PHARM MIDTERM STUDY GUIDE
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a
long half-life of 4 days. How many times per day should the nurse expect to administer this
medication? One
A staff educator is reviewing medication dosages and factors that influence medication
metabolism with a group of nurses at an in-service presentation. Which of the following factors
should the educator include as a reason to administer lower medication dosages? Liver failure,
Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions should
the nurse take? Ask the client to look up at the ceiling , drop the medication into the center of the
client's conjunctival sac, Instruct the client to close her eye gently after instillation.
A nurse is completing discharge teaching for a client who has a new prescription for transdermal
patches. Which of the following statements should the nurse identify as an indication that the
client understands the instructions? "I will apply the patch to an area of skin with no hair."
A nurse is reviewing a client's medical record notes a new prescription for verifying the trough
level of the client's medication. Which of the following actions should the nurse take? Obtain a
blood specimen immediately prior to administering the next dose of medication.
A nurse is preparing a client's medications. Which of the following actions should the nurse take
in following legal practice guidelines? Maintain skill competency, Monitor for adverse effects,
Safeguard medications
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once
every day. The nurse should identify this as which of the following types of prescription?
Routine
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and
vomiting for a client who has hyperemesis gravidarum. The nurse should clarify which of the
following parts of the prescription with the provider? Frequency
A nurse is admitting a client and completing a preassessment before administering medications.
Which of the following data should the nurse include in the preassessment? Use of herbal teas,
current health status, food allergies
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone
prescription. Which of the following statements should the nurse identify as an indication that
the newly licensed nurse understands the process? "Another nurse should listen to the phone
call."
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about
a potential contraindication to a medication for which of the following clients? A client who
takes Prednisone and has a possible Fungal infection, A client who has chronic liver disease and
is taking Hydrocodone, A client who has a prosthetic heart valve, takes Warfarin, and reports a
suspected pregnancy
A nurse is preparing to administer an IM dose of penicillin to a client who has a new
prescription. The client states that she took penicillin 3 years ago and developed a rash. Which of
the following actions should the nurse take? Withhold the medication
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. Which of the following statements should the nurse give?
"Change positions slowly when you move from sitting to standing."
A nurse is reviewing a client's health record and notes that the client experiences permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize that the
medication affected which of the following systems in the client? Central nervous
A nurse is caring for a client who is taking oral oxycodone. The client states he is also taking
ibuprofen in three recommended doses daily. The nurse should identify that an interaction
between these two medications will cause which of the following findings? an increase in the
expected therapeutic effect of both medications
A nurse is preparing to administer medications to a 4-month-old infant. Which of the following
pharmacokinetic principles should the nurse consider when administering medications to this
client? infants have immature liver function, infants' blood-brain barrier is poorly developed,
infants have an increased ability to absorb topical medications
A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at
her first prenatal visit. Which of the following immunizations may the nurse administer safely to
this client? inactivated influenza vaccine
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at
2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast.
Which of the following factors should the nurse identify as a possible reason for the client's
drowsiness? reduced hepatic function
A nurse in the operating room is caring for a client who received a dose of succinylcholine.
During the operation, the client suddenly develops rigidity, and his body temperature begins to
rise. The nurse should anticipate a prescription for which of the following medications?
Dantrolene
A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant
hyperthermia. Which of the following actions should the nurse take? Place a cooling blanket on
the client, Administer oxygen at 100%, administer iced 0.9% sodium chloride, monitor core
body temperature
A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms.
Which of the following statements by the client indicates an understanding of the teaching?
B. "I know the doctor will gradually increase my dose of this medication for a while."
C. "I should increase fiber to prevent constipation from this medication."
D. "I won't be able to drink alcohol while I'm taking this medication."
A nurse is reviewing the health care record of a client who reports urinary incontinence and asks
about a prescription for oxybutynin. The nurse should recognize that oxybutynin is
contraindicated in the presence of which of the following conditions?
Depression
A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention.
The nurse should recognize that which of the following findings is a manifestation of muscarinic
stimulation? excessive perspiration
A nurse is providing teaching for a client who has gout and a new prescription for allopurinol.
For which of the following adverse effects should the client be taught to monitor?
C. nausea
D. rash
E. increased gout pain
A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid
arthritis. Based on the route of administration of adalimumab, which of the following should the
nurse plan to monitor? the subcutaneous site for redness following injection
A nurse is preparing to administer belimumab for a client who has systemic lupus erythematosus.
