RN VATI Pharmacology 2019
1. A nurse is preparing to Administer the medication with food
administer diclofenac to
a client who has chronic Diclofenac is an NSAID and can cause gastric irritation. Clients should
bursitis. Which of the fol-take NSAIDs with food or milk to minimize gastric irritation.he nurse
lowing actions should the should not administer the medication at bedtime because the client
nurse take? should remain upright for 15 to 30 min after administration to prevent
esophageal irritation. Diclofenac is available as an enteric-coated
a. administer the medica- tablet for delayed release. Clients should not crush or chew sus-
tion at bedtime tained-release medications because doing so will increase gastroin-
b. avoid administering the testinal adverse effects and decrease the effectiveness of the med-
medication with antacids ication.
c. administer the medica-
tion with food
d. crush the medication
prior to administration
2. A nurse is planning care Glucose
for a client who has asth-
ma and a prescription Methylprednisolone therapy increases the synthesis of glucose and
for methylprednisolone. decreases the uptake of glucose by the muscles and adipose tissues,
Which of the following resulting in increased circulating glucose. Therefore, it is important
laboratory values should for the nurse to monitor blood glucose levels regularly while clients
the nurse monitor while are receiving corticosteroid therapy.
the client is receiving this
Aspartate aminotransferase is an enzyme that is present in the heart,
medication?
liver, skeletal muscles, and other highly metabolic tissues. AST levels
a. Aspartate aminotrans- are increased in conditions that cause cellular injury, such as liver dis-
ferase (AST) ease; however, methylprednisolone therapy does not affect AST levels.
b. Fibrin split products Fibrin split products are present in the serum when thromboses are
c. BUN present. Increased levels of fibrin split products can increase dissem-
d. Glucose inated intravascular coagulation (DIC); however, methylprednisolone
therapy does not affect blood clotting. BUN levels reflect kidney
, RN VATI Pharmacology 2019
function and glomerular filtration. Hydration status and nephrotoxic
medications can alter BUN levels; however, methylprednisolone ther-
apy does not affect renal function.
3. A nurse is caring for To reduce the risk for breast cancer
a client who is post-
menopausal and has a Raloxifene can lower the risk for breast cancer in postmenopausal
prescription for ralox- clients who have a high risk for developing estrogen-receptive types
ifene. The nurse should in- of breast cancer. The medication also reduces the risk for and can
struct the client that ralox-treat postmenopausal osteoporosis.Raloxifene is a selective estrogen
ifene is prescribed for receptor modulator. In clients who are postmenopausal, it can reduce
which of the following rea- the risk for and treat osteoporosis and protect against breast cancer.
sons? Hot flashes are an adverse effect of raloxifene. Raloxifene reduces the
occurrence of fractures related to osteoporosis and reduces the cho-
a. To treat irritable bowel lesterol level in clients who are postmenopausal.Raloxifene can cause
syndrome several significant cardiovascular and respiratory adverse effects,
b. To reduce the risk for such as thromboembolism, stroke, peripheral edema, pneumonia,
breast cancer and the development of pulmonary emboli. Clients should not take
c. To reduce the occur- this medication prior to periods of prolonged immobilization, such
rence of hot flashes as surgery. A history of thromboembolic events is a contraindication
d. To lower the risk of pul- for taking this medication.
monary embolism
4. A nurse is caring for a aPTT
client who is receiving he-
parin by continuous IV in- The nurse should monitor the aPTT of a client who is receiving heparin
fusion for treatment of ve- by continuous IV infusion. When beginning heparin therapy, the
nous thrombosis. Which nurse should monitor the aPTT every 4 to 6 hr. Once the client has
of the following laborato- achieved the desired range, the nurse should monitor the aPTT daily.
ry values should the nurse
The nurse should monitor the platelet function assay of a client who
monitor for in order to
has a bleeding disorder. This test evaluates platelet function and
titrate the heparin dose?
ability to cause hemostasis; however, heparin does not affect it.The
, RN VATI Pharmacology 2019
nurse should monitor a client's INR to evaluate the effects of warfarin
a. platelet function assay therapy. The nurse should ensure the collection of the client's blood
b. aPTT specimen prior to administering the daily warfarin dose.The nurse
c. INR should review the amylase levels of a client who has pancreatitis.
d. Amylase Amylase is a pancreatic enzyme that increases in clients who have
acute or chronic pancreatitis; however, heparin does not affect this
enzyme.
5. A nurse is assessing a Calcium gluconate
client who has a positive
Trousseau's sign. Wich of The nurse should identify that a positive Trousseau's sign is a man-
the following medications ifestation of hypocalcemia. Therefore, the nurse should plan to ad-
should the nurse plan to minister calcium gluconate to treat hypocalcemia.
administer?
Sodium bicarbonate is administered to treat metabolic acidosis. The
a. sodium bicarbonate nurse should recognize that sodium bicarbonate is not used to treat
b. manesium sulfate a positive Trousseau's sign.Magnesium sulfate is administered to
c. calcium gluconate treat hypomagnesemia. The nurse should recognize that magnesium
d. potassium chloride sulfate is not used to treat a positive Trousseau's sign. Potassium
chloride is administered to treat hypokalemia. The nurse should
recognize that potassium chloride is not used to treat a positive
Trousseau's sign.
