Rasmussen Pharmacology Exam 2
1. What is the therapeutic level for digoxin <Ans> 0.5-0.8 ng/mL
2. The lab results indicate that the serum value for digoxin is 0.4 ng/mL. What can we
anticipate that the provider will do <Ans> Increase the dosage
3. You are going to discharge your client and you notice that the provider has prescribed
both cimetidine and an antacid. What kind of teaching do you have to provide for this
client prior to discharge <Ans> -Do not take them together.
-Take the antacid 1 hour after the cimetidine.
4. True or False: Your client has been prescribed beclomethasone and al- buterol.
After patient education, the client states "I will take 2 puffs of my beclomethasone
only when I'm wheezing.": False
The client should take the albuterol first if they are experiencing wheezing.
5. What teaching is appropriate for clients prescribed inhalers <Ans> -Rinse your
mouth after use.
-1 minute between puffs.
-Inhale and hold your breath.
-Shake before use.
-Prime your inhaler.
-Use a spacer with the inhaler to get more of the medication into your lungs.
6. What is H. pylori <Ans> It is a bacteria found mostly in our stomach that is thought to
be the major causative factor of peptic ulcer formation and gastritis.
7. What medications treat H. pylori <Ans> Antibiotics
-metronidazole
,-amoxicillin
-clarithromycin
-tetracycline
8. Your client has been prescribed metronidazole to treat an H. pylori infection. What
would be important information that they would need to know when taking this
medication <Ans> -Do not consume alcohol while taking this medication
-Do not consume alcohol until 2-3 days after taking this medication
-Consumption of alcohol while taking metronidazole can result in a severe reaction (nause
vomiting, headache, cramps, flushing).
9. Your client went to the provider with occasional constipation. The provider
recommended a bulk-forming laxative. What do we need to educate the client on <Ans>
-Take with a full glass of water
-Increase fiber intake
10. Your client with COPD is taking a glucocorticoid and a short-acting
beta2-adrenergic agonist.Why would the provider have prescribed both med- ications
<Ans> -To open lungs and soothe inflammation
,-One is fast acting, while the other takes longer to achieve a therapeutic effect
-The glucocorticoid will help the SABA work better
11. If your client has diabetes and is taking their blood pressure manually at home and
logging it and they're chronically hypertensive, what classification of medications do we
anticipate our provider prescribing <Ans> ACE inhibitors
-captopril
-benazepril
-enalapril
-fosinopril sodium
-lisinopril
-moexipril
12. You are caring for a client who has chronic hypertension.You enter their room to
assess the client and find that they are hypertensive 154/98, have crackles in their
lungs, 2+ pitting edema, and their jugular vein is distended. What medication would
you anticipate the provider ordering for the patient?-
: furosemide (Lasix)
-used to treat hypertension, edema associated with renal disease, hepatic cirrhosis, and
heart failure
13. What kind of teaching do we need to give our clients who have been prescribed
beta blockers <Ans> -Rise up and change positions slowly (orthopedic hypertension)
-Works on beta1 receptors in the heart to decrease peripheral vascular resistance, heart
rate, and contractility of the heart muscles
14. What would the provider prescribe nifedipine for <Ans> Blood pressure
-nifedipine is a calcium channel blocker and antihypertensive
, -prevents passage of calcium ions into the myocardial cells and smooth muscle cells of the
heart, causing a dilation of the coronary and peripheral arteries, resulting
in reduced workload of the heart and decreased force of contractions and blood pressure
15. Should nifedipine be swallowed whole when administered <Ans> Yes
-nifedipine is given as a sustained-release tablet, and should not be crushed
16. A client comes in with atrial fibrillation (a-fib). Their heart was shocked, and they
had been converted.What medication can you anticipate the provider prescribing for
arrhythmia <Ans> amiodarone (Pacerone)
-Class III antiarrhythmic that is used to treat ventricular arrhythmias
17. You have a client that has been in sinus rhythm, but while looking at the ECG, the
waves are big curves and do not look right.What medication can you anticipate the
provider will prescribe <Ans> magnesium
1. What is the therapeutic level for digoxin <Ans> 0.5-0.8 ng/mL
2. The lab results indicate that the serum value for digoxin is 0.4 ng/mL. What can we
anticipate that the provider will do <Ans> Increase the dosage
3. You are going to discharge your client and you notice that the provider has prescribed
both cimetidine and an antacid. What kind of teaching do you have to provide for this
client prior to discharge <Ans> -Do not take them together.