Which of the following actions should the nurse plan to take?
monitor the client for hypersensitivity reactions
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following
medications should the nurse anticipate being prescribed for this client? Duloxetine
A nurse is evaluating teaching for a client who has rheumatoid arthritis and a new prescription
for methotrexate. Which of the following statements by the client indicates understanding of the
teaching? "I'll let the doctor know if I develop sores in my mouth while taking this medication."
A nurse is assessing a client who has salicylism. Which of the following findings should the
nurse expect? Dizziness, tinnitus, headache
A nurse is admitting a toddler to the hospital after an acetaminophen overdose. Which of the
following medications should the nurse anticipate administering to this client? Acetylcysteine
A nurse is teaching a client about a new prescription for celecoxib. Which of the following
information should the nurse include in the teaching? increases the risk for a myocardial
infarction
A nurse is taking a history for a client who reports that he is taking aspirin about four times daily
for a sprained wrist. Which of the following prescribed medications taken by the client is
contraindicated with aspirin? Warfarin
A nurse in an emergency department is performing an admission assessment for a client who has
severe aspirin toxicity. Which of the following findings should the nurse expect? Respiratory
depression
A nurse is preparing to administer an opioid agonist to a client who has acute pain. Which of the
following complications should the nurse monitor? Urinary retention
A nurse is caring for a client who has end-stage cancer and is receiving morphine. The client's
daughter asks why the provider prescribed methylnaltrexone. Which of the following responses
should the nurse make? "the medication will relieve your mother's constipation."
A nurse is preparing to administer butorphanol to a client who has a history of substance use
disorder. The nurse should identify which of the following information as true regarding
butorphanol? butorphanol can cause abstinence syndrome in opioid-dependent clients
A nurse is planning to administer morphine IV to a client who is postoperative. Which of the
following actions should the nurse take? Withhold this medication if respiratory rate is less than
12/min
A nurse is reviewing the medication administration record for a client who is receiving
transdermal fentanyl for severe pain. Which of the following medications should the nurse
expect to cause an adverse effect when administered concurrently with fentanyl?
Diazepam
A nurse is caring for a client who has cancer and is taking morphine and carbamazepine for pain.
Which of the following effects should the nurse monitor for when giving the medications
together?
A. Need for reduced dosage of the opioid
B. reduced adverse effects of the opioid
C. increased analgesic effects
A nurse is planning care for a client who has brain cancer and is experiencing headaches. Which
of the following adjuvant medications are indicated for this client? Dexamethasone
A nurse is preparing to administer pamidronate to a client who has bone pain related to cancer.
Which of the following precautions should the nurse take when administering pamidronate?
assess the IV site for thrombophlebitis frequently during administration
A nurse is planning care for a client who has cancer and is taking a glucocorticoid as an adjuvant
medication for pain control. Which of the following interventions should the nurse include in the
plan of care?
B. monitor serum glucose
C. monitor serum potassium level
D. monitor for gastric bleeding
A nurse is administering amitriptyline to a client who is experiencing cancer pain. For which of
the following adverse effects should the nurse monitor? Orthostatic hypotension
A nurse is providing teaching to a client who is experiencing migraine headaches. Which of the
following instructions should the nurse provide?
B. identify and avoid trigger factors
C. lie down in a dark quiet room at the onset of a migraine
D. avoid foods that contain tyramine
A nurse is planning care for a client who is to receive tetracaine prior to a bronchoscopy. Which
of the following actions should the nurse include in the plan of care? keep the client NPO until
pharyngeal response returns
A nurse is caring for a client who receives a local anesthetic of lidocaine during the repair of a
skin laceration. For which of the following adverse reactions should the nurse monitor the client?
Seizures
A nurse is reviewing the health history of a client who has migraine headaches and is to begin
prophylaxis therapy with propranolol. Which of the following findings in the client history
should the nurse report to the provider? an ECG indicates a first-degree heart block
A nurse is providing teaching to a client who has migraine headaches and a new prescription for
ergotamine. For which of the following adverse effects should the nurse instruct the client to stop
taking the medication and notify the provider?
C. positive home pregnancy test
D. numbness and tingling in fingers
E. muscle pain
A nurse is caring for several clients who came tot he clinic for a seasonal influenza
immunization. The nurse should identify that which of the following clients is a candidate to
receive the vaccine via nasal spray rather than an injection?
