Pharm exam 2 4a4b5a5b UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question 1.
A 72-year-old client presents at the emergency department with respiratory depression and excessive
sedation. The care team confirms that the client has overdosed on diazepam. What is the nurse's best
action?
ANSWER
Administer flumazenil as prescribed
Question 2.
A client with depression has been prescribed a monoamine oxidase inhibitor (MAOI). What education
should the nurse provide to this client? Select all that apply.
ANSWER
i. Avoid foods containing tyramines.
ii. Do not take over-the-counter (OTC) drugs without talking to physician.
iii. Monitor blood pressure closely.
Question 3.
An 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression.
For the past several weeks, the client has been prescribed a selective serotonin reuptake inhibitor
(SSRI). What is the priority nursing action?
ANSWER
Implement suicide precautions.
Question 4.
The nurse is teaching a client taking a monoamine oxidase inhibitor (MAOI) about dietary changes
required to minimize adverse effects of the drug. The nurse determines that the client understands a
low-tyramine diet when what meal is chosen?
ANSWER
A hamburger, French fries, and a strawberry milkshake
,Question 5.
What drug should the nurse consider contraindicated for the client taking a monoamine oxidase
inhibitor (MAOI)?
ANSWER
Escitalopram
Question 6.
The nurse is caring for a client newly diagnosed with schizophrenia and whose medical history
requires a typical antipsychotic. When explaining possible anticholinergic effects to the client, the
nurse should address what potential problems related to these effects? Select all that apply.
ANSWER
i. Gum ulceration
ii. Urinary retention
iii. Blurred vision
iv. Constipation
Question 7.
The nurse is caring for a client with bipolar disorder whose medication regimen includes lithium and
who will soon be discharged. What health education should the nurse prioritize?
ANSWER
The need to have follow-up blood samples drawn on schedule
Question 8.
The nurse is providing care for a 72-year-old female client whose diagnosis of bipolar disorder is
treated with lithium. What nursing responsibility should be prioritized?
ANSWER
Monitor the client's fluid balance and sodium intake
Question 9.
The nurse evaluates the client's latest serum phenytoin level, which is revealed to be 16 mcg/mL. What
is the nurse's best action?
ANSWER
Document the fact that the client's phenytoin level is therapeutic.
, Question 10.
A client has been taking levodopa (L-dopa) for the treatment of Parkinson's disease. What additional
medication may decrease the amount of levodopa needed to reach a therapeutic level in the brain,
thereby reducing adverse effects of levodopa?
ANSWER
Carbidopa
Question 11.
A client, newly diagnosed with Parkinson's disease, has been prescribed an anticholinergic drug. What
assessment should the nurse perform when monitoring for adverse effects of anticholinergic agents
used for the treatment of Parkinson's disease?
ANSWER
Assessment of the client's bowel pattern
Question 12.
A client's postsurgical pain is severe and persistent, and the client states that recent doses of
morphine
IV have "helped only a little bit." The client has a
PRN dose of morphine available and wants to receive the medication, but the client's respiratory rate is
14 breaths/minute. What is the nurse's best action?
ANSWER
Administer the morphine as prescribed and monitor the client's respiratory status closely
Question 13.
A hospital client's pain is rated at 9/10, and the nurse is preparing to administer 4 mg hydromorphone
PO as prescribed. Before administering the medication, the nurse should:
ANSWER
assess the client's baseline respiratory rate.
Question 14.
The nurse is preparing to administer morphine IV to a client with multiple trauma. Before
administering the morphine, what common adverse effect should the nurse inform the client about?
ANSWER
Drowsiness
QUESTIONS AND CORRECT ANSWERS
Question 1.
A 72-year-old client presents at the emergency department with respiratory depression and excessive
sedation. The care team confirms that the client has overdosed on diazepam. What is the nurse's best
action?
ANSWER
Administer flumazenil as prescribed
Question 2.
A client with depression has been prescribed a monoamine oxidase inhibitor (MAOI). What education
should the nurse provide to this client? Select all that apply.
ANSWER
i. Avoid foods containing tyramines.
ii. Do not take over-the-counter (OTC) drugs without talking to physician.
iii. Monitor blood pressure closely.
Question 3.
An 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression.
For the past several weeks, the client has been prescribed a selective serotonin reuptake inhibitor
(SSRI). What is the priority nursing action?
ANSWER
Implement suicide precautions.
Question 4.
The nurse is teaching a client taking a monoamine oxidase inhibitor (MAOI) about dietary changes
required to minimize adverse effects of the drug. The nurse determines that the client understands a
low-tyramine diet when what meal is chosen?
ANSWER
A hamburger, French fries, and a strawberry milkshake
,Question 5.
What drug should the nurse consider contraindicated for the client taking a monoamine oxidase
inhibitor (MAOI)?
ANSWER
Escitalopram
Question 6.
The nurse is caring for a client newly diagnosed with schizophrenia and whose medical history
requires a typical antipsychotic. When explaining possible anticholinergic effects to the client, the
nurse should address what potential problems related to these effects? Select all that apply.
ANSWER
i. Gum ulceration
ii. Urinary retention
iii. Blurred vision
iv. Constipation
Question 7.
The nurse is caring for a client with bipolar disorder whose medication regimen includes lithium and
who will soon be discharged. What health education should the nurse prioritize?
ANSWER
The need to have follow-up blood samples drawn on schedule
Question 8.
The nurse is providing care for a 72-year-old female client whose diagnosis of bipolar disorder is
treated with lithium. What nursing responsibility should be prioritized?
ANSWER
Monitor the client's fluid balance and sodium intake
Question 9.
The nurse evaluates the client's latest serum phenytoin level, which is revealed to be 16 mcg/mL. What
is the nurse's best action?
ANSWER
Document the fact that the client's phenytoin level is therapeutic.
, Question 10.
A client has been taking levodopa (L-dopa) for the treatment of Parkinson's disease. What additional
medication may decrease the amount of levodopa needed to reach a therapeutic level in the brain,
thereby reducing adverse effects of levodopa?
ANSWER
Carbidopa
Question 11.
A client, newly diagnosed with Parkinson's disease, has been prescribed an anticholinergic drug. What
assessment should the nurse perform when monitoring for adverse effects of anticholinergic agents
used for the treatment of Parkinson's disease?
ANSWER
Assessment of the client's bowel pattern
Question 12.
A client's postsurgical pain is severe and persistent, and the client states that recent doses of
morphine
IV have "helped only a little bit." The client has a
PRN dose of morphine available and wants to receive the medication, but the client's respiratory rate is
14 breaths/minute. What is the nurse's best action?
ANSWER
Administer the morphine as prescribed and monitor the client's respiratory status closely
Question 13.
A hospital client's pain is rated at 9/10, and the nurse is preparing to administer 4 mg hydromorphone
PO as prescribed. Before administering the medication, the nurse should:
ANSWER
assess the client's baseline respiratory rate.
Question 14.
The nurse is preparing to administer morphine IV to a client with multiple trauma. Before
administering the morphine, what common adverse effect should the nurse inform the client about?
ANSWER
Drowsiness
