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Pharmacology – Proctored Review
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1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO
daily. After 6 weeks of treatment, the nurse determines that the medication was effective if the:
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1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2. A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the
following client statement indicates understanding of teaching:
2) I will move slowly from sitting to standing to prevent falls
3. A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the
patient indicates further teaching:
I should expect a rash to develop
4. A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of the
following is the nurse required to do:
Read the prescription back to the provider after transcribing
5. A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin
(Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the
understanding of the teaching:
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I will keep a seizure frequency chart
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uB
6. A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin
(Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of thefollowing actions
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should the nurse take first:
Apply a cardiac monitor
7. A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the
following client findings requires an incident report:
The client reports shortness of breath
8. A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and
has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the effectiveness
of which of the following:
Ethunyl
estradiol/
desogestrel
(
e
Cyclessa
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rd
e
)
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9. A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed
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ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions:
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Take 1SL tablet at onset of
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migrane
10. A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin
(Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should the nurse
take:
Give the medication
11. A nurse is planning to provide medication education for a client who will begin a course of therapy with
metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid during the course
of therapy:
Beer
12. A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten). Which
of the following statements by the client indicates a need for further teaching:
I will use a salt substitute with my meals
13. A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed.
Which of the following client findings should the nurse recognize as being the best indication that the
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medication is achieving it's therapeutic effect:
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Decrease in intraocular pressure
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uB
14. A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following
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instructions should the nurse include in the teaching plan: (Select all that apply):
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
15. A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the
normal value and his INR is 2. Which of the following actions should the nurse plan to take:
Decrease the heparin
16. The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous
IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late
decelerations. Which of the following actions should the nurse take first:
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Discontinue the client's IV meds
i
rd
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17. A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which
i
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rd
of the following side effects should the nurse assess the client:
Bi
Ed
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Ed
ie
ird
Pharmacology – Proctored Review
uB
1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO
daily. After 6 weeks of treatment, the nurse determines that the medication was effective if the:
Ed
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2. A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the
following client statement indicates understanding of teaching:
2) I will move slowly from sitting to standing to prevent falls
3. A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the
patient indicates further teaching:
I should expect a rash to develop
4. A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of the
following is the nurse required to do:
Read the prescription back to the provider after transcribing
5. A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin
(Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the
understanding of the teaching:
ie
ie
ird
ird
I will keep a seizure frequency chart
uB
uB
6. A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin
(Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of thefollowing actions
Ed
should the nurse take first:
Apply a cardiac monitor
7. A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the
following client findings requires an incident report:
The client reports shortness of breath
8. A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and
has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the effectiveness
of which of the following:
Ethunyl
estradiol/
desogestrel
(
e
Cyclessa
i
rd
e
)
i
i
uB
rd
Bi
Ed
du
, u
Ed
ie
9. A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed
ird
ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions:
uB
Take 1SL tablet at onset of
Ed
migrane
10. A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin
(Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should the nurse
take:
Give the medication
11. A nurse is planning to provide medication education for a client who will begin a course of therapy with
metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid during the course
of therapy:
Beer
12. A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten). Which
of the following statements by the client indicates a need for further teaching:
I will use a salt substitute with my meals
13. A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed.
Which of the following client findings should the nurse recognize as being the best indication that the
ie
ie
medication is achieving it's therapeutic effect:
ird
ird
Decrease in intraocular pressure
uB
uB
14. A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following
Ed
instructions should the nurse include in the teaching plan: (Select all that apply):
1) Report muscle pain to provider
2) Do not take the medication with grapefruit juice
4) Minimize intake of alcoholic beverages
5) Expect therapy with this medication to be life long
15. A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the
normal value and his INR is 2. Which of the following actions should the nurse plan to take:
Decrease the heparin
16. The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous
IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late
decelerations. Which of the following actions should the nurse take first:
e
Discontinue the client's IV meds
i
rd
e
17. A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which
i
i
uB
rd
of the following side effects should the nurse assess the client:
Bi
Ed
du
