PN VATI PHARMACOLOGY 2025 100% A
1. A Nurse Is Caring For A Client Who Has Bipolar Disorder And New Prescription For
Lithium, Laboratory Values Should The Nurse Plan To Monitor For Potential Adverse
Effect.
Ans.: Serum Sodium. The Nurse Should Monitor The Sodium Level While Client Is Taking
Lithium.
2. A Nurse Is Reinforcing Teaching With A Client Who Is Prescribed Disulfiram To Treat
Alcohol Use Disorder. Which Of The Following Information Should The Nurse Include In The
Teaching?
ANS: Avoid Using Aftershave Or Cologne While Taking This Medication. The Nurse Should
Identify That Disulfiram Causes A Build Up Of Acetaldehyde In The Blood. Within 10 Min. Of
Consuming Or Touching Alcohol., The Client Can Experience Manifestation Such As Nausea,
Tachycardia, Flushing, Hypotension, Confusion, And Weakness. The Severity Of The
Manifestation Depends On The Amount Of Alcohol Present. Therefore, The Nurse Should
Instruct The Client To Avoid Using Alcohol-Based Products, Such As Aftershave.
3. A Nurse Is Reinforcing Teaching With A Client Who Is Starting Phenytoin Therapy To
Help Manage A Seizure Disorder. Which Of The Following Instructions Should The
Nurse Include?
ANS: “Brush And Floss Your Teeth After Each Meal. “Phenytoin Cause Gingival Hyperplasia,
An Overgrowth Of Gum Tissue. To Minimize Gum Injury And Discomfort The Client Should
Brush And Floss After Each Meal, Massage Her Gums, Take Folic Acid Supplement, And
Schedule Dental Examination Regularly.
4. A Nurse Is Collecting Data For Four Clients Prior To Administering Morning
Medication. Which Of The Following Findings Indicates The Nurse Should Withhold The
Prescribed Medication?
ANS: Apical Pulse Of 48/ Min For A Client Receiving Metoprolol
The Heart Rate Is Below Expected Range Of 60 To 100/ Min. Metoprolol Is A Selective Beta
Blocker That Will Lower The Heart Rate Further. The Nurse Should Withhold The Medication
And Contact The Provider For A Client Who Has A Heart Rate Of Less Than 50 / Min.
5. A Nurse Is Preparing To Administer Vaccines To An Adolescent During Well Child Visit.
1
, The Nurse Should Check For An Allergy To Eggs Prior To Administering Which Of The
Following Vaccines?
ANS: Inactivated Influenza Vaccine
6. A Nurse Is Collecting Data For A Client Who Is Scheduled To Receive An Initial Dose Of
Tobramycin. Which Of The Following Findings Should The Nurse Report To The Provider?
ANS: The Clients Creatine Level Is 2. 2 Mg/Dl
The Creatine Level Is Above The Expected Range For Adult Of 0.5 To 1.3 Mg/Dl. Indicating
Impaired Kidney Function Which Increase The Risk Of Nephrotoxicity Therefore The Nurse
Should Monitor The Creatine Clearance, BUN, And. Urinalysis Results To Prevent Kidney
Injury.
7. A Nurse Is Reinforcing Teaching With A Client Who Has A Prescription For
Rosuvastatin 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
Immediately?
ANS: Muscle Weakness
When Using Urgent Vs. Nonurgent Approach In Client Care, The Nurse Should Determine That
The Priority Finding To Report Is Muscle Weakness Because It Can Be Manifestation Of
Rhabdomyolysis A Rare But Potentially Fatal Adverse Effect Of Coa Reductase Inhibitor
Therapy.
8. A Nurse Is Client Who Has Diabetes Mellitus. The Client Received A Dose Of Regular
Insulin Prior To An Episode Of Vomiting And Now Is Unable To Eat. For Which Of The
Following Manifestation Should The Nurse Monitor.
ANS: Confusion
A Client Who Has Hypoglycemia Can Become Confused Due To Lack Of Glucose In The Brain.
9. A Nurse Is Reinforcing Teaching With A Client Who Has A New Prescription For
Spironolactone. Which Of The Following Information Should The Nurse Include In The
Teaching?
ANS: Avoid Salts Substitute Containing Potassium While Taking This Medication.
Spironolactone Is A Potassium Sparing Diuretics. Eating Foods That Contain Large Amount Of
Potassium Or Using Salt Substitute That Contain Potassium Can Increase The Risk Of
Developing HYPERKALEMIA.
10. A Nurse Is Administering Prescribed Ear Drops Into An Older Adult Client’s Right
Ear. Which Of The Following Actions Should The Nurse Take?
ANS: Initial Drop Holding The Dropper 1 Cm. Above The Ear Canal.
