Name: _________________________________ Date: ____________________________
Pharmacology Test #1
Hematology
1. The nurse knows that the main action of thrombolytic medications is to:
A.
B.
C.
D.
2.
In which of the following clinical situations is the initiation of IV heparin therapy appropriate?
(Select all that apply).
____
____
____
____
____
____
3.
Prevent thrombus formation
Suppress platelet aggregation
Suppress the action of Vitamin K
Remove the thrombus that has already formed
Obese client with swollen painful lower right calf postoperative abdominal surgery
Client scheduled for a below-the-knee amputation
Client with multiple small pulmonary emboli
Client with an acute myocardial infarction
Client with DVT who is 5 mos. Pregnant
Client with a platelet count of 80,000/mm₃
A client taking Coumadin should be instructed to avoid eating excessive amounts of which of
the following foods? (Select all that apply)
____
____
____
____
____
Red meat
Milk products
Yellow and orange fruits
Dark green leafy vegetables
Cabbage
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4.
Which of the following client findings suggest a need to call the primary care provider for a
possible reduction in a client’s ferrous sulfate dose?
A.
B.
C.
D.
5.
Client’s stool is greenish black in color.
Client reports constipation.
Client has a HGB level of 9 g/dl.
Client reports intolerable nausea and heartburn.
Match the medication with the appropriate therapeutic use.
Folic Acid _____
Cyanaocobalamin (vitamin B₁₂) ______
Epoetin Alfa (Erythropoietin) ________
Filgrastim (Neupogen) ______
Whole blood _____
Packed Red blood cells _______
A. Client with megaloblastic anemia w/ normal B₁₂
B. Reduce the risk of infection for a client receiving
chemotherapy
C. Anemia in client with chronic renal failure
D. Client with hemoglobin 6 g/dl and blood
pressure of 70/40 due to massive trauma.
E Client with hemoglobin 8.9 g/dl on second day
Post-op total hip replacement.
F Pernicious anemia
6.
Warfarin therapy is best monitored by measuring the:
A. PT
B. PTT
C. INR
D. SGPT
7.
Which of the following is least likely to affect a client taking Warfarin INR level?
A. Alcohol
B. Medications
C. Diet
D. Vitamin B
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8.
A client is taking Epogen for treatment of anemia related to renal disease. What clinical finding
reveals that this medication is working effectively?
A. The client is not experiencing any bone related pain when the medication is being
administered.
B. The client’s hgb and hct levels are rising rapidly based on the latest two daily blood draws.
C. The client’s hematocrit is in the established target range at 33.
D. The client is afebrile.
9.
A client has been diagnosed with iron deficiency anemia (IDA) and wants to know what foods
would help to maintain adequate iron levels in the body. Which of the following items regarding
diet information would be beneficial to include in a teaching plan for achieving the goal of
increased iron levels?
A.
B.
C.
D.
Maintain a strict vegetarian diet
Eat ice cubes that are present in beverages
Increase tea and cereal in the diet
Use adequate sources of Vitamin C in the diet.
10. The nurse has just received an order to start intravenous heparin therapy on a client admitted
for DVT. What nursing measure would the nurse employ in order to implement this order?
A.
B.
C.
D.
Vitamin K should be readily available as long as the medication is infusing
The client should remain NPO as long as the medication is infusing.
An infusion pump should be utilized for the administration of heparin.
The client should be weighed twice a day in order to evaluate for potential fluid overload.
11. A client diagnosed with pernicious anemia is told that vitamin B₁₂ injections are required. The
client doesn’t like “shots” and wants to know why the medication can’t be taken orally. How
would the nurse respond?
A. Initially the medication must be given by injection, but the length of therapy is only a few
months duration.
B. The medication is only available as an injection, but the length of therapy is only a few
months in duration.
C. The medication cannot be given orally because this type of anemia causes a lack of intrinsic
factor that is necessary for the absorption of vitamin B₁₂.
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12. A client is taking folic acid (Folvite) for treatment of folic acid anemia. Which one of the
following would the nurse recognize as causing a potential drug interaction for this type of
therapy?
A.
B.
C.
D.
Vitamin E
Tetracycline
Allopurinol
Oral contraceptives
13. A client is ordered an iron supplement of Ferrous sulfate to be taken daily for iron deficiency
anemia. Which statement tells you the client needs further teaching?
A. Vitamin C helps to potentiate the iron supplement so I will add more Vitamin C to my diet.
B. I will take the iron just as my doctor ordered it once a day.
C. I just need to drink the iron supplement down or I can add it to my juice and sip on it with
breakfast.
D. If I notice constipation I can take a stool softener or add more fruits and vegetables to my
diet.
14. The nurse would monitor the results of which of the following laboratory tests to determine
whether a client is responding to ferrous sulfate therapy?
A.
B.
C.
D.
Reticulocyte count
INR
PT
WBC
15. A client is receiving medication after knee replacement surgery to prevent DVT complications.
What order would the nurse expect to see?
A.
B.
C.
D.
Heparin 10,000 units BID SQ in hospital only.
Lovenox prefilled injections BID SQ while in hospital and 7-10 days after discharge home.
Heparin 2500 units /hr IV adjust according to body weight and Heparin protocol.
Coumadin 10mg PO @1800 nightly.
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