17 year old who has a hypersensitivity to penicillin
A nurse is teaching a group of new parents about immunizations. The nurse should instruct the
parents that the series for which of the following vaccines is completed prior to the first
birthday? Rotavirus vaccine
A nurse at a provider's office is preparing to administer RV, DTaP, Hib, PCV13, and IPV
immunizations to a 4-month-old infant. Which of the following actions should the nurse plan to
take? administer subcutaneous injections in the anterolateral thigh, give the infant his pacifier
during vaccine injections
A 12 month old child just received the first measles, mumps, and rubella (MMR) vaccine. For
which of the following possible reactions to this vaccine should the nurse teach the parents to
monitor?
A. rash
B. swollen glands
C. bruising
A nurse is caring for a group of clients who are not protected against varicella. The nurse should
prepare to administer the varicella vaccine at this time to which of the following clients? 32 year
old man who has essential hypertension
A nurse is implementing a plan of care for a client who has a wound infection. Which of the
following actions should the nurse perform first? Obtain a wound specimen for culture
A nurse is caring for a client who has a urinary tract infection and a history of recurrence of this
type of infection. The client asks why the provider has not yet prescribed an antibiotic. The nurse
should explain that the provider has to wait for the results of which of the following laboratory
tests to identify which antibiotic to prescribe? Sensitivity
A nurse is preparing information for the unit's nurses about the effectiveness of antimicrobial
therapy for clients who has bacterial infections. Which of the following host factors should the
nurse include as conditions that affect antimicrobial effectiveness?
A. meningitis
B. pacemaker
C. endocarditis
A nurse is caring for a group of clients who are receiving antimicrobial therapy. Which of the
following clients should the nurse plan to monitor for manifestations of antibiotic toxicity? an
older adult client who has prostatitis
A charge nurse is teaching a group of nurses about the important of prophylactic antimicrobial
therapy. Which of the following information should the charge nurse include in the teaching?
A. administer prophylactic antimicrobial therapy to clients who report exposure to a sexually
transmitted infection
B. administer prophylactic antimicrobial therapy to clients who are having orthopedic surgery
C. instruct clients who has a prosthetic heart valve about the need for prophylactic antimicrobial
therapy before dental work
D. consult the provider for prophylactic antimicrobial therapy for clients who have recurrent
urinary tract infections
A nurse in an outpatient facility is preparing to administer nafcillin IM to an adult client who has
an infection. Which of the following actions should the nurse plan to take?
B. administer the medication deeply into the ventrogluteal muscle
C. ask the client about an allergy to penicillin before administering the medication
D. monitor the client for 30 min following the injection
A nurse is preparing to administer cefotaxime IV to a client who has a sever infection and has
been receiving cefotaxime for the past week. Which of the following fundings indicates a
potentially serious adverse reaction to this medication that the nurse should report to the
provider? Diarrhea
A nurse is obtaining a medication history from a client who is to receive imipenem-cilastatin IV
to treat an infection. Which of the following medications the client also receives puts him at risk
for a medication interaction? Valproic acid
A nurse is caring for a client who has a cerebrospinal fluid infection with gram-negative bacteria.
Which of the following cephalosporin antibiotics should the nurse expect to administer IV to
treat this infection? Cefepime
A nurse is preparing to administer penicillin V to a client who has a streptococcal infection. The
client tells the nurse that she has difficulty swallowing tablets and doesn't "do well" with liquid
or chewable medications because the taste gags her, even when the nurse mixes the medication
with food. The nurse should request a prescription for which of the following medications?
Nafcillin
A nurse is teaching a client about taking tetracycline to treat a GI infection due to Helicobacter
pylori. Which of the following statement should the nurse identify as an indication that the client
understands the instructions? "I will let my doctor know if I start having diarrhea."
A nurse is administering gentamicin by IV infusion at 0900. The medication will take 1 hr to
infuse. When should the nurse plan to obtain a blood sample for a peak serum level of
gentamicin? 1030
A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory
infection. For which of the following manifestations should the nurse monitor as an adverse
effect of this medication?
A. pruritus
B. hematuria
C. muscle weakness
E. vertigo
A nurse is caring for a client who has subacute bacterial endocarditis and is receiving several
antibiotics, including streptomycin IM. For which of the following manifestations should the
nurse monitor as an adverse effect of this medication? Extremity paresthesias
A nurse is caring for a client who is undergoing preparation for extensive colorectal surgery.
