NUR 2474 EXAM 2 PHARMACOLOGY FOR PROFESSIONAL
NURSING EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: Which statement by the student nurse indicates the
need for further teaching regarding the use of sucralfate and
ciprofloxacin to treat peptic ulcer disease?
Answer:
Sucralfate may cause systemic side effects.
Question 2: A nursing student who is preparing to care for a
postoperative client with DVT asks the nurse why the client must
take heparin rather than warfarin. Which response by the nurse is
correct?
Answer:
The onset of warfarin is delayed.
Question 3: A client with COPD is prescribed tiotropium. After an
initial dose, the client reports only mild relief within 30 minutes.
What is the nurse's best response?
Answer:
You should see improved effect within the next week. (Titropium is long acting,
usually once a day and and it may take several weeks to see full effect. Used
for prevent prevention, not acute flare.
Question 4: A client with diabetes develops hypertension. This will
anticipate administering which type of medication to treat
,hypertension in this client?
Answer:
ACE inhibitors (or angiotensin II receptor blockers because they prevent and
slow kidney disease in diabetes)
Question 5: A client with asthma is admitted to an emergency
department with a respiratory rate of 22, O2 saturation 90% on
room air. The client reports using FLUTICASONE in inhaler 110 µg
twice daily and two puffs of albuterol, 90 µg/puff every four hours
for two days. The nurse will expect to administer, which
medication's?
Answer:
IV. Glucocorticoids, nebulized, albuterol, and ipratropium, and oxygen.
Question 6: A client with chronic hypertension is admitted to the
hospital. During the admission assessment, the nurse notes, a
heart rate of 96, a blood pressure of 150/90 with bibasilar crackles,
2+ pitting edema of the ankles and distention of the JVD. What
medication will the nurse expect the provider to order?
Answer:
Furosemide
Question 7: The Ford ministering hydrochlorothiazide, the nurse
reviewed the clients chart. Which laboratory value causes the
nurse, the most concern?
Answer:
Elevated creatinine clearance.
,Question 8: Which of these effects associated with the use of
protein pump inhibitors and older clients would be most
concerning to the nurse? SATA.
Answer:
Osteoporosis (increased risk of osteoporosis related fractures with use of PPI)
Mineral deficiencies
Question 9: A client who is taking digoxin is admitted to the
hospital for treatment of CHF, and the provider orders furosemide.
The nurse notes by Bassler crackles, and a regular heart rate of 86,
respiratory rate 22, and blood pressure of 130/82. Which laboratory
value would be most concerning for the nurse?
Answer:
Potassium: 3.0
Question 10: A client is taking gentamycin and furosemide. The
nurse should counsel a client taking gentamycin furosemide to
immediately report which symptoms? SATA
Answer:
Frequent nocturia
Tinnitus - Ringing in the ear
Question 11: A client who is receiving factor VIII concentrate to
treat hemophilia a develops hives, low-grade temp elevation with a
stuffy nose. What is the nurse's best response?
Answer:
Give oral diphenhydramine (mild symptoms: hives, itching, stuffy nose,
coughing, and fever)
, Question 12: The nurse will be most concerned with which findings
in the clients history preparing to take propranolol?
Answer:
Asthma (propanolol is a beta blocker and if used in asthma, it blocks their
adrenergic impulse to the bronchial tree that causes bronchodilation. This
means beta blockers increased bronchoconstriction, and therefore
contraindicated and asthma.)
Question 13: A client who recently started therapy with an
HMG-COA reductase inhibitor asked the nurse, "how long will it
take until I see an effect on my LDL cholesterol?" What is the
nurse's best response?
Answer:
"A reduction will be seen within two weeks."
Question 14: What clients education should the nurse provide in
the discharge teaching for a diabetic client starting COLESEVELAM
and insulin?
Answer:
The client needs to monitor the blood sugar carefully because
COLESEVELAM can cause hypoglycemia.
Question 15: A client with asthma will be using metered dose for
the delivery of an inhaled medication. The provider has ordered two
puffs to be given twice daily. What must the nurse include in the
client education?