6. A nurse is preparing 6 mL
to administer morphine
0.3 mg/kg PO to a
school-aged child who
weighs 88 lb. Available
is morphine oral solution
2mg/ml. How many mL
should the nurse adminis-
ter?
, RN VATI Pharmacology 2019
7. A nurse is administer- Muscle rigidity
ing haloperidol to a client
who has schizophrenia. A client who is taking haloperidol, a first-generation antipsychotic
For which of the following agent, can develop extrapyramidal effects, such as parkinsonism,
adverse effects should the which manifests as tremors, bradykinesia, loss of balance, mask-like
nurse monitor? facial expression, shuffling gait, and muscle rigidity.
a. gingival hyperplasia Haloperidol is an antipsychotic agent that can cause akathisia (mo-
b. muscle rigidity tor restlessness) within hours of receiving the first dose; however,
c. polyuria gingival hyperplasia is not an adverse effect of haloperidol. Pheny-
d. bruising toin is an example of a medication that causes gingival hyperpla-
sia.Haloperidol has several genitourinary adverse effects, including
urinary retention and impotence; however, urinary output does not
typically increase.Haloperidol has significant cardiovascular effects,
including dysrhythmias, myocardial infarction, severe heart failure,
and hypotension; however, it does not affect blood coagulation.
8. A nurse receives a ver- Hydrochlorothiazide 25 mg PO daily
bal prescription from
the provider for hy- The nurse should transcribe the provider's prescription by spelling
drochlorothiazide 25 mg out the name of the medication, recording the dosage as a whole
by mouth daily for a number, and spelling out the word "daily." The abbreviation PO is
client who has hyperten- acceptable for use to indicate the route by mouth.
sion. Which of the fol-
The nurse should not transcribe a trailing zero after a decimal point
lowing indicates how the
because if the decimal point is not seen, it could be mistaken as
nurse should transcribe
250 mg. The abbreviation q.d. is not acceptable because it could be
the prescription in the
mistaken for q.i.d. The nurse should write out the word "daily."The
client's medical record?
nurse should not transcribe the medication name abbreviated as
a. Hydrochlorothiazide HCTZ, because it could be mistaken for hydrocortisone. The nurse
25.0 mg orally q.d. should not place a trailing zero after a decimal point because if the
b. Hydrochlorothiazide 25 decimal point is not seen, it could be mistaken as 250 mg.The nurse
should not transcribe the medication name abbreviated as HCTZ,
1. A nurse is preparing to Administer the medication with food
administer diclofenac to
a client who has chronic Diclofenac is an NSAID and can cause gastric irritation. Clients should
bursitis. Which of the fol-take NSAIDs with food or milk to minimize gastric irritation.he nurse
lowing actions should the should not administer the medication at bedtime because the client
nurse take? should remain upright for 15 to 30 min after administration to prevent
esophageal irritation. Diclofenac is available as an enteric-coated
a. administer the medica- tablet for delayed release. Clients should not crush or chew sus-
tion at bedtime tained-release medications because doing so will increase gastroin-
b. avoid administering the testinal adverse effects and decrease the effectiveness of the med-
medication with antacids ication.
c. administer the medica-
tion with food
d. crush the medication
prior to administration
2. A nurse is planning care Glucose
for a client who has asth-
ma and a prescription Methylprednisolone therapy increases the synthesis of glucose and
for methylprednisolone. decreases the uptake of glucose by the muscles and adipose tissues,
Which of the following resulting in increased circulating glucose. Therefore, it is important
laboratory values should for the nurse to monitor blood glucose levels regularly while clients
the nurse monitor while are receiving corticosteroid therapy.
the client is receiving this
Aspartate aminotransferase is an enzyme that is present in the heart,
medication?
liver, skeletal muscles, and other highly metabolic tissues. AST levels
a. Aspartate aminotrans- are increased in conditions that cause cellular injury, such as liver dis-
ferase (AST) ease; however, methylprednisolone therapy does not affect AST levels.
b. Fibrin split products Fibrin split products are present in the serum when thromboses are
c. BUN present. Increased levels of fibrin split products can increase dissem-
d. Glucose inated intravascular coagulation (DIC); however, methylprednisolone
therapy does not affect blood clotting. BUN levels reflect kidney
, RN VATI Pharmacology 2019
function and glomerular filtration. Hydration status and nephrotoxic
medications can alter BUN levels; however, methylprednisolone ther-
apy does not affect renal function.