Which of the following oral antibiotics should the nurse expect to administer specifically to
suppress normal flora in the GI tract? Neomycin
A nurse reviewing a client's medication history notes an allergy to sulfonamides. This allergy is a
contraindication for taking which of the following medications?
A. hydrochlorothiazide
D. glipizide
E. furosemide
A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the
following information should the nurse include?
A. observe for bruising on the skin
B. take the medication with milk or meals
C. expect brown discoloration of urine
A nurse is teaching a female client who has a severe UTI about ciprofloxacin. Which of the
following information about adverse reactions should the nurse include?
A. observe for pain and swelling of the Achilles tendon
B. watch for a vaginal yeast infection
D. inspect the mouth for cottage cheese-like lesions
A nurse is planning discharge teaching for a female client who has a new prescription for
trimethoprim-sulfamethoxazole. Which of the following information should the nurse include?
take it on an empty stomach
A nurse is planning to administer ciprofloxacin IV to a client who has cystitis. Which of the
following actions should the nurse take? infuse the medication over 60 min
A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new
prescription for isoniazid. Which of the following supplements should the nurse expect to
administer to prevent an adverse effect of INH? Pyridoxine
A nurse is infusing IV amphotericin B to a client who has a systemic fungal infection. The nurse
should monitor the client for which of the following adverse effects of this medication? Fever
A nurse is administering IV amphotericin B to a client who has a systemic fungal infection. This
nurse should monitor which of the following laboratory values?
C. serum potassium
D. hematocrit
E. serum creatinine
A nurse is teaching a client who is beginning a course of metronidazole to treat an infection. For
which of the following adverse effects should the nurse instruct the client as a priority to stop
taking metronidazole and notify the provider? Ataxia
A nurse is teaching a client who has active tuberculosis about his treatment regimen. The client
asks why he must take four different medications. Which of the following responses should the
nurse make? "four medications reduce the chance that the bacteria will become resistant."
A nurse is teaching a client who has a new prescription for combination oral NRTIs (abacavir,
lamivudine, an zidovudine) for treatment of HIV. Which of the following statements should the
nurse include? "these medications work by inhibiting enzymes to prevent HIV replication."
A nurse is caring for a client who takes several antiretroviral medications, including the NRTI
zidovudine, to treat HIV infection. The nurse should monitor for which of the following adverse
effects of zidovudine?
A. fatigue
D. hyperventilation
E. vomiting
A nurse is caring for a client who is taking ritonavir, a protease inhibitor, to treat HIV infection.
The nurse should monitor for which of the following adverse effects of this medication?
Hyperlipidemia
A nurse is caring for a client who has a new prescription for enfuvirtide to treat HIV infection.
The nurse should monitor the client for which of the adverse reactions of this medication?
B. pneumonia
D. localized erthema
E. hypotension
A nurse is administering IV acyclovir to a client who has varicella. Which of the following
actions should the nurse take? Infuse acyclovir over 1 hr
A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for
HIV infection about ways to prevent medication resistance. Which of the following information
should the nurse teach the client about resistance? taking medication at the same times daily
without missing doses minimizes resistance
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the
following instructions should the nurse include?
"rinse your mouth after each use of this medication"
A nurse is providing instructions to a client who has a new prescription for albuterol and
beclomethasone inhalers for the control of asthma. Which of the following instructions should
the nurse include in the teaching? administer the albuterol inhaler prior to using the
beclomethasone inhaler
A nurse is providing instructions to the parent of an adolescent client who has a new prescription
for albuterol, PO. Which of the following instructions should the nurse include? "tremors are an
adverse effect of this medication"
A nurse is teaching a client who has a prescription for long-term use of oral prednisone for
treatment of chronic asthma. The nurse should instruct the client to monitor for which of the
following adverse effects of this medication? Weight gain
A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the
past 10 days for sinusitis. The nurse should assess the client for which of the following adverse
effects of this medication? Nasal congestion
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a
cough. The nurse should instruct the client to monitor for which of the following adverse effects
of this medication? Sedation
A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for
acetylcysteine. Which of the following information should the nurse include int he instructions?
"expect this medication to smell like rotten eggs"
A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis.
