: Prednisone Side Effects
A nurse is assessing a client who has been taking prednisone for long-term treatment of asthma. Which of the following findings should the nurse identify as an adverse effect of the medication?
- Weight gain
- Hypoglycemia
- Hypotension
- Hypokalemia
Question 15: Gentamicin Monitoring
A nurse is reviewing the laboratory results for a client who is receiving gentamicin. Which of the following findings should the nurse report to the provider?
- Creatinine 2.5 mg/dL
- WBC 8,000 mm}^3
- Glucose 110 mg/dL
- Sodium 138 mEq/L
Question 16: Timolol Contraindications
A nurse is reviewing the medical record of a client who has a new prescription for timolol eye drops. Which of the following conditions is a contraindication to this medication?
- Asthma
- Hypertension
- Diabetes mellitus
- Glaucoma
Question 17: Haloperidol Adverse Effects
A nurse is assessing a client who is taking haloperidol. Which of the following findings should the report to the provider immediately?
- Dry mouth
- Rigidity and high fever
- Photosensitivity
- Blurred vision
Question 18: Levothyroxine Administration
A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following instructions should the nurse include?
- “Take the medication on an empty stomach in the morning.”
- “Take the medication with food.”
- “Take the medication at bedtime.”
- “Expect the medication to work within 24 hours.”
Question 19: Enoxaparin Technique
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?
- Aspirate before injecting the medication.
- Massage the injection site after administration.
- Inject the medication into the subcutaneous tissue of the abdomen.
- Expel the air bubble from the prefilled syringe before injection.
Question 20: Metformin Adverse Effects
A nurse is assessing a client who is taking metformin. Which of the following findings should the nurse identify as an adverse effect of the medication?
- Abdominal bloating and diarrhea
- Weight gain
- Hypoglycemia
- Constipation
Question 21: Valproic Acid Monitoring
A nurse is reviewing the laboratory results for a client who is taking valproic acid. Which of the following findings should the nurse report to the provider?
- AST $120\text{ units/L}$
- WBC $6,000/\text{mm}^3$
- Platelets $180,000/\text{mm}^3$
- Potassium $4.0\text{ mEq/L}$
Question 22: Baclofen Therapeutic Effect
A nurse is assessing a client who is taking baclofen. Which of the following findings should the nurse identify as a therapeutic effect of the medication?
- Decreased muscle spasticity
- Increased muscle strength
- Decreased pain
- Increased range of motion RN Capstone Pharmacology 2
Question 23: Donepezil Teaching
A nurse is providing teaching to a client’s family member about donepezil for Alzheimer’s disease. Which of the following information should the nurse include?
- “The medication will cure the disease.”
- “The medication should be taken at bedtime.”
- “The medication will show results within a few days.”
- “The medication should be taken on an empty stomach.”
Question 24: Filgrastim Indication
A nurse is caring for a client who has a prescription for filgrastim. Which of the following laboratory results should the nurse monitor to evaluate the effectiveness of the medication?
- Neutrophil count
- Erythrocyte count
- Platelet count
- Hemoglobin level
Question 25: Tamoxifen Side Effects
A nurse is assessing a client who is taking tamoxifen for the treatment of breast cancer. Which of the following findings should the nurse identify as an adverse effect of the medication?
- Hot flashes
- Bradycardia
- Urinary retention
- Constipation
Question 26: Sucralfate Administration
A nurse is providing teaching to a client who has a new prescription for sucralfate. Which of the following instructions should the nurse include?
- Take the medication with food.
- Take the medication 1 hour before meals.
- Chew the tablet before swallowing.
- Take the medication with an antacid.
Question 27: Atorvastatin Monitoring
A nurse is reviewing the laboratory results for a client who is taking atorvastatin. Which of the following findings should the nurse report to the provider?
- CK 500 units/L
- LDL 100 mg/dL
- HDL 50 mg/dL
- Total cholesterol 180 mg/dL
Question 28: Fluoxetine Teaching
A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? RN Capstone Pharmacology 2
- “Expect it to take 1 to 4 weeks for the medication to reach full therapeutic effect.”
- “Stop taking the medication if you experience a dry mouth.”
- “Take the medication at bedtime.”
