NR293 Pharmacology Exam 1
Questions and Verified Solutions.
QUESTIONS AND ANSWERS
C. Data Collection. ANSWER - A nurse is caring for a client who has multiple medication
allergies. During which of the following steps of the nursing process should the nurse
identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse. ANSWER - A nurse is caring for a client and realizes
after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client
instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions
should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID. ANSWER - A nurse is preparing to administer medication to a client. Which of
the following abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually. ANSWER - A nurse is
reviewing the medication administration record of a client who has impaired swallowing.
The nurse should crush the medication when administering which of the following
prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
,Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin.. ANSWER - A nurse is caring for a
client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a
postoperative infection. Which of the following manifestations should the nurse monitor for
as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous. ANSWER - A nurse is assisting with the care of a client who is
postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription
for meperidine. Which of the following routes of administration will deliver the medication
with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis. ANSWER - nurse is monitoring
a client with pneumonia who has received penicillin G intramuscularly. Which of the
following findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
c. hepatic toxicity. ANSWER - A nurse is reviewing the laboratory results of a client who
is taking a medication and notes that the client's blood tests show an elevated level of the
enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse
should recognize that these findings are potential indications of which of the following
conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min. ANSWER - A nurse is reviewing the laboratory data
for a client who has Alzheimer's disease and a new prescription for memantine. The nurse
should identify that which of the following findings increases the risk for reduced clearance
of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
, 5 mL. ANSWER - A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a
school-aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5
mL. How many mL should the nurse administer? (Round your answer to the nearest tenth.
Use a leading zero if applicable but do not use a trailing zero.)
A. to reduce toxicity risk. ANSWER - A nurse is assisting with the administration of an IV
injection to a client. For which of the following reasons should the nurse inject the
medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
B. grapefruit juice. ANSWER - A nurse is reinforcing teaching with a client who has atrial
fibrillation and a new prescription for amiodarone. Which of the following items should the
nurse instruct the client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
C. garlic
D. salt substitutes
B. vancomycin. ANSWER - A nurse is caring fora client who has developed MRSA in a
surgical incision. Which of the following medications should the nurse expect the provider
to prescribe?
A. ceftriaxone
B. vancomycin
C. ketoconazole
D. ciprofloxacin
C. hydromorphone
Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to severe
pain management in clients who have cancer.. ANSWER - A nurse is caring for a client
who is experiencing severe cancer pain. Which of the following medications should the
nurse expect the provider to prescribe?
A. buprenorphine
B. tramadol
C. hydromorphone
D. oxycodone
B. Aspirin. ANSWER - A nurse is collecting data from a client who is experiencing chest
pain. Which of the following medications should the nurse expect to administer to suppress
the aggregation of platelets?
A. nitroglycerin
B. Aspirin
C. Morphine
Questions and Verified Solutions.
QUESTIONS AND ANSWERS
C. Data Collection. ANSWER - A nurse is caring for a client who has multiple medication
allergies. During which of the following steps of the nursing process should the nurse
identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse. ANSWER - A nurse is caring for a client and realizes
after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client
instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions
should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID. ANSWER - A nurse is preparing to administer medication to a client. Which of
the following abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually. ANSWER - A nurse is
reviewing the medication administration record of a client who has impaired swallowing.
The nurse should crush the medication when administering which of the following
prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
,Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin.. ANSWER - A nurse is caring for a
client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a
postoperative infection. Which of the following manifestations should the nurse monitor for
as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous. ANSWER - A nurse is assisting with the care of a client who is
postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription
for meperidine. Which of the following routes of administration will deliver the medication
with the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis. ANSWER - nurse is monitoring
a client with pneumonia who has received penicillin G intramuscularly. Which of the
following findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
c. hepatic toxicity. ANSWER - A nurse is reviewing the laboratory results of a client who
is taking a medication and notes that the client's blood tests show an elevated level of the
enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse
should recognize that these findings are potential indications of which of the following
conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min. ANSWER - A nurse is reviewing the laboratory data
for a client who has Alzheimer's disease and a new prescription for memantine. The nurse
should identify that which of the following findings increases the risk for reduced clearance
of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
, 5 mL. ANSWER - A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a
school-aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5
mL. How many mL should the nurse administer? (Round your answer to the nearest tenth.
Use a leading zero if applicable but do not use a trailing zero.)
A. to reduce toxicity risk. ANSWER - A nurse is assisting with the administration of an IV
injection to a client. For which of the following reasons should the nurse inject the
medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
D. to protect against embolism
B. grapefruit juice. ANSWER - A nurse is reinforcing teaching with a client who has atrial
fibrillation and a new prescription for amiodarone. Which of the following items should the
nurse instruct the client to avoid while taking this medication?
A. green leafy vegetables
B. grapefruit juice
C. garlic
D. salt substitutes
B. vancomycin. ANSWER - A nurse is caring fora client who has developed MRSA in a
surgical incision. Which of the following medications should the nurse expect the provider
to prescribe?
A. ceftriaxone
B. vancomycin
C. ketoconazole
D. ciprofloxacin
C. hydromorphone
Hydromorphone is an opioid antagonist. It is used for the treatment of moderate to severe
pain management in clients who have cancer.. ANSWER - A nurse is caring for a client
who is experiencing severe cancer pain. Which of the following medications should the
nurse expect the provider to prescribe?
A. buprenorphine
B. tramadol
C. hydromorphone
D. oxycodone
B. Aspirin. ANSWER - A nurse is collecting data from a client who is experiencing chest
pain. Which of the following medications should the nurse expect to administer to suppress
the aggregation of platelets?
A. nitroglycerin
B. Aspirin
C. Morphine
