Answer Guide Pharmacology Assessment A
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
1. A) Decreased muscle
A nurse is caring for a client who has multiple sclerosis
and has a new prescription for baclofen. Which of the spasticity
following findings indicates to the nurse that the med- The nurse should identi-
ication is having a therapeutic effect? fy that baclofen is an anti-
spasmodic that decreases
A) Decreased muscle spasticity muscle spasticity in a client
The nurse should identify that baclofen is an antispas- who has multiple sclerosis.
modic that decreases muscle spasticity in a client who
has multiple sclerosis.
B) Increased urinary output
Urinary frequency is an adverse effect of baclofen
rather than a therapeutic effect.
C) Increased mental alertness
Baclofen is an antispasmodic that can cause CNS ad-
verse effects, such as drowsiness, fatigue, and confu-
sion, and does not produce an increase in the client's
mental alertness as a therapeutic effect.
D) Decreased heart rate
Baclofen is an antispasmodic and does not decrease
the client's heart rate as a therapeutic effect.
2. A nurse is collecting data from a client who is taking D) Increased tolerance to
ferrous sulfate orally. Which of the following findings exercise
reported by the client should indicate to the nurse thatThe client who takes fer-
the medication is having a therapeutic effect? rous sulfate, which is
used to treat iron-defi-
A) Passage of a soft, formed stool daily ciency anemia, can have
Passing a soft, formed stool is not an indication the fatigue and shortness of
medication is having a therapeutic effect. Ferrous sul- breath due to a low hemo-
fate can cause constipation. globin level. An increased
B) Decreased number of viral illnesses tolerance to exercise is
A decreased number of viral illnesses is not an indica- an indication the ferrous
1 4/16/2026
, Answer Guide Pharmacology Assessment A
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
tion the ferrous sulfate is having a therapeutic effect. sulfate is having a ther-
C) Improved ability to fall asleep apeutic effect. Increased
An improved ability to fall asleep is not an indication tolerance to exercise oc-
the ferrous sulfate is having a therapeutic effect. curs when the hemoglo-
D) Increased tolerance to exercise bin level increases, allow-
The client who takes ferrous sulfate, which is used ing more oxygen to be car-
to treat iron-deficiency anemia, can have fatigue and ried to the vital organs and
shortness of breath due to a low hemoglobin level. An tissue.
increased tolerance to exercise is an indication the fer-
rous sulfate is having a therapeutic effect. Increased
tolerance to exercise occurs when the hemoglobin lev-
el increases, allowing more oxygen to be carried to the
vital organs and tissue.
3. A nurse is collecting data from a client who is asking C) History of myocardial
about taking celecoxib for treatment of joint pain. The infarction
nurse should identify that which of the following find- Celecoxib increases the
ings is a contraindication to receiving celecoxib? risk of myocardial in-
farction caused by in-
A) Hyperglycemia creased vasoconstriction
Celecoxib is not contraindicated for a client who has and unimpeded platelet
hyperglycemia. aggregation. It is con-
B) Allergy to penicillin traindicated for a client
Celecoxib can cause hypersensitivity reactions in who has a history of my-
clients who are allergic to sulfonamides or salicylates ocardial infarction or heart
rather than penicillin. disease.
C) History of myocardial infarction
Celecoxib increases the risk of myocardial infarction
caused by increased vasoconstriction and unimpeded
platelet aggregation. It is contraindicated for a client
who has a history of myocardial infarction or heart
disease.
2 4/16/2026
, Answer Guide Pharmacology Assessment A
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
D) Peptic ulcer disease
Celecoxib should be used with caution for clients who
have peptic ulcer disease; however, it is not contraindi-
cated.
4. A client comes to an urgent care clinic and announces B) Cocaine
with great enthusiasm, "I am an expert at all things The client who has co-
medical as they apply to me, and I require zolpidem." caine intoxication typical-
The client's pupils are dilated, along with an elevated ly has tachycardia, elevat-
heart rate and blood pressure level. The nurse should ed blood pressure, dilated
suspect intoxication with which of the following sub- pupils, and displays delu-
stances? sions. This client's behav-
ior and physiological data
A) Alcohol indicate cocaine intoxica-
The client who has alcohol intoxication typically has tion.
slurred speech, drowsiness, impaired judgment, irri-
tability, and decreased blood pressure.
