PN VATI PHARMACOLOGY
A nurse is assisting with the care of
a client who has a myasthenia gravis
and is experiencing a cholinergic cri-
sis. Which of the following medications
should the nurse expect the RN to ad-
minister? ANSWER: ATROPINE.
=Š
Bethanechol
=Š
Propranolol
=Š
Atropine
=Š
Epinephrine
A nurse is caring for a client who has
bipolar disorder and a new prescription
for lithium. Which of the following labo-
ratory values should the nurse plan to
monitor for potential adverse effects?
ANSWER: SODIUM.
Prothrombin Time
Hematocrit
Sodium
Potassium
A nurse is reinforcing teaching with a
client who has a prescription for rosu-
vastatin to treat high cholesterol levels.
For which of the following adverse effects
should the nurse instruct the client to
monitor and report to the provider imme-
ANSWER: MUSCLE WEAKNESS.
diately?
–Muscle weakness
–Headache
–Abdominal pain
–Insomnia
A nurse is reinforcing teaching with a
newly licensed nurse regarding safe pro-
cedures for medication administration.
Which of the following statements by the
newly licensed nurse indicates an under-
, PN VATI PHARMACOLOGY
standing of the teaching?
–"I will identify the client by verifying the
client's name using the room number."
ANSWER: "I WILL CHECK THE LA-
–"I can administer antibiotics 1 hour be-
BEL ON THE CLIENT'S MEDICATION
fore the scheduled time."
THREE TIMES BEFORE ADMINISTER-
–"I will check the label on the client's med-
ING IT."
ication three times before administering
it."
–"I will leave the client's medication at the
client's bedside."
A nurse is preparing to administer Lac-
tated Ringer's solution 350 mL to infuse
ANSWER: 58 gtt/min.
over 1 hr. The drop factor of the tubing
is 10 gtt/mL. The nurse should set the
Rationale: 350mL divided by 60 minutes
manual IV infusion to deliver how many
times drop factor of 10 = 58.333
gtt/min? (Round answer to the nearest
whole number.)
A nurse is collecting data from a client
who is receiving morphine to relieve
post-operative pain. The client's respira-
tory rate is 9/min. The nurse should notify
the provider and expect a stat prescrip-
tion for which of the following medica-
ANSWER: NALOXONE.
tions?
=Š
Naloxone
=Š
Glucagon
Flumazenil
=Š
=Š
Protamine
A nurse is reinforcing teaching with a
client who has a new prescription for ANSWER: HUNGER.
insulin. The client is taking propranolol.
The nurse should teach the client to
monitor for which of the following findings Adverse Effects of Propranolol
as a manifestation of hypoglycemia? Insomnia and nightmares, and can
cause difficulty breathing.
–Tachycardia
, PN VATI PHARMACOLOGY
–Difficulty breathing
–Sleep disturbance
–Hunger
A nurse is reinforcing dietary teaching
with a client who is taking furosemide.
Which of the following foods should the
nurse recommend as the best source of
potassium?
ANSWER: 1 CUP BAKED POTATOES.
–1 cup baked potatoes
–1 cup fresh blueberries
–1 cup fresh watermelon
–1 cup raw chopped cabbage
A nurse is reinforcing teaching with a
client who has been prescribed isoni-
azid. Which of the following client state-
ments indicates an understanding of the
teaching?
ANSWER: "I SHOULD NOTIFY MY
–"I should expect my urine to turn reddish
PROVIDER IF I DEVELOP NUMBNESS
in color."
IN MY FEET."
–"I will have a skin test to determine when
I am no longer contagious."
–"I should notify my provider if I develop
numbness in my feet."
–"I should expect to take this medication
for 6 weeks."
A nurse is assisting with the care of a
client who has oral benzodiazepine tox-
icity. The client has an IV infusing and
is nonresponsive. Which of the following
interventions should the nurse anticipate
ANSWER: ADMINISTERING IV
first?
FLUMAZENIL.
