Evolve Pharm Test Questions And Answers Rated A
A client with giardiasis is taking metronidazole C) Activated partial thromboplastin (APTT).
(Flagyl) 2 grams PO. Which information should D) Serum Coumadin level (SCL). - -
the nurse include in the client's instruction? Correct Answer(s): B
A) Notify the clinic of any changes in the color of When used for a client with pulmonary embolus,
urine. the therapeutic goal for warfarin therapy is a PT
B) Avoid overexposure to the sun. 1½ to 2½ times greater than the control, or an
C) Stop the medication after the diarrhea INR of 2 to 3 (B). A perfusion might be performed
resolves. to monitor lung function, but not monthly (A).
D) Take the medication with food. - - APTT is monitored for the client receiving heparin
Correct Answer(s): D therapy (C). A blood level for Coumadin cannot
Flagyl, an amoebicide and antibacterial agent, be measured (D).
may cause gastric distress, so the client should
be instructed to take the medication on a full
stomach (D). Urine may be red-brown or dark A category X drug is prescribed for a young adult
from Flagyl, but this side effect is not necessary female client. Which instruction is most important
to report (A). Photosensitivity (B) is not a side for the nurse to teach this client?
effect associated with Flagyl. Despite the A) Use a reliable form of birth control.
resolution of clinical symptoms, antiinfective B) Avoid exposure to ultra violet light.
medications should be taken for their entire C) Refuse this medication if planning pregnancy.
course because stopping the medication (C) can D) Abstain from intercourse while on this drug. -
increase the risk of resistant organisms. -Correct Answer(s): A
Drugs classified in the category X place a client
who is in the first trimester of pregnancy at risk
While taking a nursing history, the client states, "I for teratogenesis, so women in the childbearing
am allergic to penicillin." What related allergy to years should be counseled to use a reliable form
another type of antiinfective agent should the of birth control (A) during drug therapy. (B) is not
nurse ask the client about when taking the a specific precaution with Category X drugs. The
nursing history? client should be encouraged to discuss plans for
A) Aminoglycosides. pregnancy with the healthcare provider, so a
B) Cephalosporins. safer alternative prescription (C) can be provided
C) Sulfonamides. if pregnancy occurs. Although the risk of birth
D) Tetracyclines. - -Correct Answer(s): B defects during pregnancy explains the restriction
Cross allergies exist between penicillins and of these drugs during pregnancy, (D) is not
cephalosporins (B). Penicillin allergies are indicated.
unrelated to allergies associated with (A, C, or
D).
The nitrate isosorbide dinitrate (Isordil) is
prescribed for a client with angina. Which
Following heparin treatment for a pulmonary instruction should the nurse include in this client's
embolism, a client is being discharged with a discharge teaching plan?
prescription for warfarin (Coumadin). In A) Quit taking the medication if dizziness occurs.
conducting discharge teaching, the nurse B) Do not get up quickly. Always rise slowly.
advises the client to have which diagnostic test C) Take the medication with food only.
monitored regularly after discharge? D) Increase your intake of potassium-rich foods.
A) Perfusion scan. - -Correct Answer(s): B
B) Prothrombin Time (PT/INR). An expected side effect of nitrates is orthostatic
,Evolve Pharm Test Questions And Answers Rated A
hypotension and the nurse should address how vasoconstriction common in heart failure. This
to prevent it--by rising slowly (B). Dizziness is vasodilation can cause hypotension and resultant
expected, and the client should not quit taking dizziness (B). (A) is desired if fluid overload is
the medication without notifying the healthcare present, and may occur as the result of effective
provider (A). (C and D) are not indicated when combination drug therapy such as diuretics with
taking this medication. ACE inhibitors. (C) often indicates hypokalemia in
the client receiving diuretics. Excessive diuretic
administration may result in fluid volume deficit,
A client is being treated for osteoporosis with manifested by symptoms such as (D).
alendronate (Fosamax), and the nurse has
completed discharge teaching regarding
medication administration. Which morning A client with Parkinson's disease is taking
schedule would indicate to the nurse that the carbidopa-levodopa (Sinemet). Which
client teaching has been effective? observation by the nurse should indicate that the
A) Take medication, go for a 30 minute morning desired outcome of the medication is being
walk, then eat breakfast. achieved?
B) Take medication, rest in bed for 30 minutes, A) Decreased blood pressure.
eat breakfast, go for morning walk. B) Lessening of tremors.
C) Take medication with breakfast, then take a C) Increased salivation.