B) Cocaine
The client who has cocaine intoxication typically has
tachycardia, elevated blood pressure, dilated pupils,
and displays delusions. This client's behavior and phys-
iological data indicate cocaine intoxication.
C) Barbiturates
The client who has barbiturate toxicity typically has
respiratory depression, constricted pupils, drowsiness,
impaired judgment, irritability, and decreased blood
pressure.
D) Heroin
The client who has heroin toxicity typically has slurred
speech, drowsiness, constricted pupils, and decreased
blood pressure.
3 4/16/2026
, Answer Guide Pharmacology Assessment A
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
5. A nurse is planning to administer metoprolol to a client D) Withhold the client's
who has heart failure and a heart rate of 48/min. Which medication.
of the following actions should the nurse take? The nurse should with-
hold the metoprolol when
the client's heart rate is
A) Ambulate the client before administering the med-
50/min or less and notify
ication.
the provider.
A client who has a heart rate of 50/min or below can
become hypotensive. Therefore, ambulating can in-
crease the client's risk of falling. However, the nurse
should not administer this medication because of the
client's bradycardia.
B) Give the medication when the client has an empty
stomach.
The nurse should administer the medication to the
client with meals or immediately after meals. This
medication can mask manifestations of hypoglycemia
if the client has diabetes.
C) Administer one-half of the client's prescribed dose.
The nurse should notify the provider of the client's
heart rate to determine when to administer the next
dose or if a decrease in the dosage is needed.
D) Withhold the client's medication.
The nurse should withhold the metoprolol when the
client's heart rate is 50/min or less and notify the
provider.
6. A nurse is caring for a client who is receiving 0.9% Step 1: What is the unit
sodium chloride 1,000 mL to infuse over 8 hr. The drop of measurement the nurse
factor on the manual IV tubing is 15 gtt/mL. The nurse should calculate? gtt/min
should ensure that the manual infusion is set to deliver Step 2: What is the quanti-
how many gtt/min? (Round the answer to the nearest ty of the drop factor that is
4 4/16/2026
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
1. A) Decreased muscle
A nurse is caring for a client who has multiple sclerosis
and has a new prescription for baclofen. Which of the spasticity
following findings indicates to the nurse that the med- The nurse should identi-
ication is having a therapeutic effect? fy that baclofen is an anti-
spasmodic that decreases
A) Decreased muscle spasticity muscle spasticity in a client
The nurse should identify that baclofen is an antispas- who has multiple sclerosis.
modic that decreases muscle spasticity in a client who
has multiple sclerosis.
B) Increased urinary output
Urinary frequency is an adverse effect of baclofen
rather than a therapeutic effect.
C) Increased mental alertness
Baclofen is an antispasmodic that can cause CNS ad-
verse effects, such as drowsiness, fatigue, and confu-
sion, and does not produce an increase in the client's
mental alertness as a therapeutic effect.
D) Decreased heart rate
Baclofen is an antispasmodic and does not decrease
the client's heart rate as a therapeutic effect.
2. A nurse is collecting data from a client who is taking D) Increased tolerance to
ferrous sulfate orally. Which of the following findings exercise
reported by the client should indicate to the nurse thatThe client who takes fer-
the medication is having a therapeutic effect? rous sulfate, which is
used to treat iron-defi-
A) Passage of a soft, formed stool daily ciency anemia, can have
Passing a soft, formed stool is not an indication the fatigue and shortness of
medication is having a therapeutic effect. Ferrous sul- breath due to a low hemo-
fate can cause constipation. globin level. An increased
B) Decreased number of viral illnesses tolerance to exercise is
A decreased number of viral illnesses is not an indica- an indication the ferrous
1 4/16/2026
, Answer Guide Pharmacology Assessment A
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
tion the ferrous sulfate is having a therapeutic effect. sulfate is having a ther-
C) Improved ability to fall asleep apeutic effect. Increased
An improved ability to fall asleep is not an indication tolerance to exercise oc-
the ferrous sulfate is having a therapeutic effect. curs when the hemoglo-
D) Increased tolerance to exercise bin level increases, allow-
The client who takes ferrous sulfate, which is used ing more oxygen to be car-
to treat iron-deficiency anemia, can have fatigue and ried to the vital organs and
shortness of breath due to a low hemoglobin level. An tissue.
increased tolerance to exercise is an indication the fer-
rous sulfate is having a therapeutic effect. Increased
tolerance to exercise occurs when the hemoglobin lev-
el increases, allowing more oxygen to be carried to the
vital organs and tissue.