The nurse should instruct the client to monitor for which of the following adverse reactions of
this medication?
A. dry mouth
D. drowsiness
E. urinary hesitation
A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the
following statements by the client indicates an understanding of the teaching?
"It can take as long as 3 weeks before the medication takes a maximum effect."
A nurse is providing teaching to a client who is starting simvastatin. Which of the following
information should the nurse include in the teaching?
take this medication in the evening
A nurse is collecting data from a client who is taking gemfibrozil. Which of the following
assessment findings should the nurse identify as an adverse reaction to this medication?
Jaundice
A nurse is teaching a client who is taking digoxin and has a new prescription for colesevelam.
Which of the following instructions should the nurse include in the teaching? "take colesevelam
with food and at least one glass of water"
A nurse is completing a nursing history for a client who takes simvastatin. The nurse should
identify which of the following disorders as a contraindication to adding ezetimibe to the client's
medications? active hepatitis C
A nurse is caring for a client who has a new prescription for niacin to reduce cholesterol. The
nurse should monitor for which of the following findings as an adverse effect of niacin?
B. hyperglycemia
D. flushing of the skin
E. jaundice
A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which
of the following interventions should the nurse include in the plan of care?
A. assess for tinnitus
C. monitor serum potassium levels
D. elevate the head of bed slowly before ambulation
E. recommend eating a banana daily
A nurse is providing information to a client who has a new prescription for hydrochlorothiazide.
Which of the following information should the nurse include?
take the medication with food.
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings
should the nurse report to the provider? serum potassium 5.2 mEq/L
A nurse is caring for a client who has increased intracranial pressure and is receiving mannitol.
Which of the following findings should the nurse report to the provider? dyspnea
A nurse is planning care for a client who has a new prescription for torsemide. The nurse should
plan to monitor for which of the following adverse reactions of the medications?
B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dusrhythmias
A nurse is reviewing the health record of a client who asks about using propranolol to treat
hypertension. The nurse should recognize which of the following conditions is a contraindication
for taking propranolol? Asthma
A nurse is teaching a client who has a new prescription for verapamil to control hypertension.
Which of the following instructions should the nurse include?
increase the amount of dietary fiber in the diet
A nurse is caring for a client who has a new prescription for captopril for hypertension. The
nurse should monitor the client for which of the following adverse effects of this medication?
neutropenia
A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for
hypertensive crisis. The nurse should monitor the client for which of the following adverse
reactions to this medication? delirium
A nurse is planning to administer a first dose of captopril to a client who has hypertension.
Which of the following medications can intensify first dose hypotension?
B. hydrochlorothiazide
D. clonidine
E. aliskiren
A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who
take digoxin. Which of the following electrolyte values increases a client's risk for digoxin
toxicity? potassium 3.4 mEq/L
A nurse is caring for an older adult client who has a new prescription for digoxin and takes
multiple other medications. The nurse should recognize that concurrent use of which of the
following medications places the client at risk for digoxin toxicity?
verapamil
A nurse is administering a dopamine infusion at a low dose to a client who has severe heart
failure. Which of the following findings is an expected effect of this medication?
increased urine output
A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse
should instruct the client to monitor and report which of the following adverse effects that is a
manifestation digoxin toxicity?
A. fatigue
C. anorexia
E. blurred vision
A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which
of the following instructions should the nurse include in the teaching?
contact provider if heart rate is less than 60/min
A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal
attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have
anginal pain?" Which of the following responses should the nurse make? "call the emergency
response team"
A nurse is teaching a client who has a new prescription for nitroglycerin transdermal patch for
angina pectoris. Which of the following instructions should the nurse include?
remove the patch each evening
A nurse is taking a medication history from a client who has angina and is to begin taking
ranolazine. The nurse should report which of the following medications in the client's history that
can interact with ranolazine?
A. digoxin
B. simvastatin
C. verapamil
A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina
and develops reflex tachycardia. Which of the following medications should the nurse expect to
administer? Metoprolol
A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The
nurse should include which of the following instructions?
"remove the prior dose before applying a new dose"
A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the
following findings is a manifestation of amiodarone toxicity? Productive cough
A nurse is caring for a client who received IV verapamil to treat supra-ventricular tachycardia
(SVT). The client's pulse rate is now 98/min and his blood pressure is 74/44 mg Hg. The nurse
should anticipate a prescription for which of the following IV medications? Calcium gluconate
A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following
findings is a manifestations of digoxin toxicity? Report of anorexia
A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12
months. The nurse should assess the client for which of the following adverse effects of this
medication?
