RN Pharmacology Mostly
Tested questions And
Answers
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. - A. The client should take hydrochlorothiazide
with or after meals to prevent gastrointestinal upset
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. - C. Serum potassium of 5.2 mEq/L indicates
hyperkalemia.
Because spironolactone causes potassium retention, the nurse should withhold
the medication and notify the provider
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 - C. Dyspnea is a manifestation of heart failure, an
adverse effect of mannitol. The nurse should
stop the medication and notify the provider.
A nurse is planning caring for a client who is has a new prescription for
torsemide. The nurse should plan to monitor for which of the following adverse
reactions of this
medications? (Select all that apply.)
A.Respiratory acidosis
B. hypokalemia
C. hypotension
D.Ototoxicity
E.Ventricular dysrhythmias - B. The nurse should plan to monitor for
hypokalemia, which is an adverse effect of a loop diuretic.
C. The nurse should plan to monitor for hypotension.
D. The nurse should plan to monitor the client for ototoxicity.
E. The nurse should plan to monitor for
ventricular dysrhythmias, which is a manifestation of
hypokalemia, an adverse effect of torsemide
,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?
A.Asthma
B.Glaucoma
C. hypertension
D.Tachycardia - A. Propranolol is a nonselective beta-adrenergic
blocker that blocks both beta1 and beta2
receptors. Blockade
of beta2 receptors in the lungs causes bronchoconstriction,
so it is contraindicated in clients who have 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
dietary 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 - A. Increasing dietary
fiber intake can help prevent constipation, an adverse effect of verapamil
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?
A. hypokalemia
B. hypernatremia
C.Neutropenia
, D.Bradycardia - C. Neutropenia is a serious adverse effect that can occur in
clients taking an ACE inhibitor. The nurse should monitor the client's CBC
and teach the client to report indications of infection to the provider.
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?
A.Intestinal ileus
B.Neutropenia
C.Delirium
D. hyperthermia - C. Delirium and other mental status changes can occur in
thiocyanate toxicity when IV nitroprusside is infused at a high dosage. monitor
thiocyanate level during therapy to remain below 10 mg/dL.
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?
(Select all that apply.)
A.Simvastatin
B. hydrochlorothiazide
C.Phenytoin
D.Clonidine
E.Aliskiren - B.hydrochlorothiazide, a thiazide diuretic, is often used to treat
hypertension. Diuretics can intensify first-dose orthostatic hypotension caused
by captopril and can continue to interact with antihypertensive medications to
cause hypotension. The nurse should monitor clients carefully for hypotension,
especially after
the first dose of captopril and keep the client safe from injury
D. Clonidine, a centrally acting alpha2
agonist, is an
antihypertensive medication that can interact with captopril to intensify
first-dose orthostatic hypotension. The nurse should
Tested questions And
Answers
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. - A. The client should take hydrochlorothiazide
with or after meals to prevent gastrointestinal upset
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. - C. Serum potassium of 5.2 mEq/L indicates
hyperkalemia.
Because spironolactone causes potassium retention, the nurse should withhold
the medication and notify the provider
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 - C. Dyspnea is a manifestation of heart failure, an
adverse effect of mannitol. The nurse should
stop the medication and notify the provider.
A nurse is planning caring for a client who is has a new prescription for
torsemide. The nurse should plan to monitor for which of the following adverse
reactions of this
medications? (Select all that apply.)
A.Respiratory acidosis
B. hypokalemia
C. hypotension
D.Ototoxicity
E.Ventricular dysrhythmias - B. The nurse should plan to monitor for
hypokalemia, which is an adverse effect of a loop diuretic.
C. The nurse should plan to monitor for hypotension.
D. The nurse should plan to monitor the client for ototoxicity.
E. The nurse should plan to monitor for
ventricular dysrhythmias, which is a manifestation of
hypokalemia, an adverse effect of torsemide
,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?
A.Asthma
B.Glaucoma
C. hypertension
D.Tachycardia - A. Propranolol is a nonselective beta-adrenergic
blocker that blocks both beta1 and beta2
receptors. Blockade
of beta2 receptors in the lungs causes bronchoconstriction,
so it is contraindicated in clients who have 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
dietary 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 - A. Increasing dietary
fiber intake can help prevent constipation, an adverse effect of verapamil
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?
A. hypokalemia
B. hypernatremia
C.Neutropenia
, D.Bradycardia - C. Neutropenia is a serious adverse effect that can occur in
clients taking an ACE inhibitor. The nurse should monitor the client's CBC
and teach the client to report indications of infection to the provider.
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?
A.Intestinal ileus
B.Neutropenia
C.Delirium
D. hyperthermia - C. Delirium and other mental status changes can occur in
thiocyanate toxicity when IV nitroprusside is infused at a high dosage. monitor
thiocyanate level during therapy to remain below 10 mg/dL.
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?
(Select all that apply.)
A.Simvastatin
B. hydrochlorothiazide
C.Phenytoin
D.Clonidine
E.Aliskiren - B.hydrochlorothiazide, a thiazide diuretic, is often used to treat
hypertension. Diuretics can intensify first-dose orthostatic hypotension caused
by captopril and can continue to interact with antihypertensive medications to
cause hypotension. The nurse should monitor clients carefully for hypotension,
especially after
the first dose of captopril and keep the client safe from injury
D. Clonidine, a centrally acting alpha2
agonist, is an
antihypertensive medication that can interact with captopril to intensify
first-dose orthostatic hypotension. The nurse should