30 minute morning walk. D) Increased attention span. - -Correct
D) Go for a 30 minute morning walk, eat Answer(s): B
breakfast, then take medication. - -Correct Sinemet increases the amount of levodopa to the
Answer(s): A CNS (dopamine to the brain). Increased amounts
Alendronate (Fosamax) is best absorbed when of dopamine improve the symptoms of
taken thirty minutes before eating in the morning. Parkinson's, such as involuntary movements,
The client should also be advised to remain in an resting tremors (B), shuffling gait, etc. (A) is a
upright position for at least thirty minutes after side effect of Sinemet. Decreased drooling would
taking the medication to reduce the risk of be a desired effect, not (C). Sinemet does not
esophageal reflux and irritation. (A) is the best affect (D).
schedule to meet these needs. (B, C, and D) do
not meet these criteria.
In teaching a client who had a liver transplant
about cyclosporine (Sandimmune), the nurse
A client with congestive heart failure (CHF) is should encourage the client to report which
being discharged with a new prescription for the adverse response to the healthcare provider?
angiotensin-converting enzyme (ACE) inhibitor A) Changes in urine color.
captopril (Capoten). The nurse's discharge B) Presence of hand tremors.
instruction should include reporting which C) Increasing body hirsutism.
problem to the healthcare provider? D) Nausea and vomiting. - -Neurological
A) Weight loss. complications, such as hand tremors (B), occur in
B) Dizziness. about 50% of clients taking cyclosporine and
C) Muscle cramps. should be reported. Although this drug can be
D) Dry mucous membranes. - -Correct nephrotoxic, (A) typically does not occur. (C and
Answer(s): B D) are common side effects, but are not usually
Angiotensin-converting enzyme (ACE) inhibitors severe.
are used in CHF to reduce afterload by reversing
, Evolve Pharm Test Questions And Answers Rated A
Correct Answer(s): B heart failure. Which intervention should the nurse
implement prior to administering the digoxin?
A) Observe respiratory rate and depth.
Which nursing intervention is most important B) Assess the serum potassium level.
when caring for a client receiving the C) Obtain the client's blood pressure.
antimetabolite cytosine arabinoside (Arc-C) for D) Monitor the serum glucose level - -
chemotherapy? Hypokalemia (decreased serum potassium) will
A) Hydrate the client with IV fluids before and precipitate digitalis toxicity in persons receiving
after infusion. digoxin (B). (A and C) will not affect the
B) Assess the client for numbness and tingling administration of digoxin. (D) should be
of extremities. monitored if he/she is a diabetic and is perhaps
C) Inspect the client's oral mucosa for receiving insulin.
ulcerations.
D) Monitor the client's urine pH for increased Correct Answer(s): B
acidity. - -Cytosine arabinoside (Arc-C)
affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are A client asks the nurse if glipizide (Glucotrol) is
key signs of antimetabolite toxicity (C). (A, B, and an oral insulin. Which response should the nurse
D) are not typical interventions associated with provide?
the administration of antimetabolites. A) "Yes, it is an oral insulin and has the same
actions and properties as intermediate insulin."
Correct Answer(s): C B) "Yes, it is an oral insulin and is distributed,
metabolized, and excreted in the same manner
as insulin."
A peak and trough level must be drawn for a C) "No, it is not an oral insulin and can be used
client receiving antibiotic therapy. What is the only when some beta cell function is present."
optimum time for the nurse to obtain the trough D) "No, it is not an oral insulin, but it is effective
level? for those who are resistant to injectable insulins."
A) Sixty minutes after the antibiotic dose is - -An effective oral form of insulin has not
administered. yet been developed (C) because when insulin is
B) Immediately before the next antibiotic dose is taken orally, it is destroyed by digestive enzymes.
given. Glipizide (Glucotrol) is an oral hypoglycemic
C) When the next blood glucose level is to be agent that enhances pancreatic production of
checked. insulin. (A, B, and D) do not provide accurate
D) Thirty minutes before the next antibiotic dose information.
is given. - -Trough levels are drawn when
the blood level is at its lowest, which is typically Correct Answer(s): C
just before the next dose is given (B). (A, C, and
D) do not describe the optimum time for
obtaining a trough level of an antibiotic. The nurse is teaching a client with cancer about
opioid management for intractable pain and
Correct Answer(s): B tolerance related side effects. The nurse should
prepare the client for which side effect that is
most likely to persist during long-term use of
The healthcare provider prescribes digitalis opioids?
(Digoxin) for a client diagnosed with congestive A) Sedation.