–Administering norepinephrine via con-
tinuous IV infusion
–Administering IV flumazenil
–Performing gastric lavage
A nurse is assisting with the care of
a client who has a myasthenia gravis
and is experiencing a cholinergic cri-
sis. Which of the following medications
should the nurse expect the RN to ad-
minister? ANSWER: ATROPINE.
=Š
Bethanechol
=Š
Propranolol
=Š
Atropine
=Š
Epinephrine
A nurse is caring for a client who has
bipolar disorder and a new prescription
for lithium. Which of the following labo-
ratory values should the nurse plan to
monitor for potential adverse effects?
ANSWER: SODIUM.
Prothrombin Time
Hematocrit
Sodium
Potassium
A nurse is reinforcing teaching with a
client who has a prescription for rosu-
vastatin to treat high cholesterol levels.
For which of the following adverse effects
should the nurse instruct the client to
monitor and report to the provider imme-
ANSWER: MUSCLE WEAKNESS.
diately?
–Muscle weakness
–Headache
–Abdominal pain
–Insomnia
A nurse is reinforcing teaching with a
newly licensed nurse regarding safe pro-
cedures for medication administration.
Which of the following statements by the
newly licensed nurse indicates an under-
, PN VATI PHARMACOLOGY
standing of the teaching?
–"I will identify the client by verifying the
client's name using the room number."
ANSWER: "I WILL CHECK THE LA-
–"I can administer antibiotics 1 hour be-
BEL ON THE CLIENT'S MEDICATION
fore the scheduled time."
THREE TIMES BEFORE ADMINISTER-
–"I will check the label on the client's med-
ING IT."
ication three times before administering
it."
–"I will leave the client's medication at the
client's bedside."
A nurse is preparing to administer Lac-
tated Ringer's solution 350 mL to infuse
ANSWER: 58 gtt/min.
over 1 hr. The drop factor of the tubing
is 10 gtt/mL. The nurse should set the
Rationale: 350mL divided by 60 minutes
manual IV infusion to deliver how many
times drop factor of 10 = 58.333
gtt/min? (Round answer to the nearest
whole number.)
A nurse is collecting data from a client
who is receiving morphine to relieve
post-operative pain. The client's respira-
tory rate is 9/min. The nurse should notify
the provider and expect a stat prescrip-
tion for which of the following medica-
ANSWER: NALOXONE.
tions?
=Š
Naloxone
=Š
Glucagon
Flumazenil
=Š
=Š
Protamine
A nurse is reinforcing teaching with a
client who has a new prescription for ANSWER: HUNGER.
insulin. The client is taking propranolol.
The nurse should teach the client to
monitor for which of the following findings Adverse Effects of Propranolol
as a manifestation of hypoglycemia? Insomnia and nightmares, and can
cause difficulty breathing.
–Tachycardia
, PN VATI PHARMACOLOGY
–Difficulty breathing
–Sleep disturbance
–Hunger
A nurse is reinforcing dietary teaching
with a client who is taking furosemide.
Which of the following foods should the
nurse recommend as the best source of
potassium?
ANSWER: 1 CUP BAKED POTATOES.
–1 cup baked potatoes
–1 cup fresh blueberries
–1 cup fresh watermelon
–1 cup raw chopped cabbage
A nurse is reinforcing teaching with a
client who has been prescribed isoni-
azid. Which of the following client state-
ments indicates an understanding of the
teaching?
ANSWER: "I SHOULD NOTIFY MY
–"I should expect my urine to turn reddish
PROVIDER IF I DEVELOP NUMBNESS
in color."
IN MY FEET."
–"I will have a skin test to determine when
I am no longer contagious."
–"I should notify my provider if I develop
numbness in my feet."
–"I should expect to take this medication
for 6 weeks."
A nurse is assisting with the care of a
client who has oral benzodiazepine tox-
icity. The client has an IV infusing and
is nonresponsive. Which of the following
interventions should the nurse anticipate
ANSWER: ADMINISTERING IV
first?
FLUMAZENIL.
–Administering norepinephrine via con-
tinuous IV infusion
–Administering IV flumazenil
–Performing gastric lavage