- “Expect the medication to cause weight loss.”
Question 29: Allopurinol Teaching
A nurse is providing teaching to a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include?
- “Increase your fluid intake while taking this medication.”
- “Take the medication on an empty stomach.”
- “Expect the medication to cause a skin rash.”
- “Decrease your intake of citrus fruits.”
Question 30: Propranolol Adverse Effects
A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
- Respiratory rate 24 min}
- Oral temperature 38.9
- Blood pressure 118/78 mm Hg}
- Apical pulse 50 min}
Question 31: Malignant Hyperthermia Treatment
A nurse in the PACU is caring for a client who has received general anesthesia and has manifestations of malignant hyperthermia. Which of the following medications should the nurse expect to administer?
- Diazepam
- Dantrolene
- Cyclobenzaprine
- Metaxalone
Question 32: Alcohol Withdrawal Delirium
A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medications should the nurse expect the provider to prescribe?
- Naloxone
- Bupropion
- Methadone
- Chlordiazepoxide
Question 33: Acetylcysteine Indication
A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following conditions should the nurse expect to administer this medication?
- Gastrointestinal bleed
- Acute bronchospasm
- Morphine toxicity
- Acetaminophen toxicity RN Capstone Pharmacology 2
Question 34: Terazosin Indications
A nurse is caring for a client who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders? (Select all that apply.)
- Hypertension
- Heart failure
- Male pattern baldness
- Benign prostatic hypertrophy
- Erectile dysfunction
Question 46
1. Gastrointestinal report
On Day 5, the client reports frequent diarrhea. This is a significant finding because the client has been taking Ciprofloxacin, a broad-spectrum antibiotic, since Rehab Day 2. Frequent diarrhea in a patient on antibiotics is a major red flag for Clostridioides difficile (C. diff) infection, which requires immediate testing and potential isolation.
2. Urinalysis
The Day 2 urinalysis results showed cloudy appearance, foul odor, and a pH of 8.0, confirming a urinary tract infection (UTI). While the client’s burning on urination has resolved by Day 5, the nurse must ensure that the Day 5 urinalysis (which now shows orange-colored urine) is evaluated to confirm the infection is clearing and to differentiate between drug-induced color changes and actual hematuria or persistent infection.
The client has a history of Bipolar Disorder and was prescribed Lithium 600 mg PO twice daily on Day 30. The symptoms reported “6 months later” are hallmark signs of Lithium toxicity.
The nurse is caring for a client in the emergency department.
- Oxygen via nasal cannula at 8 L/min: Contraindicated
- Clindamycin 600 mg IV every 8 hours: Anticipated
- Piperacillin-tazobactam 4500 mg IV every 6 hours: Anticipated
- Acetaminophen 325 mg PO every 6 hours as needed for a temperature greater than 38.5° C (101.3° F): Anticipated
- 0.9% sodium chloride (NaCl) at 200 mL/hr: Anticipated
- Albuterol 2.5 mg/3mL aerosol every 4 hours as needed for dyspnea: Anticipated
Question 47
The nurse is evaluating the client. Select the 2 findings that require immediate follow-up.
- Gastrointestinal report
- Report of sensation upon urination
- Urinalysis
- Oral fluid intake
- Color of urine
Question 48
Which of the following findings require follow-up by the nurse? Select All That Apply
- Report of fluid intake
- Gastrointestinal findings
- Urine output
- Vital signs
- Muscle movement findings
Question 49 of 50
A nurse is caring for a client. The nurse is reviewing the client’s medications and identifies that [Select…] is contraindicated, due to the client’s [Select…]. RN Capstone Pharmacology 2
- azithromycin / allergies
- Lisinopril / history of angioedema
- Propranolol / asthma
Question 50 of 50
Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.
- Temperature 37.9° C (100.2° F)
- Heart rate 97/min
- Respiratory rate 24/min
- Blood pressure 135/73 mm Hg
- Oxygen saturation 88% on room air
- Pain 6 on a 0 to 10 scale
- lethargic
- yellowing of their sclera
- anorexia
- acetaminophen 650 mg, every 3 hours
- diaphoretic
- skin is warm to touch
- cherry angiomas
- nausea and vomiting
- frequent loose stools
- abdominal pain