B. widened QRS complex
D. easy bruising
E. swollen joints
A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which of the
following actions should the nurse plan to take? assist the client when she sits up or stands after
taking this medication
ATI
Nurse is providing teaching to a group of new parents about meds. Nurse should include that
aspirin is contraindicated for children who have viral infection d/t risk of developing which of
following adverse effects? Reye's syndrome
Nurse is providing teaching to pt who has CKF w/ AV fistula for hemodialysis and new
prescription for epoetin alfa. Which of following therapeutic effect of epoetin alfa should nurse
include in teaching? Promotes RBC production
Nurse is caring for pt who has peptic ulcer disease and reports headache. Which of following
meds should nurse plan to administer? Acetaminophen
Nurse is caring for pt who has prescription for clopidogrel. Nurse should monitor pt for which of
following adverse effects? Bleeding
Nurse is teaching newly licensed nurse about contraindications to ceftriaxone. Nurse should
include severe allergy to which of following meds as contraindicated to ceftriaxone? Piperacillin
Nurse is providing teaching to newly licensed nurse about metoclopramide. Nurse should include
in teaching that which of following conditions is contraindicated to this med? Intestinal
obstruction
Nurse is assessing pt who has new prescription for chlorpromazine to Tx schizophrenia. Pt has
mask-like facial expression and is experiencing involuntary movements and tremors. Which of
following meds should nurse anticipate administering? Amantadine
Nurse is administering subq epinephrine for pt who is experiencing anaphylaxis. Nurse should
monitor pt for which of following adverse effects? Tachycardia
Nurse is providing teaching to pt who has UTI and new prescriptions for phenazopyridine and
ciprofloxacin. Which of following statements by pt indicates need for further teaching? "I should
notify my provider immediately if my urine turns an orange color."
Nurse is caring for older adult pt who has new prescription for zolpidem at bedtime to promote
sleep. Nurse should plan to monitor pt for which of following adverse effects? Dizziness
Nurse is reviewing lab values for pt who reports fatigue and cold intolerance. Pt has increased
TSH level and decreased total T3 and T4 levels. Nurse should anticipate prescription for which
following meds? Levothyroxine
Nurse is providing teaching to pt who has new prescription for hydrochlorothiazide 50 mg PO to
Tx HTN. Which of following instructions should nurse include in teaching? "Take the
hydrochlorothiazide in the morning."
Nurse is caring for pt who is at 28 wks of gestation and is experiencing preterm labor. Which
following meds should nurse plan to administer? Nifedipinie
Nurse is providing teaching to pt who has cirrhosis and new prescription for lactulose. Nurse
should instruct pt that lactulose has which of following therapeutic effects? Reduces ammonia
levels
Nurse is caring for older adult who has new prescription for amitriptyline to Tx depression.
Which of following Dx tests should nurse plan to perform prior to starting pt on this med?
Electrocardiogram
Nurse is teaching pt who has gout and new prescription for allopurinol. Nurse should instruct pt
to d/c med for which of following adverse effects? Fever
Nurse is assessing pt who is receiving IV gentamicin TID. Which of following findings indicate
pt is experiencing adverse effects of med? Proteinuria
Nurse is providing teaching to newly licensed nurse about caring for pt who has prescription for
gemfibrozil. Nurse should instruct newly licensed nurse to monitor which of following lab tests?
Liver function
Nurse is caring for pt who has new prescription for ergotamine. Nurse should recognize that
ergotamine is administered to Tx which of following conditions? Migraine headaches
Nurse is reviewing lab values for pt who is receiving continuous IV heparin infusion and has
aPTT of 90 secs. Which of following action should nurse prepare to take? Reduce the infusion
rate
Nurse is providing teaching to pt who has rheumatoid arthritis and prescription for long-term
prednisone therapy. Nurse should instruct pt to monitor for which of following adverse effects?
Stress fractures
Nurse is caring for pt who has new prescription for tamoxifen. Nurse should recognize that
tamoxifen has which of following therapeutic effects? Antiestrogenic
Nurse is caring for pt who has new prescription for amphotericin B. Nurse should plan to
monitor pt for which of following adverse effects? Nephrotoxicity
Nurse is administering subq heparin to pt who is at risk for DVT. Which of following actions
should nurse take? Administer the medication into the client's abdomen.