Answer:
NURSING EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: Which statement by the student nurse indicates the
need for further teaching regarding the use of sucralfate and
ciprofloxacin to treat peptic ulcer disease?
Answer:
Sucralfate may cause systemic side effects.
Question 2: A nursing student who is preparing to care for a
postoperative client with DVT asks the nurse why the client must
take heparin rather than warfarin. Which response by the nurse is
correct?
Answer:
The onset of warfarin is delayed.
Question 3: A client with COPD is prescribed tiotropium. After an
initial dose, the client reports only mild relief within 30 minutes.
What is the nurse's best response?
Answer:
You should see improved effect within the next week. (Titropium is long acting,
usually once a day and and it may take several weeks to see full effect. Used
for prevent prevention, not acute flare.
Question 4: A client with diabetes develops hypertension. This will
anticipate administering which type of medication to treat
,hypertension in this client?
Answer:
ACE inhibitors (or angiotensin II receptor blockers because they prevent and
slow kidney disease in diabetes)
Question 5: A client with asthma is admitted to an emergency
department with a respiratory rate of 22, O2 saturation 90% on
room air. The client reports using FLUTICASONE in inhaler 110 µg
twice daily and two puffs of albuterol, 90 µg/puff every four hours
for two days. The nurse will expect to administer, which
medication's?
Answer:
IV. Glucocorticoids, nebulized, albuterol, and ipratropium, and oxygen.
Question 6: A client with chronic hypertension is admitted to the
hospital. During the admission assessment, the nurse notes, a
heart rate of 96, a blood pressure of 150/90 with bibasilar crackles,
2+ pitting edema of the ankles and distention of the JVD. What
medication will the nurse expect the provider to order?
Answer:
Furosemide
Question 7: The Ford ministering hydrochlorothiazide, the nurse
reviewed the clients chart. Which laboratory value causes the
nurse, the most concern?
Answer:
Elevated creatinine clearance.
,Question 8: Which of these effects associated with the use of
protein pump inhibitors and older clients would be most
concerning to the nurse? SATA.
Answer:
Osteoporosis (increased risk of osteoporosis related fractures with use of PPI)
Mineral deficiencies
Question 9: A client who is taking digoxin is admitted to the
hospital for treatment of CHF, and the provider orders furosemide.
The nurse notes by Bassler crackles, and a regular heart rate of 86,
respiratory rate 22, and blood pressure of 130/82. Which laboratory
value would be most concerning for the nurse?
Answer:
Potassium: 3.0
Question 10: A client is taking gentamycin and furosemide. The
nurse should counsel a client taking gentamycin furosemide to
immediately report which symptoms? SATA
Answer:
Frequent nocturia
Tinnitus - Ringing in the ear
Question 11: A client who is receiving factor VIII concentrate to
treat hemophilia a develops hives, low-grade temp elevation with a
stuffy nose. What is the nurse's best response?
Answer:
Give oral diphenhydramine (mild symptoms: hives, itching, stuffy nose,
coughing, and fever)
, Question 12: The nurse will be most concerned with which findings
in the clients history preparing to take propranolol?
Answer:
Asthma (propanolol is a beta blocker and if used in asthma, it blocks their
adrenergic impulse to the bronchial tree that causes bronchodilation. This
means beta blockers increased bronchoconstriction, and therefore
contraindicated and asthma.)
Question 13: A client who recently started therapy with an
HMG-COA reductase inhibitor asked the nurse, "how long will it
take until I see an effect on my LDL cholesterol?" What is the
nurse's best response?
Answer:
"A reduction will be seen within two weeks."
Question 14: What clients education should the nurse provide in
the discharge teaching for a diabetic client starting COLESEVELAM
and insulin?
Answer:
The client needs to monitor the blood sugar carefully because
COLESEVELAM can cause hypoglycemia.
Question 15: A client with asthma will be using metered dose for
the delivery of an inhaled medication. The provider has ordered two
puffs to be given twice daily. What must the nurse include in the
client education?
Answer:
