Pharmacology Exam #2 Multiple Choice
Questions and well researched answers
A nurse is caring 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? (select all that apply).
A. assess for tinnitus
B. report urine output 50mL/hr
C. monitor blood potassium levels
D. elevate the head of the bed slowly before ambulation
E. recommend eating a banana daily - CORRECT ANSWERS-A. assess for tinnitus
C. monitor blood potassium levels
D. elevate the head of the 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?
A. take the medication with food
B. plan to take the medication at bedtime
C. expect increased swelling of the ankles
D. fluid intake should be limited in the morning - CORRECT ANSWERS-A. 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?
A. blood sodium 144 mEq/L
,B. urine output 120mL in 4 hr
C. blood potassium 5.2 mEq/L
D. blood pressure 140/90 mm Hg - CORRECT ANSWERS-C. blood 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?
A. blood glucose 150 mg/dl
B. urine output 40 mL/hr
C. dyspnea
D. bilateral equal pupil size - CORRECT ANSWERS-C. 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 conditions as potential adverse reactions of this medication? (Select
all that apply).
A. respiratory acidosis
B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias - CORRECT ANSWERS-B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias
,A nurse is reviewing the health care 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?
A. asthma
B. glaucoma
C. hypertension
D. tachycardia - CORRECT ANSWERS-A. 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?
A. increase the amount of fiber in the diet
B. drink grapefruit juice daily to increase vitamin C intake
C. decrease the amount of calcium in the diet
D. withhold food for 1 hr after the medication is taken - CORRECT ANSWERS-A. increase the amount of
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 as an adverse effect of this medication?
A. hypokalemia
B. hypernatremia
C. neutropenia
D. bradycardia - CORRECT ANSWERS-C. neutropenia
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 hypertension? (Select all that apply).
, A. simvastatin
B. hydrochlorothiazide
C. phenytoin
D. clonidine
E. aliskiren - CORRECT ANSWERS-B. hydrochlorothiazide
D. clonidine
E. aliskiren
A nurse in a provider's office is monitoring blood electrolytes for four clients who take digoxin. Which of
the following electrolyte values increases a client's risk for digoxin toxicity?
A. calcium 9.2 mg/dl
B. calcium 10.3 mg/dl
C. potassium 3.4 mEq/L
D. potassium 4.8 mEq/L - CORRECT ANSWERS-C. potassium 3.4 mEq/L
A nurse is caring for a 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?
A. phenytoin
B. verapamil
C. warfarin
D. aluminium hydroxide - CORRECT ANSWERS-B. verapamil
Questions and well researched answers
A nurse is caring 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? (select all that apply).
A. assess for tinnitus
B. report urine output 50mL/hr
C. monitor blood potassium levels
D. elevate the head of the bed slowly before ambulation
E. recommend eating a banana daily - CORRECT ANSWERS-A. assess for tinnitus
C. monitor blood potassium levels
D. elevate the head of the 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?
A. take the medication with food
B. plan to take the medication at bedtime
C. expect increased swelling of the ankles
D. fluid intake should be limited in the morning - CORRECT ANSWERS-A. 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?
A. blood sodium 144 mEq/L
,B. urine output 120mL in 4 hr
C. blood potassium 5.2 mEq/L
D. blood pressure 140/90 mm Hg - CORRECT ANSWERS-C. blood 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?
A. blood glucose 150 mg/dl
B. urine output 40 mL/hr
C. dyspnea
D. bilateral equal pupil size - CORRECT ANSWERS-C. 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 conditions as potential adverse reactions of this medication? (Select
all that apply).
A. respiratory acidosis
B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias - CORRECT ANSWERS-B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias
,A nurse is reviewing the health care 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?
A. asthma
B. glaucoma
C. hypertension
D. tachycardia - CORRECT ANSWERS-A. 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?
A. increase the amount of fiber in the diet
B. drink grapefruit juice daily to increase vitamin C intake
C. decrease the amount of calcium in the diet
D. withhold food for 1 hr after the medication is taken - CORRECT ANSWERS-A. increase the amount of
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 as an adverse effect of this medication?
A. hypokalemia
B. hypernatremia
C. neutropenia
D. bradycardia - CORRECT ANSWERS-C. neutropenia
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 hypertension? (Select all that apply).
, A. simvastatin
B. hydrochlorothiazide
C. phenytoin
D. clonidine
E. aliskiren - CORRECT ANSWERS-B. hydrochlorothiazide
D. clonidine
E. aliskiren
A nurse in a provider's office is monitoring blood electrolytes for four clients who take digoxin. Which of
the following electrolyte values increases a client's risk for digoxin toxicity?
A. calcium 9.2 mg/dl
B. calcium 10.3 mg/dl
C. potassium 3.4 mEq/L
D. potassium 4.8 mEq/L - CORRECT ANSWERS-C. potassium 3.4 mEq/L
A nurse is caring for a 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?
A. phenytoin
B. verapamil
C. warfarin
D. aluminium hydroxide - CORRECT ANSWERS-B. verapamil