11. A Nurse Is Reviewing A Young Adult Client’s Medical History Before Administering The
Varicella Vaccine, For Which Of The Following Findings In The Client’s Medical History
2
1. A Nurse Is Caring For A Client Who Has Bipolar Disorder And New Prescription For
Lithium, Laboratory Values Should The Nurse Plan To Monitor For Potential Adverse
Effect.
Ans.: Serum Sodium. The Nurse Should Monitor The Sodium Level While Client Is Taking
Lithium.
2. A Nurse Is Reinforcing Teaching With A Client Who Is Prescribed Disulfiram To Treat
Alcohol Use Disorder. Which Of The Following Information Should The Nurse Include In The
Teaching?
ANS: Avoid Using Aftershave Or Cologne While Taking This Medication. The Nurse Should
Identify That Disulfiram Causes A Build Up Of Acetaldehyde In The Blood. Within 10 Min. Of
Consuming Or Touching Alcohol., The Client Can Experience Manifestation Such As Nausea,
Tachycardia, Flushing, Hypotension, Confusion, And Weakness. The Severity Of The
Manifestation Depends On The Amount Of Alcohol Present. Therefore, The Nurse Should
Instruct The Client To Avoid Using Alcohol-Based Products, Such As Aftershave.
3. A Nurse Is Reinforcing Teaching With A Client Who Is Starting Phenytoin Therapy To
Help Manage A Seizure Disorder. Which Of The Following Instructions Should The
Nurse Include?
ANS: “Brush And Floss Your Teeth After Each Meal. “Phenytoin Cause Gingival Hyperplasia,
An Overgrowth Of Gum Tissue. To Minimize Gum Injury And Discomfort The Client Should
Brush And Floss After Each Meal, Massage Her Gums, Take Folic Acid Supplement, And
Schedule Dental Examination Regularly.
4. A Nurse Is Collecting Data For Four Clients Prior To Administering Morning
Medication. Which Of The Following Findings Indicates The Nurse Should Withhold The
Prescribed Medication?
ANS: Apical Pulse Of 48/ Min For A Client Receiving Metoprolol
The Heart Rate Is Below Expected Range Of 60 To 100/ Min. Metoprolol Is A Selective Beta
Blocker That Will Lower The Heart Rate Further. The Nurse Should Withhold The Medication
And Contact The Provider For A Client Who Has A Heart Rate Of Less Than 50 / Min.
5. A Nurse Is Preparing To Administer Vaccines To An Adolescent During Well Child Visit.
1
, The Nurse Should Check For An Allergy To Eggs Prior To Administering Which Of The
Following Vaccines?
ANS: Inactivated Influenza Vaccine
6. A Nurse Is Collecting Data For A Client Who Is Scheduled To Receive An Initial Dose Of
Tobramycin. Which Of The Following Findings Should The Nurse Report To The Provider?
ANS: The Clients Creatine Level Is 2. 2 Mg/Dl
The Creatine Level Is Above The Expected Range For Adult Of 0.5 To 1.3 Mg/Dl. Indicating
Impaired Kidney Function Which Increase The Risk Of Nephrotoxicity Therefore The Nurse
Should Monitor The Creatine Clearance, BUN, And. Urinalysis Results To Prevent Kidney
Injury.
7. A Nurse Is Reinforcing Teaching With A Client Who Has A Prescription For
Rosuvastatin 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
Immediately?
ANS: Muscle Weakness
When Using Urgent Vs. Nonurgent Approach In Client Care, The Nurse Should Determine That
The Priority Finding To Report Is Muscle Weakness Because It Can Be Manifestation Of
Rhabdomyolysis A Rare But Potentially Fatal Adverse Effect Of Coa Reductase Inhibitor
Therapy.
8. A Nurse Is Client Who Has Diabetes Mellitus. The Client Received A Dose Of Regular
Insulin Prior To An Episode Of Vomiting And Now Is Unable To Eat. For Which Of The
Following Manifestation Should The Nurse Monitor.
ANS: Confusion
A Client Who Has Hypoglycemia Can Become Confused Due To Lack Of Glucose In The Brain.
9. A Nurse Is Reinforcing Teaching With A Client Who Has A New Prescription For
Spironolactone. Which Of The Following Information Should The Nurse Include In The
Teaching?
ANS: Avoid Salts Substitute Containing Potassium While Taking This Medication.
Spironolactone Is A Potassium Sparing Diuretics. Eating Foods That Contain Large Amount Of
Potassium Or Using Salt Substitute That Contain Potassium Can Increase The Risk Of
Developing HYPERKALEMIA.
10. A Nurse Is Administering Prescribed Ear Drops Into An Older Adult Client’s Right
Ear. Which Of The Following Actions Should The Nurse Take?
ANS: Initial Drop Holding The Dropper 1 Cm. Above The Ear Canal.
11. A Nurse Is Reviewing A Young Adult Client’s Medical History Before Administering The
Varicella Vaccine, For Which Of The Following Findings In The Client’s Medical History
2
