Pharm Evolve Practice Questions with 100% Verified Answers
1. A healthcare provider pre- A) Penicillins.
scribes cephalexin monohy-
drate (Keflex) for a client with Cross-allergies exist between penicillins
a postoperative infection. It is (A) and cephalosporins, such as cephalex-
most important for the nurse in monohydrate (Keflex), so checking for
to assess for what additional penicillin allergy is a wise precaution before
drug allergy before administer- administering this drug.
ing this prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.
2. Which nursing intervention is C) Inspect the client's oral mucosa for ul-
most important when caring cerations.
for a client receiving the
antimetabolite cytosine arabi- Cytosine arabinoside (Arc-C) affects the
noside (Arc-C) for chemothera- rapidly growing cells of the body, therefore
py? stomatitis and mucosal ulcerations are key
A) Hydrate the client with IV flu- signs of antimetabolite toxicity (C). (A, B,
ids before and after infusion. and D) are not typical interventions associ-
B) Assess the client for numb- ated with the administration of antimetabo-
ness and tingling of extremi- lites.
ties.
C) Inspect the client's oral mu-
cosa for ulcerations.
D) Monitor the client's urine pH
for increased acidity.
3. When assessing an adoles- B) Abdomen.
cent who recently overdosed
on acetaminophen (Tylenol), it Acetaminophen toxicity can result in liver
is most important for the nurse damage; therefore, it is especially impor-
to assess for pain in which area tant for the nurse to assess for pain in the
of the body? right upper quadrant of the abdomen (B),
A) Flank. which might indicate liver damage. (A, C,
B) Abdomen. and D) are not areas where pain would be
C) Chest. anticipated.
D) Head.
,Pharm Evolve Practice Questions with 100% Verified Answers
4. An adult client is given a pre- A) Apply the patch at least 4 hours prior to
scription for a scopolamine departure.
patch (Transderm Scop) to pre-
vent motion sickness while Scopolamine, an anticholinergic agent, is
on a cruise. Which information used to prevent motion sickness and has
should the nurse provide to the a peak onset in 6 hours, so the client
client? should be instructed to apply the patch at
A) Apply the patch at least 4 least 4 hours before departure (A) on the
hours prior to departure. cruise ship. The duration of the transdermal
B) Change the patch every oth- patch is 72 hours, so (B) is not needed.
er day while on the cruise. Scolopamine blocks muscarinic receptors
C) Place the patch on a hairless in the inner ear and to the vomiting center,
area at the base of the skull. so the best application site of the patch
D) Drink no more than 2 alco- is behind the ear, not at the base of the
holic drinks during the cruise. skull (C). Anticholinergic medications are
CNS depressants, so the client should be
instructed to avoid alcohol (D) while using
the patch.
5. The nurse is reviewing the use B) The rate and depth of the client's respi-
of the patient-controlled anal- rations.
gesia (PCA) pump with a client
in the immediate postoperative A life-threatening side effect of intravenous
period. The client will receive administration of morphine sulfate, an opi-
morphine 1 mg IV per hour ate narcotic, is respiratory depression (B).
basal rate with 1 mg IV every 15 The PCA pump should be stopped and the
minutes per PCA to total 5 mg healthcare provider notified if the client's
IV maximally per hour. What as- respiratory rate falls below 12 breaths per
sessment has the highest pri- minute, and the nurse should anticipate
ority before initiating the PCA adjustments in the client's dosage before
pump? the PCA pump is restarted. (A, C, and D)
A) The expiration date on the provide helpful information, but are not as
morphine syringe in the pump. high a priority as the assessment described
B) The rate and depth of the in (B).
client's respirations.
C) The type of anesthesia used
during the surgical procedure.
, D) The client's subjective and
objective signs of pain.
6. A medication that is classi- C) Heart failure.
fied as a beta-1 agonist is
most commonly prescribed for Beta-1 agonists improve cardiac output by
a client with which condition? increasing the heart rate and blood pres-
A) Glaucoma. sure and are indicated in heart failure
B) Hypertension. (C), shock, atrioventricular block dysrhyth-
C) Heart failure. mias, and cardiac arrest. Glaucoma (A)
D) Asthma. is managed using adrenergic agents and
beta-adrenergic blocking agents. Beta-1
blocking agents are used in the manage-
ment of hypertension (B). Medications that
stimulate beta-2 receptors in the bronchi
are effective for bronchoconstriction in res-
piratory disorders, such as asthma (D).
7. A female client with rheuma- A) Use contraception during intercourse.
toid arthritis take ibuprofen
(Motrin) 600 mg PO 4 times Cytotec, a synthetic form of a
a day. To prevent gastrointesti- prostaglandin, is classified as pregnancy
nal bleeding, misoprostol (Cy- Category X and can act as an abortifa-
totec) 100 mcg PO is pre- cient, so the client should be instructed to
scribed. Which information is use contraception during intercourse (A) to
most important for the nurse to prevent loss of an early pregnancy. (B) is
include in client teaching? not necessary. A common side effect of
A) Use contraception during in- Cytotec is diarrhea, so constipation pre-
tercourse. vention strategies are usually not needed
B) Ensure the Cytotec is taken (C). Cytotec and Motrin should be taken to-
on an empty stomach. gether (D) to provide protective properties
C) Encourage oral fluid intake against gastrointestinal bleeding.
to prevent constipation.
D) Take Cytotec 30 minutes pri-
or to Motrin.
