RN Pharmacology Online Practice 2023
B Best Exam Questions With 100%
Accurate Answers Graded A+
A nurses is reviewing the medical record of a client who has hypertension. The nurse
should identify which of the following findings as a contraindication for receiving
propranolol?
Cholelithiasis
Asthma
Angina pectoris
Tachycardia - CORRECT ANSWER-Correct: Asthma
Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an
adrenergic antagonist that blocks the beta2 receptors in the lungs, causing
bronchoconstriction and leading to serious airway resistance and possibly respiratory
arrest.
A nurse is administering digoxin immune fab to a client following a medication error.
Which of the following findings should the nurse identify as an indication that the
medication was effective?
Sinus rhythm
A decrease in the platelet count
An increase in the alanine transaminase (ALT) level
Deep tendon reflexes 2+ - CORRECT ANSWER-Correct: Sinus rhythm
Rationale: Digoxin immune Fab is the antidote for digoxin toxicity. Dysrhythmias are a
life-threatening adverse effect of digoxin toxicity. Therefore, the return of the client's
heart to a sinus rhythm indicates a therapeutic response to the antidote, digoxin
immune Fab.Digoxin is a cardiac glycoside and anti-arhythmic.
,A nurse is teaching a client who is starting to take amitriptyline. Which of the following
findings should the nurse include in the teaching as an adverse effect of the
medication?
Muscle twitching
Cough
Urinary retention
Increased libido - CORRECT ANSWER-Correct: Urinary retention
Rationale: The nurse should instruct the client that amitriptyline causes the
anticholinergic effect of urinary retention.
A nurse is providing teaching to a client who is taking sumatripan. Which of the following
adverse effects should the nurse instruct the client to monitor for and report to the
provider?
Chest pressure
White patches on the tongue
Bruising
Insomnia - CORRECT ANSWER-Correct: chest pressure
Rationale: Sumatriptan is an antimigraine agent that can cause coronary vasospasms,
resulting in angina. The client should report chest pressure or heavy arms to the
provider.
Teaching a pt who is to have a colonoscopy and Rx for polyethylene glycol-electrolyte
solution and bisacodyl. Which of the following statements should the nurse make?
"Expect a bowel movement 2 hr following the first dose of the bowel cleanser."
"Plan to drink 2 liters of the bowel cleanser solution."
"Plan to drink 1 large glass of red cranberry juice the day before the procedure."
, "Expect to drink the bowel cleanser solution over an 8 hr period." - CORRECT
ANSWER-"Plan to drink 2 liters of the bowel cleanser solution."
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
develops dyspnea and widespread hives. Which of the following actions should the
nurse take first?
Administer epinephrine 0.5 mL via IV bolus.
Discontinue the medication IV infusion.
Elevate the client's legs above the level of the heart.
Collect a blood specimen for ABGs - CORRECT ANSWER-Discontinue the medication
IV infusion.
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion
to treat a PE. Which of the following findings should the nurse identify as an adverse
effect of the medication and report to the provider?
Vomiting
Blood in the urine
Positive Chvostek's sign
Ringing in the ears - CORRECT ANSWER-Blood in the urine
RN providing teaching to a pt with an Rx for feurrous sulfate. The RN should instruct the
pt to take the med with what to promote absorption?
Vitamin E
Orange juice
Milk
Antacids - CORRECT ANSWER-Correct: Orange Juice
Rationale: The absorption of ferrous sulfate is enhanced by a vitamin C source, such as
orange juice.
B Best Exam Questions With 100%
Accurate Answers Graded A+
A nurses is reviewing the medical record of a client who has hypertension. The nurse
should identify which of the following findings as a contraindication for receiving
propranolol?
Cholelithiasis
Asthma
Angina pectoris
Tachycardia - CORRECT ANSWER-Correct: Asthma
Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an
adrenergic antagonist that blocks the beta2 receptors in the lungs, causing
bronchoconstriction and leading to serious airway resistance and possibly respiratory
arrest.
A nurse is administering digoxin immune fab to a client following a medication error.
Which of the following findings should the nurse identify as an indication that the
medication was effective?
Sinus rhythm
A decrease in the platelet count
An increase in the alanine transaminase (ALT) level
Deep tendon reflexes 2+ - CORRECT ANSWER-Correct: Sinus rhythm
Rationale: Digoxin immune Fab is the antidote for digoxin toxicity. Dysrhythmias are a
life-threatening adverse effect of digoxin toxicity. Therefore, the return of the client's
heart to a sinus rhythm indicates a therapeutic response to the antidote, digoxin
immune Fab.Digoxin is a cardiac glycoside and anti-arhythmic.
,A nurse is teaching a client who is starting to take amitriptyline. Which of the following
findings should the nurse include in the teaching as an adverse effect of the
medication?
Muscle twitching
Cough
Urinary retention
Increased libido - CORRECT ANSWER-Correct: Urinary retention
Rationale: The nurse should instruct the client that amitriptyline causes the
anticholinergic effect of urinary retention.
A nurse is providing teaching to a client who is taking sumatripan. Which of the following
adverse effects should the nurse instruct the client to monitor for and report to the
provider?
Chest pressure
White patches on the tongue
Bruising
Insomnia - CORRECT ANSWER-Correct: chest pressure
Rationale: Sumatriptan is an antimigraine agent that can cause coronary vasospasms,
resulting in angina. The client should report chest pressure or heavy arms to the
provider.
Teaching a pt who is to have a colonoscopy and Rx for polyethylene glycol-electrolyte
solution and bisacodyl. Which of the following statements should the nurse make?
"Expect a bowel movement 2 hr following the first dose of the bowel cleanser."
"Plan to drink 2 liters of the bowel cleanser solution."
"Plan to drink 1 large glass of red cranberry juice the day before the procedure."
, "Expect to drink the bowel cleanser solution over an 8 hr period." - CORRECT
ANSWER-"Plan to drink 2 liters of the bowel cleanser solution."
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
develops dyspnea and widespread hives. Which of the following actions should the
nurse take first?
Administer epinephrine 0.5 mL via IV bolus.
Discontinue the medication IV infusion.
Elevate the client's legs above the level of the heart.
Collect a blood specimen for ABGs - CORRECT ANSWER-Discontinue the medication
IV infusion.
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion
to treat a PE. Which of the following findings should the nurse identify as an adverse
effect of the medication and report to the provider?
Vomiting
Blood in the urine
Positive Chvostek's sign
Ringing in the ears - CORRECT ANSWER-Blood in the urine
RN providing teaching to a pt with an Rx for feurrous sulfate. The RN should instruct the
pt to take the med with what to promote absorption?
Vitamin E
Orange juice
Milk
Antacids - CORRECT ANSWER-Correct: Orange Juice
Rationale: The absorption of ferrous sulfate is enhanced by a vitamin C source, such as
orange juice.
