Pharm 3 Exam Review – High-Yield Medications, Side Effects &
Clinical Judgment|Questions Verified Complete with A+
Graded Rationales Latest Updated 2026
The community health nurse visits a patient who has been prescribed atorvastatin (Lipitor).
Which statement, if made by the patient, indicates that further teaching is necessary concerning
this drug therapy?
A. "I will need to follow a heart-healthy diet while taking this medication."
B. "Most patients with lipid disorders don't have any symptoms."
C. "I will take my drug with beverages that contain grapefruit juice."
D. "I should try to maintain my body weight at an optimal level."
C
What is the expected outcome of thrombolytic drug therapy?
A. Vasoconstriction.
B. Dissolve emboli.
C. Increased vascular permeability.
D. Prevention of hemorrhage.
A. Vasoconstriction.
B. Dissolve emboli.
C. Increased vascular permeability.
D. Prevention of hemorrhage.
B
Which statement made by the patient who is taking lithium carbonate (Eskalith) indicates that
further teaching is necessary?
A. "Lithium has a narrow margin of safety, so toxicity is a very real concern."
,B. "I will have blood levels drawn every 2 to 3 months, even when I have no symptoms."
C. "I will not be able to breastfeed my baby."
D. "I will be sure to remain on a low-sodium diet."
D
The client diagnosed with arterial hypertension is receiving furosemide (Lasix). Which data
indicates the medication is effective?
A. The client reports occasional light-headedness and dizziness.
B. The client's blood pressure went from 144/88 mmHg to 154/96 mmHg.
C. The client has had a weight loss of 1.3 kg in 7 days.
D. The client's 8-hour intake is 1800mL and the output is 2300mL.
D
The nurse is caring for a client who is taking cholestyramine (Questran) for treatment of
hyperlipidemia. Which assessment requires action by the nurse?
A. Absent bowel sounds, firm abdomen.
B. Calcium level 8.5 mg/dL.
C. Urinary output 30 mL/hr.
D. Sodium level 140 mEq/L.
A
The nurse is caring for a client with chronic hypertension. The client is receiving a beta-
adrenergic blocker daily. Which client manifestations would the nurse conclude are adverse
effects of this medication? Select all the Apply.
A. Thrombocytopenia.
B. Bradycardia.
, C. Hypotension.
D. Decreased serum triglycerides.
E. Hypoglycemia.
The patient who has been taking an tricyclic medication for 2 weeks calls the nurse to report
that there is no improvement in the depression. The nurse's best response is:
A. "Call your healthcare provider and see if he or she will change the order for a different
medication."
B. "The medication may take up to 3 weeks or longer to be effective. Continue taking the
medication as ordered."
C. "Add an over-the-counter antianxiety agent to your daily medications."
D. "Are you sure that you are taking it as ordered? Perhaps you should consider increasing the
dosage gradually."
B
The client has an international normalized ratio (INR) value of 1.5. What action will the nurse
take?
A. Prepare to administer protamine sulfate?
B. Administer the ordered dose of warfarin (Coumadin)
C. Hold the next dose of warfarin (Coumadin)
D. Increase the drip rate
B
Which medication is considered a "clot buster"
A. Wafarin
B. Clopidogrel
C. Heparin
Clinical Judgment|Questions Verified Complete with A+
Graded Rationales Latest Updated 2026
The community health nurse visits a patient who has been prescribed atorvastatin (Lipitor).
Which statement, if made by the patient, indicates that further teaching is necessary concerning
this drug therapy?
A. "I will need to follow a heart-healthy diet while taking this medication."
B. "Most patients with lipid disorders don't have any symptoms."
C. "I will take my drug with beverages that contain grapefruit juice."
D. "I should try to maintain my body weight at an optimal level."
C
What is the expected outcome of thrombolytic drug therapy?
A. Vasoconstriction.
B. Dissolve emboli.
C. Increased vascular permeability.
D. Prevention of hemorrhage.
A. Vasoconstriction.
B. Dissolve emboli.
C. Increased vascular permeability.
D. Prevention of hemorrhage.
B
Which statement made by the patient who is taking lithium carbonate (Eskalith) indicates that
further teaching is necessary?
A. "Lithium has a narrow margin of safety, so toxicity is a very real concern."
,B. "I will have blood levels drawn every 2 to 3 months, even when I have no symptoms."
C. "I will not be able to breastfeed my baby."
D. "I will be sure to remain on a low-sodium diet."
D
The client diagnosed with arterial hypertension is receiving furosemide (Lasix). Which data
indicates the medication is effective?
A. The client reports occasional light-headedness and dizziness.
B. The client's blood pressure went from 144/88 mmHg to 154/96 mmHg.
C. The client has had a weight loss of 1.3 kg in 7 days.
D. The client's 8-hour intake is 1800mL and the output is 2300mL.
D
The nurse is caring for a client who is taking cholestyramine (Questran) for treatment of
hyperlipidemia. Which assessment requires action by the nurse?
A. Absent bowel sounds, firm abdomen.
B. Calcium level 8.5 mg/dL.
C. Urinary output 30 mL/hr.
D. Sodium level 140 mEq/L.
A
The nurse is caring for a client with chronic hypertension. The client is receiving a beta-
adrenergic blocker daily. Which client manifestations would the nurse conclude are adverse
effects of this medication? Select all the Apply.
A. Thrombocytopenia.
B. Bradycardia.
, C. Hypotension.
D. Decreased serum triglycerides.
E. Hypoglycemia.
The patient who has been taking an tricyclic medication for 2 weeks calls the nurse to report
that there is no improvement in the depression. The nurse's best response is:
A. "Call your healthcare provider and see if he or she will change the order for a different
medication."
B. "The medication may take up to 3 weeks or longer to be effective. Continue taking the
medication as ordered."
C. "Add an over-the-counter antianxiety agent to your daily medications."
D. "Are you sure that you are taking it as ordered? Perhaps you should consider increasing the
dosage gradually."
B
The client has an international normalized ratio (INR) value of 1.5. What action will the nurse
take?
A. Prepare to administer protamine sulfate?
B. Administer the ordered dose of warfarin (Coumadin)
C. Hold the next dose of warfarin (Coumadin)
D. Increase the drip rate
B
Which medication is considered a "clot buster"
A. Wafarin
B. Clopidogrel
C. Heparin