Nurse is review lab results for pt who has prescription for filgrastim. Nurse should recognize that
an increase in which of following values indicates therapeutic effect of this med? Neutrophil
count
Nurse is providing teaching to pt who has ulcerative colitis and new prescription for
sulfasalazine. Nurse should instruct pt to monitor for which of following adverse effects of this
med? Jaundice
Nurse is caring for pt who has new Dx of oral candidiasis after taking tetracycline for 7 days.
Nurse should recognize that candidiasis is manifestation of which of following adverse effects?
Superinfection
Nurse is caring for pt who has prescription for cholorthiazide to Tx HTN. Nurse should plan to
monitor pt for which of following adverse effects? Muscle weakness
Nurse on medical unit is preparing to administer alendronate 40 mg PO for older adult pt who
has Paget's disease of bone. Which of following actions should be nurse's priority?
Ambulate the client to a chair prior to administering the medication.
Nurse is caring for pt who has been taking isoniazid and rifampin for 3 wks for Tx of active
pulmonary TB. Pt reports his urine is orange color. Which of following statements should nurse
make? "Rifampin can turn body fluids orange."
Nurse is caring for pt who has new prescription for enalapril. Nurse should monitor pt for which
of following adverse effects of med? Hypotension
Nurse is providing teaching to newly licensed nurse about administering morphine via IV bolus
to pt. Which of following information should nurse include in teaching? "Respiratory
depression can occur 7 min after the morphine is administered."
Nurse is providing teaching to parent of child who has asthma and new prescription for cromolyn
sodium metered dose inhaler. Which of following statements by parents indicate need for further
teaching? "I will give my child a dose as soon as wheezing starts."
KAHOOT
Pt is receiving furosemide (Lasix) and asks "What is all this about 'loops' in my medicine?" What
do you say? This is a loop diuretic. It blocks sodium reabsorption in the loop of Henle
Patient is taking alendronate (Fosamax). Which statement is correct? I need to sit up for 30
minutes after taking this medication
Patient is going to receive potassium chloride (KCL) liquid via NG tube. What should you do? Dilute the
medication with water prior to administration through NG tube.
Patient has chronic gout. How do we decrease gout attacks? Avoid consuming organ meats and salmon,
beef, sardines, and liver, high purine foods
Which patients can receive opioid analgesics safely? Patient who was in a motor vehicle accident without
any major injury. Patient who is not able to verbalize his level of pain. Patient with a known drug
addiction history.
Patient's potassium is 5.9. The nurse administers glucose and insulin as a treatment. Why? Insulin causes extra
potassium to go into the cells and lower the serum lvl
What is the correct statement concerning the use of aspirin (ASA) to treat pain? Enteric coated capsules are
available to reduce GI side effects
What are bisphosphonates used to treat? Bisphosphonatesare used to treat recent loss of bone mass, Paget's
disease, osteoporosis
Patient is on long-term glucocorticoids. What should you do? Assess for GI bleeding
Patient is taking prednisone. What will you teach them? Prednisone must be tapered down before discontinuation
Thiazide diuretics should not be used for patients who have ________. Gout
How does metoclopramide (Reglan) work? Relieves nausea by stimulating gastric emptying
Patient is taking hydrochlorothiazide. What should you recommend the patient to eat?
Avacados and mushrooms
Patient is receiving spironolactone. You should monitor them for _______. Hyperkalemia
Long term use of proton pump inhibitors can increase the risk for ________. Osteopenia
Patient has cushing's syndrome. What could your assessment reveal? Upper body obesity
Patient is receiving furosemide and an aminoglycoside antibiotic. You will be most concerned when the patient
reports __ Tinnitus
Patients with _______ should not receive loop diuretics. Anuria
Pt is receiving hydrochlorothiazide. What are some complications from this med?
Hypercalcemia, Dehydration
Patient is getting androgen therapy for hypogonadism. What might the pt experience?
Visual disturbances, Continuous erection, Gynecomastia
When should your pt take thiazide medication? Drink plenty of water each day, Monitor blood sugar if
you are diabetic, Monitor blood sugar if you are diabetic, Eat a diet high in potassium
Which statement is true regarding Vitamin K? Vitamin K reverses warfarin toxicity