PHARMACOLOGY 16B MIDTERM EXAM 2026/2027 ||
NURSING PHARMACOLOGY REVIEW || VERIFIED
QUESTIONS & ANSWERS || HIGH-YIELD STUDY GUIDE ||
COMPLETE TEST BANK || GRADED A+
Which condition would the nurse make about the development of loose stools
and increased salivation 2 days after a client with myasthenia gravis begins
taking pyridostigmine? - CORRECT ANSWER -The medication is causing
cholinergic side effects
The anticholinesterase medication pyridostigmine is prescribed for the client
with myasthenia gravis. When providing medication teaching, the nurse
explains that the client should expect a decrease in which function? -
CORRECT ANSWER -Heart rate
A client presents to the clinic for a follow-up appointment after starting
pyridostigmine for management of myasthenia gravis. Which new client
problems are adverse effects of pyrisostimine? Select all that apply. -
CORRECT ANSWER --Increased urinary frequency
-diarrhea
A client with myasthenia gravis begins taking pyridostigmine. 2 days later, the
client develops loose stools and increased salivation. Which conclusion would
the nurse make about these new developments? - CORRECT ANSWER -
The medication is causing cholinergic side effects
The health care provider prescribes neostigmine for a client with myasthenia
gravis. Which client statement indicates understanding regarding medication
management plans? - CORRECT ANSWER -"I should take the medication
at the exact time that is listed on the prescription"
Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The
nurse evaluates that the medication regimen is understood when the client
makes which statement? - CORRECT ANSWER -"I need to set an alarm so
I take the medication on time"
,A client with myasthenia gravis is receiving pyridostigmine bromide to control
symptoms. Recently, the client has begun experiencing increased difficulty in
swallowing. Which nursing action is effective in preventing aspiration of food?
- CORRECT ANSWER -Coordinate mealtimes with the peak effect of the
medication
Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the
nurse instruct the client to take pyridostigmine about 1 hour before meals? -
CORRECT ANSWER -Taking it before meals improves the ability to chew
A client begins treatment with pyridostigmine bromide therapy for myasthenia
gravis. Which action would the nurse perform in administration of the
medication? - CORRECT ANSWER -Evaluate the client's muscle strength
every hour after the medication is given
Which action would the nurse perform when beginning pyridostigmine bromide
therapy for a client with myasthenia gravis? - CORRECT ANSWER -
Evaluate the client's muscle strength every hour after the medication is given
A client with myasthenia gravis has been receiving neostigmine and asks about
its action. Which information would the nurse consider when formulating a
response? - CORRECT ANSWER -Blocks the action of cholinesterase
The health care provider prescribes a cholinergic medication to treat a client's
urinary problem. Which effect would the nurse anticipate? - CORRECT
ANSWER -Urinary retention is prevented
Cholinergic agonists are prescribed for which type of urinary condition? -
CORRECT ANSWER -Urine retention
,The nurse has administered fentanyl, atropine, cefazolin, and benzocaine to a
client for an endoscopic procedure. The nurse is monitoring the client and notes
that the heart rate has increased from the pre-procedure baseline. The nurse
knows that which of the following medications is most likely responsible for the
client's increased heart rate? - CORRECT ANSWER -Atropine
During a procedure, the client's heart rate drops to 38 beats/ min. Which
medication is indicated to treat bradycardia? - CORRECT ANSWER -
Atropine sulfate
When a client exhibits severe bradycardia, which type of medication will the
nurse be prepared to administer? - CORRECT ANSWER -Anticholinergic
A client develops extrapyramidal effects after taking a neuroleptic medication,
and the nurse notes extrapyramidal effects. Which medication can limit these
side effects? - CORRECT ANSWER -Benztropine mesylate
A client receiving fluphenazine decanoate develops dystonia/extrapyramidal
side effects early in therapy. Which medication would the nurse anticipate
administering to reverse this side effect? - CORRECT ANSWER -
Benztropine
The nurse is caring for a client who has been prescribed atropine preoperatively.