3. A nurse is caring for To reduce the risk for breast cancer
a client who is post-
menopausal and has a Raloxifene can lower the risk for breast cancer in postmenopausal
prescription for ralox- clients who have a high risk for developing estrogen-receptive types
ifene. The nurse should in- of breast cancer. The medication also reduces the risk for and can
struct the client that ralox-treat postmenopausal osteoporosis.Raloxifene is a selective estrogen
ifene is prescribed for receptor modulator. In clients who are postmenopausal, it can reduce
which of the following rea- the risk for and treat osteoporosis and protect against breast cancer.
sons? Hot flashes are an adverse effect of raloxifene. Raloxifene reduces the
occurrence of fractures related to osteoporosis and reduces the cho-
a. To treat irritable bowel lesterol level in clients who are postmenopausal.Raloxifene can cause
syndrome several significant cardiovascular and respiratory adverse effects,
b. To reduce the risk for such as thromboembolism, stroke, peripheral edema, pneumonia,
breast cancer and the development of pulmonary emboli. Clients should not take
c. To reduce the occur- this medication prior to periods of prolonged immobilization, such
rence of hot flashes as surgery. A history of thromboembolic events is a contraindication
d. To lower the risk of pul- for taking this medication.
monary embolism
4. A nurse is caring for a aPTT
client who is receiving he-
parin by continuous IV in- The nurse should monitor the aPTT of a client who is receiving heparin
fusion for treatment of ve- by continuous IV infusion. When beginning heparin therapy, the
nous thrombosis. Which nurse should monitor the aPTT every 4 to 6 hr. Once the client has
of the following laborato- achieved the desired range, the nurse should monitor the aPTT daily.
ry values should the nurse
The nurse should monitor the platelet function assay of a client who
monitor for in order to
has a bleeding disorder. This test evaluates platelet function and
titrate the heparin dose?
ability to cause hemostasis; however, heparin does not affect it.The
, RN VATI Pharmacology 2019
nurse should monitor a client's INR to evaluate the effects of warfarin
a. platelet function assay therapy. The nurse should ensure the collection of the client's blood
b. aPTT specimen prior to administering the daily warfarin dose.The nurse
c. INR should review the amylase levels of a client who has pancreatitis.
d. Amylase Amylase is a pancreatic enzyme that increases in clients who have
acute or chronic pancreatitis; however, heparin does not affect this
enzyme.
5. A nurse is assessing a Calcium gluconate
client who has a positive
Trousseau's sign. Wich of The nurse should identify that a positive Trousseau's sign is a man-
the following medications ifestation of hypocalcemia. Therefore, the nurse should plan to ad-
should the nurse plan to minister calcium gluconate to treat hypocalcemia.
administer?
Sodium bicarbonate is administered to treat metabolic acidosis. The
a. sodium bicarbonate nurse should recognize that sodium bicarbonate is not used to treat
b. manesium sulfate a positive Trousseau's sign.Magnesium sulfate is administered to
c. calcium gluconate treat hypomagnesemia. The nurse should recognize that magnesium
d. potassium chloride sulfate is not used to treat a positive Trousseau's sign. Potassium
chloride is administered to treat hypokalemia. The nurse should
recognize that potassium chloride is not used to treat a positive
Trousseau's sign.
6. A nurse is preparing 6 mL
to administer morphine
0.3 mg/kg PO to a
school-aged child who
weighs 88 lb. Available
is morphine oral solution
2mg/ml. How many mL
should the nurse adminis-
ter?
, RN VATI Pharmacology 2019
7. A nurse is administer- Muscle rigidity
ing haloperidol to a client
who has schizophrenia. A client who is taking haloperidol, a first-generation antipsychotic
For which of the following agent, can develop extrapyramidal effects, such as parkinsonism,
adverse effects should the which manifests as tremors, bradykinesia, loss of balance, mask-like
nurse monitor? facial expression, shuffling gait, and muscle rigidity.
a. gingival hyperplasia Haloperidol is an antipsychotic agent that can cause akathisia (mo-
b. muscle rigidity tor restlessness) within hours of receiving the first dose; however,
c. polyuria gingival hyperplasia is not an adverse effect of haloperidol. Pheny-
d. bruising toin is an example of a medication that causes gingival hyperpla-
sia.Haloperidol has several genitourinary adverse effects, including
urinary retention and impotence; however, urinary output does not
typically increase.Haloperidol has significant cardiovascular effects,
including dysrhythmias, myocardial infarction, severe heart failure,
and hypotension; however, it does not affect blood coagulation.
8. A nurse receives a ver- Hydrochlorothiazide 25 mg PO daily
bal prescription from
the provider for hy- The nurse should transcribe the provider's prescription by spelling
drochlorothiazide 25 mg out the name of the medication, recording the dosage as a whole
by mouth daily for a number, and spelling out the word "daily." The abbreviation PO is
client who has hyperten- acceptable for use to indicate the route by mouth.
sion. Which of the fol-
The nurse should not transcribe a trailing zero after a decimal point
lowing indicates how the
because if the decimal point is not seen, it could be mistaken as
nurse should transcribe
250 mg. The abbreviation q.d. is not acceptable because it could be
the prescription in the
mistaken for q.i.d. The nurse should write out the word "daily."The
client's medical record?
nurse should not transcribe the medication name abbreviated as
a. Hydrochlorothiazide HCTZ, because it could be mistaken for hydrocortisone. The nurse
25.0 mg orally q.d. should not place a trailing zero after a decimal point because if the
b. Hydrochlorothiazide 25 decimal point is not seen, it could be mistaken as 250 mg.The nurse
should not transcribe the medication name abbreviated as HCTZ,