3. A nurse is collecting data from a client who is asking C) History of myocardial
about taking celecoxib for treatment of joint pain. The infarction
nurse should identify that which of the following find- Celecoxib increases the
ings is a contraindication to receiving celecoxib? risk of myocardial in-
farction caused by in-
A) Hyperglycemia creased vasoconstriction
Celecoxib is not contraindicated for a client who has and unimpeded platelet
hyperglycemia. aggregation. It is con-
B) Allergy to penicillin traindicated for a client
Celecoxib can cause hypersensitivity reactions in who has a history of my-
clients who are allergic to sulfonamides or salicylates ocardial infarction or heart
rather than penicillin. disease.
C) History of myocardial infarction
Celecoxib increases the risk of myocardial infarction
caused by increased vasoconstriction and unimpeded
platelet aggregation. It is contraindicated for a client
who has a history of myocardial infarction or heart
disease.
2 4/16/2026
, Answer Guide Pharmacology Assessment A
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
D) Peptic ulcer disease
Celecoxib should be used with caution for clients who
have peptic ulcer disease; however, it is not contraindi-
cated.
4. A client comes to an urgent care clinic and announces B) Cocaine
with great enthusiasm, "I am an expert at all things The client who has co-
medical as they apply to me, and I require zolpidem." caine intoxication typical-
The client's pupils are dilated, along with an elevated ly has tachycardia, elevat-
heart rate and blood pressure level. The nurse should ed blood pressure, dilated
suspect intoxication with which of the following sub- pupils, and displays delu-
stances? sions. This client's behav-
ior and physiological data
A) Alcohol indicate cocaine intoxica-
The client who has alcohol intoxication typically has tion.
slurred speech, drowsiness, impaired judgment, irri-
tability, and decreased blood pressure.
B) Cocaine
The client who has cocaine intoxication typically has
tachycardia, elevated blood pressure, dilated pupils,
and displays delusions. This client's behavior and phys-
iological data indicate cocaine intoxication.
C) Barbiturates
The client who has barbiturate toxicity typically has
respiratory depression, constricted pupils, drowsiness,
impaired judgment, irritability, and decreased blood
pressure.
D) Heroin
The client who has heroin toxicity typically has slurred
speech, drowsiness, constricted pupils, and decreased
blood pressure.
3 4/16/2026
, Answer Guide Pharmacology Assessment A
Pharmacology Assessment A
Study online at https://quizlet.com/_66gvy9
5. A nurse is planning to administer metoprolol to a client D) Withhold the client's
who has heart failure and a heart rate of 48/min. Which medication.
of the following actions should the nurse take? The nurse should with-
hold the metoprolol when
the client's heart rate is
A) Ambulate the client before administering the med-
50/min or less and notify
ication.
the provider.
A client who has a heart rate of 50/min or below can
become hypotensive. Therefore, ambulating can in-
crease the client's risk of falling. However, the nurse
should not administer this medication because of the
client's bradycardia.
B) Give the medication when the client has an empty
stomach.
The nurse should administer the medication to the
client with meals or immediately after meals. This
medication can mask manifestations of hypoglycemia
if the client has diabetes.
C) Administer one-half of the client's prescribed dose.
The nurse should notify the provider of the client's
heart rate to determine when to administer the next
dose or if a decrease in the dosage is needed.
D) Withhold the client's medication.
The nurse should withhold the metoprolol when the
client's heart rate is 50/min or less and notify the
provider.
6. A nurse is caring for a client who is receiving 0.9% Step 1: What is the unit
sodium chloride 1,000 mL to infuse over 8 hr. The drop of measurement the nurse
factor on the manual IV tubing is 15 gtt/mL. The nurse should calculate? gtt/min
should ensure that the manual infusion is set to deliver Step 2: What is the quanti-
how many gtt/min? (Round the answer to the nearest ty of the drop factor that is
4 4/16/2026