A client with giardiasis is taking metronidazole C) Activated partial thromboplastin (APTT).
(Flagyl) 2 grams PO. Which information should D) Serum Coumadin level (SCL). - -
the nurse include in the client's instruction? Correct Answer(s): B
A) Notify the clinic of any changes in the color of When used for a client with pulmonary embolus,
urine. the therapeutic goal for warfarin therapy is a PT
B) Avoid overexposure to the sun. 1½ to 2½ times greater than the control, or an
C) Stop the medication after the diarrhea INR of 2 to 3 (B). A perfusion might be performed
resolves. to monitor lung function, but not monthly (A).
D) Take the medication with food. - - APTT is monitored for the client receiving heparin
Correct Answer(s): D therapy (C). A blood level for Coumadin cannot
Flagyl, an amoebicide and antibacterial agent, be measured (D).
may cause gastric distress, so the client should
be instructed to take the medication on a full
stomach (D). Urine may be red-brown or dark A category X drug is prescribed for a young adult
from Flagyl, but this side effect is not necessary female client. Which instruction is most important
to report (A). Photosensitivity (B) is not a side for the nurse to teach this client?
effect associated with Flagyl. Despite the A) Use a reliable form of birth control.
resolution of clinical symptoms, antiinfective B) Avoid exposure to ultra violet light.
medications should be taken for their entire C) Refuse this medication if planning pregnancy.
course because stopping the medication (C) can D) Abstain from intercourse while on this drug. -
increase the risk of resistant organisms. -Correct Answer(s): A
Drugs classified in the category X place a client
who is in the first trimester of pregnancy at risk
While taking a nursing history, the client states, "I for teratogenesis, so women in the childbearing
am allergic to penicillin." What related allergy to years should be counseled to use a reliable form
another type of antiinfective agent should the of birth control (A) during drug therapy. (B) is not
nurse ask the client about when taking the a specific precaution with Category X drugs. The
nursing history? client should be encouraged to discuss plans for
A) Aminoglycosides. pregnancy with the healthcare provider, so a
B) Cephalosporins. safer alternative prescription (C) can be provided
C) Sulfonamides. if pregnancy occurs. Although the risk of birth
D) Tetracyclines. - -Correct Answer(s): B defects during pregnancy explains the restriction
Cross allergies exist between penicillins and of these drugs during pregnancy, (D) is not
cephalosporins (B). Penicillin allergies are indicated.
unrelated to allergies associated with (A, C, or
D).
The nitrate isosorbide dinitrate (Isordil) is
prescribed for a client with angina. Which
Following heparin treatment for a pulmonary instruction should the nurse include in this client's
embolism, a client is being discharged with a discharge teaching plan?
prescription for warfarin (Coumadin). In A) Quit taking the medication if dizziness occurs.
conducting discharge teaching, the nurse B) Do not get up quickly. Always rise slowly.
advises the client to have which diagnostic test C) Take the medication with food only.
monitored regularly after discharge? D) Increase your intake of potassium-rich foods.
A) Perfusion scan. - -Correct Answer(s): B
B) Prothrombin Time (PT/INR). An expected side effect of nitrates is orthostatic
,Evolve Pharm Test Questions And Answers Rated A
hypotension and the nurse should address how vasoconstriction common in heart failure. This
to prevent it--by rising slowly (B). Dizziness is vasodilation can cause hypotension and resultant
expected, and the client should not quit taking dizziness (B). (A) is desired if fluid overload is
the medication without notifying the healthcare present, and may occur as the result of effective
provider (A). (C and D) are not indicated when combination drug therapy such as diuretics with
taking this medication. ACE inhibitors. (C) often indicates hypokalemia in
the client receiving diuretics. Excessive diuretic
administration may result in fluid volume deficit,
A client is being treated for osteoporosis with manifested by symptoms such as (D).
alendronate (Fosamax), and the nurse has
completed discharge teaching regarding
medication administration. Which morning A client with Parkinson's disease is taking
schedule would indicate to the nurse that the carbidopa-levodopa (Sinemet). Which
client teaching has been effective? observation by the nurse should indicate that the
A) Take medication, go for a 30 minute morning desired outcome of the medication is being
walk, then eat breakfast. achieved?
B) Take medication, rest in bed for 30 minutes, A) Decreased blood pressure.
eat breakfast, go for morning walk. B) Lessening of tremors.
C) Take medication with breakfast, then take a C) Increased salivation.