8. A client with heart failure is B) Refrain for eating foods high in potassi-
prescribed spironolactone (Al- um.
dactone). Which information is
1. A healthcare provider pre- A) Penicillins.
scribes cephalexin monohy-
drate (Keflex) for a client with Cross-allergies exist between penicillins
a postoperative infection. It is (A) and cephalosporins, such as cephalex-
most important for the nurse in monohydrate (Keflex), so checking for
to assess for what additional penicillin allergy is a wise precaution before
drug allergy before administer- administering this drug.
ing this prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.
2. Which nursing intervention is C) Inspect the client's oral mucosa for ul-
most important when caring cerations.
for a client receiving the
antimetabolite cytosine arabi- Cytosine arabinoside (Arc-C) affects the
noside (Arc-C) for chemothera- rapidly growing cells of the body, therefore
py? stomatitis and mucosal ulcerations are key
A) Hydrate the client with IV flu- signs of antimetabolite toxicity (C). (A, B,
ids before and after infusion. and D) are not typical interventions associ-
B) Assess the client for numb- ated with the administration of antimetabo-
ness and tingling of extremi- lites.
ties.
C) Inspect the client's oral mu-
cosa for ulcerations.
D) Monitor the client's urine pH
for increased acidity.
3. When assessing an adoles- B) Abdomen.
cent who recently overdosed
on acetaminophen (Tylenol), it Acetaminophen toxicity can result in liver
is most important for the nurse damage; therefore, it is especially impor-
to assess for pain in which area tant for the nurse to assess for pain in the
of the body? right upper quadrant of the abdomen (B),
A) Flank. which might indicate liver damage. (A, C,
B) Abdomen. and D) are not areas where pain would be
C) Chest. anticipated.
D) Head.
,Pharm Evolve Practice Questions with 100% Verified Answers
4. An adult client is given a pre- A) Apply the patch at least 4 hours prior to
scription for a scopolamine departure.
patch (Transderm Scop) to pre-
vent motion sickness while Scopolamine, an anticholinergic agent, is
on a cruise. Which information used to prevent motion sickness and has
should the nurse provide to the a peak onset in 6 hours, so the client
client? should be instructed to apply the patch at
A) Apply the patch at least 4 least 4 hours before departure (A) on the
hours prior to departure. cruise ship. The duration of the transdermal
B) Change the patch every oth- patch is 72 hours, so (B) is not needed.
er day while on the cruise. Scolopamine blocks muscarinic receptors
C) Place the patch on a hairless in the inner ear and to the vomiting center,
area at the base of the skull. so the best application site of the patch
D) Drink no more than 2 alco- is behind the ear, not at the base of the
holic drinks during the cruise. skull (C). Anticholinergic medications are
CNS depressants, so the client should be
instructed to avoid alcohol (D) while using
the patch.
5. The nurse is reviewing the use B) The rate and depth of the client's respi-
of the patient-controlled anal- rations.
gesia (PCA) pump with a client
in the immediate postoperative A life-threatening side effect of intravenous
period. The client will receive administration of morphine sulfate, an opi-
morphine 1 mg IV per hour ate narcotic, is respiratory depression (B).
basal rate with 1 mg IV every 15 The PCA pump should be stopped and the
minutes per PCA to total 5 mg healthcare provider notified if the client's
IV maximally per hour. What as- respiratory rate falls below 12 breaths per
sessment has the highest pri- minute, and the nurse should anticipate
ority before initiating the PCA adjustments in the client's dosage before
pump? the PCA pump is restarted. (A, C, and D)
A) The expiration date on the provide helpful information, but are not as
morphine syringe in the pump. high a priority as the assessment described
B) The rate and depth of the in (B).
client's respirations.
C) The type of anesthesia used
during the surgical procedure.
, D) The client's subjective and
objective signs of pain.
6. A medication that is classi- C) Heart failure.
fied as a beta-1 agonist is
most commonly prescribed for Beta-1 agonists improve cardiac output by
a client with which condition? increasing the heart rate and blood pres-
A) Glaucoma. sure and are indicated in heart failure
B) Hypertension. (C), shock, atrioventricular block dysrhyth-
C) Heart failure. mias, and cardiac arrest. Glaucoma (A)
D) Asthma. is managed using adrenergic agents and
beta-adrenergic blocking agents. Beta-1
blocking agents are used in the manage-
ment of hypertension (B). Medications that
stimulate beta-2 receptors in the bronchi
are effective for bronchoconstriction in res-
piratory disorders, such as asthma (D).
7. A female client with rheuma- A) Use contraception during intercourse.
toid arthritis take ibuprofen
(Motrin) 600 mg PO 4 times Cytotec, a synthetic form of a
a day. To prevent gastrointesti- prostaglandin, is classified as pregnancy
nal bleeding, misoprostol (Cy- Category X and can act as an abortifa-
totec) 100 mcg PO is pre- cient, so the client should be instructed to
scribed. Which information is use contraception during intercourse (A) to
most important for the nurse to prevent loss of an early pregnancy. (B) is
include in client teaching? not necessary. A common side effect of
A) Use contraception during in- Cytotec is diarrhea, so constipation pre-
tercourse. vention strategies are usually not needed
B) Ensure the Cytotec is taken (C). Cytotec and Motrin should be taken to-
on an empty stomach. gether (D) to provide protective properties
C) Encourage oral fluid intake against gastrointestinal bleeding.
to prevent constipation.
D) Take Cytotec 30 minutes pri-
or to Motrin.
8. A client with heart failure is B) Refrain for eating foods high in potassi-
prescribed spironolactone (Al- um.
dactone). Which information is
