NR293 Pharmacology Exam 1
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1. C. Data Collection A nurse is caring for a client who has multiple medication allergies. During which
of the following steps of the nursing process should the nurse identify the client's
allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
2. C. check the A nurse is caring for a client and realizes after administering the 0900 medica-
client's apical tions that she gave digoxin 0.25 mg PO to the client instead of the prescribed
pulse dose of digoxin 0.125 mg PO. Which of the following actions should the nurse
take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
3. C. QID A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
4. B. Levothyroxine A nurse is reviewing the medication administration record of a client who has im-
75 mcg PO q AM paired swallowing. The nurse should crush the medication when administering
before breakfast which of the following prescriptions?
EC = enteric coat- A. Aspirin EC 80 mg PO daily
ed, XR = extended B. Levothyroxine 75 mcg PO q AM before breakfast
release, SL = sub- C. Metformin XR 500 mg PO daily
lingually D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional
doses.
, NR293 Pharmacology Exam 1
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5. B. Epistaxis A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV
Cefotetan is an bolus every 12 hours to treat a postoperative infection. Which of the following
antibiotic that af- manifestations should the nurse monitor for as an adverse effect of the medica-
fects vitamin K tion?
levels, which can A. disorientation
result in bleed- B. epistaxis
ing and epis- C. constipation
taxis. It is a sec- D. jaundice
ond generation
cephalosporin.
6. B. Intravenous A nurse is assisting with the care of a client who is postoperative. The client
reports a pain level of 8 on a scale of 0 to 10 and has a prescription for
meperidine. Which of the following routes of administration will deliver the
medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
7. C. laryngeal ede- nurse is monitoring a client with pneumonia who has received penicillin G in-
ma tramuscularly. Which of the following findings should the nurse plan to evaluate
this can indicate first?
an allergic reac- A. pain at the injection site
tion, possibly ana- B. prolonged motor dysfunction
phylaxis C. laryngeal edema
D. temperature of 99.7 F
8. c. hepatic toxicity A nurse is reviewing the laboratory results of a client who is taking a medication
and notes that the client's blood tests show an elevated level of the enzymes
aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse
should recognize that these findings are potential indications of which of the
, NR293 Pharmacology Exam 1
Study online at https://quizlet.com/_8epdja
following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
9. B. Creatinine A nurse is reviewing the laboratory data for a client who has Alzheimer's disease
clearance 35 and a new prescription for memantine. The nurse should identify that which of
mL/min the following findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
10. 5 mL A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a
school-aged child who weights 44 pounds. The amount available is albuterol
syrup 2 mg/5 mL. How many mL should the nurse administer? (Round your
answer to the nearest tenth. Use a leading zero if applicable but do not use a
trailing zero.)
11. A. to reduce toxic- A nurse is assisting with the administration of an IV injection to a client. For which
ity risk of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
12. B. grapefruit juice A nurse is reinforcing teaching with a client who has atrial fibrillation and a
new prescription for amiodarone. Which of the following items should the nurse
instruct the client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
Study online at https://quizlet.com/_8epdja
1. C. Data Collection A nurse is caring for a client who has multiple medication allergies. During which
of the following steps of the nursing process should the nurse identify the client's
allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
2. C. check the A nurse is caring for a client and realizes after administering the 0900 medica-
client's apical tions that she gave digoxin 0.25 mg PO to the client instead of the prescribed
pulse dose of digoxin 0.125 mg PO. Which of the following actions should the nurse
take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
3. C. QID A nurse is preparing to administer medication to a client. Which of the following
abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
4. B. Levothyroxine A nurse is reviewing the medication administration record of a client who has im-
75 mcg PO q AM paired swallowing. The nurse should crush the medication when administering
before breakfast which of the following prescriptions?
EC = enteric coat- A. Aspirin EC 80 mg PO daily
ed, XR = extended B. Levothyroxine 75 mcg PO q AM before breakfast
release, SL = sub- C. Metformin XR 500 mg PO daily
lingually D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional
doses.
, NR293 Pharmacology Exam 1
Study online at https://quizlet.com/_8epdja
5. B. Epistaxis A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV
Cefotetan is an bolus every 12 hours to treat a postoperative infection. Which of the following
antibiotic that af- manifestations should the nurse monitor for as an adverse effect of the medica-
fects vitamin K tion?
levels, which can A. disorientation
result in bleed- B. epistaxis
ing and epis- C. constipation
taxis. It is a sec- D. jaundice
ond generation
cephalosporin.
6. B. Intravenous A nurse is assisting with the care of a client who is postoperative. The client
reports a pain level of 8 on a scale of 0 to 10 and has a prescription for
meperidine. Which of the following routes of administration will deliver the
medication with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
7. C. laryngeal ede- nurse is monitoring a client with pneumonia who has received penicillin G in-
ma tramuscularly. Which of the following findings should the nurse plan to evaluate
this can indicate first?
an allergic reac- A. pain at the injection site
tion, possibly ana- B. prolonged motor dysfunction
phylaxis C. laryngeal edema
D. temperature of 99.7 F
8. c. hepatic toxicity A nurse is reviewing the laboratory results of a client who is taking a medication
and notes that the client's blood tests show an elevated level of the enzymes
aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse
should recognize that these findings are potential indications of which of the
, NR293 Pharmacology Exam 1
Study online at https://quizlet.com/_8epdja
following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
9. B. Creatinine A nurse is reviewing the laboratory data for a client who has Alzheimer's disease
clearance 35 and a new prescription for memantine. The nurse should identify that which of
mL/min the following findings increases the risk for reduced clearance of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
10. 5 mL A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a
school-aged child who weights 44 pounds. The amount available is albuterol
syrup 2 mg/5 mL. How many mL should the nurse administer? (Round your
answer to the nearest tenth. Use a leading zero if applicable but do not use a
trailing zero.)
11. A. to reduce toxic- A nurse is assisting with the administration of an IV injection to a client. For which
ity risk of the following reasons should the nurse inject the medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
12. B. grapefruit juice A nurse is reinforcing teaching with a client who has atrial fibrillation and a
new prescription for amiodarone. Which of the following items should the nurse
instruct the client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