-Take the antacid 1 hour after the cimetidine.
4. True or False: Your client has been prescribed beclomethasone and al- buterol.
After patient education, the client states "I will take 2 puffs of my beclomethasone
only when I'm wheezing.": False
The client should take the albuterol first if they are experiencing wheezing.
5. What teaching is appropriate for clients prescribed inhalers <Ans> -Rinse your
mouth after use.
-1 minute between puffs.
-Inhale and hold your breath.
-Shake before use.
-Prime your inhaler.
-Use a spacer with the inhaler to get more of the medication into your lungs.
6. What is H. pylori <Ans> It is a bacteria found mostly in our stomach that is thought to
be the major causative factor of peptic ulcer formation and gastritis.
7. What medications treat H. pylori <Ans> Antibiotics
-metronidazole
,-amoxicillin
-clarithromycin
-tetracycline
8. Your client has been prescribed metronidazole to treat an H. pylori infection. What
would be important information that they would need to know when taking this
medication <Ans> -Do not consume alcohol while taking this medication
-Do not consume alcohol until 2-3 days after taking this medication
-Consumption of alcohol while taking metronidazole can result in a severe reaction (nause
vomiting, headache, cramps, flushing).
9. Your client went to the provider with occasional constipation. The provider
recommended a bulk-forming laxative. What do we need to educate the client on <Ans>
-Take with a full glass of water
-Increase fiber intake
10. Your client with COPD is taking a glucocorticoid and a short-acting
beta2-adrenergic agonist.Why would the provider have prescribed both med- ications
<Ans> -To open lungs and soothe inflammation
,-One is fast acting, while the other takes longer to achieve a therapeutic effect
-The glucocorticoid will help the SABA work better
11. If your client has diabetes and is taking their blood pressure manually at home and
logging it and they're chronically hypertensive, what classification of medications do we
anticipate our provider prescribing <Ans> ACE inhibitors
-captopril
-benazepril
-enalapril
-fosinopril sodium
-lisinopril
-moexipril
12. You are caring for a client who has chronic hypertension.You enter their room to
assess the client and find that they are hypertensive 154/98, have crackles in their
lungs, 2+ pitting edema, and their jugular vein is distended. What medication would
you anticipate the provider ordering for the patient?-
: furosemide (Lasix)
-used to treat hypertension, edema associated with renal disease, hepatic cirrhosis, and
heart failure
13. What kind of teaching do we need to give our clients who have been prescribed
beta blockers <Ans> -Rise up and change positions slowly (orthopedic hypertension)
-Works on beta1 receptors in the heart to decrease peripheral vascular resistance, heart
rate, and contractility of the heart muscles
14. What would the provider prescribe nifedipine for <Ans> Blood pressure
-nifedipine is a calcium channel blocker and antihypertensive
, -prevents passage of calcium ions into the myocardial cells and smooth muscle cells of the
heart, causing a dilation of the coronary and peripheral arteries, resulting
in reduced workload of the heart and decreased force of contractions and blood pressure
15. Should nifedipine be swallowed whole when administered <Ans> Yes
-nifedipine is given as a sustained-release tablet, and should not be crushed
16. A client comes in with atrial fibrillation (a-fib). Their heart was shocked, and they
had been converted.What medication can you anticipate the provider prescribing for
arrhythmia <Ans> amiodarone (Pacerone)
-Class III antiarrhythmic that is used to treat ventricular arrhythmias
17. You have a client that has been in sinus rhythm, but while looking at the ECG, the
waves are big curves and do not look right.What medication can you anticipate the
provider will prescribe <Ans> magnesium
