Name:___________________________________________ Pharmacology Practice Questions Please select the best answer to the following questions: 1. The intrapartum nurse is caring for a client in active labor who has just received morphine IV. Which of the following fetal monitor tracing changes should the nurse anticipate? a. Early decelerations b. Recurrent late decelerations c. Decreased variability d. Moderate variability 2. The nurse is caring for a client at 40.5 weeks’ gestation with a history of gestational diabetes who is being admitted for an induction of labor. A sterile vaginal exam was performed and her exam reveals her cervix is 0% effaced, 0 dilation, -3 station. Which of the following medications should the nurse anticipate will be administered? a. Oxytocin b. Nifedipine c. Dinoprostone d. Methotrexate 3. The nurse is preparing to provide discharge teaching to a 35-week gestation client previously treated with terbutaline for premature labor. Which instructions should the nurse include in the discharge teaching plan? a. Follow up in provider’s office for follow-up dose of Terbutaline b. Call the physician if the fetus moves 10 times in an hour c. Take terbutaline by mouth every 4 hours as preterm labor prophylaxis d. Report a heart rate greater than 120 beats/minute to the physician 4. The nurse is preparing to administer medications to a neonate at 30 minutes of age. Which of the following medications should the nurse anticipate administering within one hour of birth? a. Hepatitis B vaccine b. Vitamin A c. Hepatitis A vaccine d. Phytonadione 5. The nurse is caring for a client at 18-weeks’ gestation recently admitted for an induction of labor related to an intrauterine fetal demise (IUFD). Which of the following medications can the nurse anticipate administering to initiate the birthing process for this client? a. Misoprostol b. Oxytocin c. Methotrexate d. Carboprost 6. The nurse is admitting a client at 36 weeks' gestation after being seen for a routine visit in the provider’s office. Upon initial assessment, the client’s vital signs are BP 178/110, HR 78, O2 95%, RR 20, Temp 98.6℉. The client presents with 3+ pitting edema of the bilateral lower extremities, reporting a headache, visual changes, and has 3+ proteinuria. What drug therapy does the nurse anticipate starting for a client with severe preeclampsia? a. Hydralazine b. Nifedipine c. Labetalol d. Magnesium sulfate 7. The nurse is caring for a 37-week gestation client diagnosed with Pre-eclampsia and gestational diabetes. The client recently had a continuous epidural infusion placed for pain management and was given a dose of Ephedrine. Which of the following assessment findings prompted the administration of this medication? a. Pulse of 110 b. Blood pressure of 80/50 c. Blood glucose 45 d. Fetal decelerations 8. The nurse is caring for a 25-week gestation client that presents to triage complaining of headaches and blurred vision for two days. Upon initial assessment, the nurse notes a blood pressure of 198/112. The physician prescribes Hydralazine 25mg IV NOW. Which of the following nursing interventions would be most appropriate for the nurse to perform when caring for this client? a. Checking the patient's blood glucose levels. b. Close monitoring of the patient's electrolyte levels. c. Perform neurological assessment d. Frequent assessment of the patient's cardiac status 9. The postpartum nurse is caring for a client at 38-weeks’ gestation who is Rh- and delivered via cesarean section for failure to progress. The nurse should anticipate administering Rho(D) immune globulin (RhoGAM) within which time frame after birth? a. 8 hours b. 96 hours c. 72 hours d. 24 hours 10. A nurse is planning to provide discharge medication education to a client with chronic hypertension who has a new prescription for Nifedipine. Which of the following statements by the client indicates understanding of the discharge teaching? a. “I will check my pulse for increased heart rate while on this medication.” b. “I will change positions slowly while on this medication.” c. “I will eat high potassium foods while on this mediation.” d. “I can stop taking the medication once my blood pressure returns normal.”