30 minute morning walk. D) Increased attention span. - -Correct
D) Go for a 30 minute morning walk, eat Answer(s): B
breakfast, then take medication. - -Correct Sinemet increases the amount of levodopa to the
Answer(s): A CNS (dopamine to the brain). Increased amounts
Alendronate (Fosamax) is best absorbed when of dopamine improve the symptoms of
taken thirty minutes before eating in the morning. Parkinson's, such as involuntary movements,
The client should also be advised to remain in an resting tremors (B), shuffling gait, etc. (A) is a
upright position for at least thirty minutes after side effect of Sinemet. Decreased drooling would
taking the medication to reduce the risk of be a desired effect, not (C). Sinemet does not
esophageal reflux and irritation. (A) is the best affect (D).
schedule to meet these needs. (B, C, and D) do
not meet these criteria.
In teaching a client who had a liver transplant
about cyclosporine (Sandimmune), the nurse
A client with congestive heart failure (CHF) is should encourage the client to report which
being discharged with a new prescription for the adverse response to the healthcare provider?
angiotensin-converting enzyme (ACE) inhibitor A) Changes in urine color.
captopril (Capoten). The nurse's discharge B) Presence of hand tremors.
instruction should include reporting which C) Increasing body hirsutism.
problem to the healthcare provider? D) Nausea and vomiting. - -Neurological
A) Weight loss. complications, such as hand tremors (B), occur in
B) Dizziness. about 50% of clients taking cyclosporine and
C) Muscle cramps. should be reported. Although this drug can be
D) Dry mucous membranes. - -Correct nephrotoxic, (A) typically does not occur. (C and
Answer(s): B D) are common side effects, but are not usually
Angiotensin-converting enzyme (ACE) inhibitors severe.
are used in CHF to reduce afterload by reversing
, Evolve Pharm Test Questions And Answers Rated A
Correct Answer(s): B heart failure. Which intervention should the nurse
implement prior to administering the digoxin?
A) Observe respiratory rate and depth.
Which nursing intervention is most important B) Assess the serum potassium level.
when caring for a client receiving the C) Obtain the client's blood pressure.
antimetabolite cytosine arabinoside (Arc-C) for D) Monitor the serum glucose level - -
chemotherapy? Hypokalemia (decreased serum potassium) will
A) Hydrate the client with IV fluids before and precipitate digitalis toxicity in persons receiving
after infusion. digoxin (B). (A and C) will not affect the
B) Assess the client for numbness and tingling administration of digoxin. (D) should be
of extremities. monitored if he/she is a diabetic and is perhaps
C) Inspect the client's oral mucosa for receiving insulin.
ulcerations.
D) Monitor the client's urine pH for increased Correct Answer(s): B
acidity. - -Cytosine arabinoside (Arc-C)
affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are A client asks the nurse if glipizide (Glucotrol) is
key signs of antimetabolite toxicity (C). (A, B, and an oral insulin. Which response should the nurse
D) are not typical interventions associated with provide?
the administration of antimetabolites. A) "Yes, it is an oral insulin and has the same
actions and properties as intermediate insulin."
Correct Answer(s): C B) "Yes, it is an oral insulin and is distributed,
metabolized, and excreted in the same manner
as insulin."
A peak and trough level must be drawn for a C) "No, it is not an oral insulin and can be used
client receiving antibiotic therapy. What is the only when some beta cell function is present."
optimum time for the nurse to obtain the trough D) "No, it is not an oral insulin, but it is effective
level? for those who are resistant to injectable insulins."
A) Sixty minutes after the antibiotic dose is - -An effective oral form of insulin has not
administered. yet been developed (C) because when insulin is
B) Immediately before the next antibiotic dose is taken orally, it is destroyed by digestive enzymes.
given. Glipizide (Glucotrol) is an oral hypoglycemic
C) When the next blood glucose level is to be agent that enhances pancreatic production of
checked. insulin. (A, B, and D) do not provide accurate
D) Thirty minutes before the next antibiotic dose information.
is given. - -Trough levels are drawn when
the blood level is at its lowest, which is typically Correct Answer(s): C
just before the next dose is given (B). (A, C, and
D) do not describe the optimum time for
obtaining a trough level of an antibiotic. The nurse is teaching a client with cancer about
opioid management for intractable pain and
Correct Answer(s): B tolerance related side effects. The nurse should
prepare the client for which side effect that is
most likely to persist during long-term use of
The healthcare provider prescribes digitalis opioids?
(Digoxin) for a client diagnosed with congestive A) Sedation.