The nurse understands the intended purpose for administering this
preoperatively is to induce which effect? - CORRECT ANSWER -Decrease
secretions
Which action is likely to reduce the pancreatic and gastric secretions of a client
with pancreatitis? - CORRECT ANSWER -Administer prescribed
anticholinergic medication
, The nurse is discharging a client with a new prescription for tiotropium to help
manage the symptoms of chronic obstructive pulmonary disease. What
information should the nurse include in the discharge teaching? - CORRECT
ANSWER -This medication cannot be used to relieve sudden breathing
problems
The nurse in a urology office is developing a plan of care for a client newly
diagnosed with urge urinary incontinence due to an overactive bladder. Which
interventions should the nurse include? - CORRECT ANSWER -
Administration of anticholinergic drugs
The nurse is caring for a client who was recently prescribed atropine as a
treatment for symptomatic bradycardia. Which condition should the nurse
question as a contraindication when taking this medication? - CORRECT
ANSWER -Glaucoma
The nurse is reviewing the medical record of a client who received a new
prescription for benztropine. For which condition in the client's record should
the nurse clarify the prescription with the health care provider? - CORRECT
ANSWER -Glaucoma
A client with Parkinson's disease is prescribed benztropine (Cogentin). For
which of the following should the nurse call the health care provider
immediately? - CORRECT ANSWER -The client has a history of primary
angle-closure glaucoma
Which ophthalmic solution is contraindicated for clients with glaucoma? -
CORRECT ANSWER -Atropine
Which statement accurately describes nortriptyline? Select all that apply -
CORRECT ANSWER --overdosage is often lethal
NURSING PHARMACOLOGY REVIEW || VERIFIED
QUESTIONS & ANSWERS || HIGH-YIELD STUDY GUIDE ||
COMPLETE TEST BANK || GRADED A+
Which condition would the nurse make about the development of loose stools
and increased salivation 2 days after a client with myasthenia gravis begins
taking pyridostigmine? - CORRECT ANSWER -The medication is causing
cholinergic side effects
The anticholinesterase medication pyridostigmine is prescribed for the client
with myasthenia gravis. When providing medication teaching, the nurse
explains that the client should expect a decrease in which function? -
CORRECT ANSWER -Heart rate
A client presents to the clinic for a follow-up appointment after starting
pyridostigmine for management of myasthenia gravis. Which new client
problems are adverse effects of pyrisostimine? Select all that apply. -
CORRECT ANSWER --Increased urinary frequency
-diarrhea
A client with myasthenia gravis begins taking pyridostigmine. 2 days later, the
client develops loose stools and increased salivation. Which conclusion would
the nurse make about these new developments? - CORRECT ANSWER -
The medication is causing cholinergic side effects
The health care provider prescribes neostigmine for a client with myasthenia
gravis. Which client statement indicates understanding regarding medication
management plans? - CORRECT ANSWER -"I should take the medication
at the exact time that is listed on the prescription"
Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The
nurse evaluates that the medication regimen is understood when the client
makes which statement? - CORRECT ANSWER -"I need to set an alarm so
I take the medication on time"
,A client with myasthenia gravis is receiving pyridostigmine bromide to control
symptoms. Recently, the client has begun experiencing increased difficulty in
swallowing. Which nursing action is effective in preventing aspiration of food?
- CORRECT ANSWER -Coordinate mealtimes with the peak effect of the
medication
Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the
nurse instruct the client to take pyridostigmine about 1 hour before meals? -
CORRECT ANSWER -Taking it before meals improves the ability to chew
A client begins treatment with pyridostigmine bromide therapy for myasthenia
gravis. Which action would the nurse perform in administration of the
medication? - CORRECT ANSWER -Evaluate the client's muscle strength
every hour after the medication is given
Which action would the nurse perform when beginning pyridostigmine bromide
therapy for a client with myasthenia gravis? - CORRECT ANSWER -
Evaluate the client's muscle strength every hour after the medication is given
A client with myasthenia gravis has been receiving neostigmine and asks about
its action. Which information would the nurse consider when formulating a
response? - CORRECT ANSWER -Blocks the action of cholinesterase
The health care provider prescribes a cholinergic medication to treat a client's
urinary problem. Which effect would the nurse anticipate? - CORRECT
ANSWER -Urinary retention is prevented
Cholinergic agonists are prescribed for which type of urinary condition? -
CORRECT ANSWER -Urine retention
,The nurse has administered fentanyl, atropine, cefazolin, and benzocaine to a
client for an endoscopic procedure. The nurse is monitoring the client and notes
that the heart rate has increased from the pre-procedure baseline. The nurse
knows that which of the following medications is most likely responsible for the
client's increased heart rate? - CORRECT ANSWER -Atropine
During a procedure, the client's heart rate drops to 38 beats/ min. Which
medication is indicated to treat bradycardia? - CORRECT ANSWER -
Atropine sulfate
When a client exhibits severe bradycardia, which type of medication will the
nurse be prepared to administer? - CORRECT ANSWER -Anticholinergic
A client develops extrapyramidal effects after taking a neuroleptic medication,
and the nurse notes extrapyramidal effects. Which medication can limit these
side effects? - CORRECT ANSWER -Benztropine mesylate
A client receiving fluphenazine decanoate develops dystonia/extrapyramidal
side effects early in therapy. Which medication would the nurse anticipate
administering to reverse this side effect? - CORRECT ANSWER -
Benztropine
The nurse is caring for a client who has been prescribed atropine preoperatively.
The nurse understands the intended purpose for administering this
preoperatively is to induce which effect? - CORRECT ANSWER -Decrease
secretions
Which action is likely to reduce the pancreatic and gastric secretions of a client
with pancreatitis? - CORRECT ANSWER -Administer prescribed
anticholinergic medication
, The nurse is discharging a client with a new prescription for tiotropium to help
manage the symptoms of chronic obstructive pulmonary disease. What
information should the nurse include in the discharge teaching? - CORRECT
ANSWER -This medication cannot be used to relieve sudden breathing
problems
The nurse in a urology office is developing a plan of care for a client newly
diagnosed with urge urinary incontinence due to an overactive bladder. Which
interventions should the nurse include? - CORRECT ANSWER -
Administration of anticholinergic drugs
The nurse is caring for a client who was recently prescribed atropine as a
treatment for symptomatic bradycardia. Which condition should the nurse
question as a contraindication when taking this medication? - CORRECT
ANSWER -Glaucoma
The nurse is reviewing the medical record of a client who received a new
prescription for benztropine. For which condition in the client's record should
the nurse clarify the prescription with the health care provider? - CORRECT
ANSWER -Glaucoma
A client with Parkinson's disease is prescribed benztropine (Cogentin). For
which of the following should the nurse call the health care provider
immediately? - CORRECT ANSWER -The client has a history of primary
angle-closure glaucoma
Which ophthalmic solution is contraindicated for clients with glaucoma? -
CORRECT ANSWER -Atropine
Which statement accurately describes nortriptyline? Select all that apply -
CORRECT ANSWER --overdosage is often lethal
