lOMoARcPSD|44532475
PHARM EXAM II
Q1) Which information should the nurse include in client education regarding a cholesterol-
lowering agent?
(a) This medication will replace other interventions you have been trying
(b) It is important for you to double your dose if you miss one
(c) Stop taking the medication if you experience constipation
(d) You should continue your exercise program to increase your HDL serum level
(adjunctive therapy with diet and exercise)
Q2) What would the nurse expect has occurred with a client who has taken senna for several
days and now experiencing yellowish-brown urea?
(a) Renal failure
(b) Dehydration
(c) Drug toxicity
(d) Expected effect of the medication (anthraquinones in laxatives such as senna, change
urine to brown, yellow or orange)
Q3) A client with heart failure who has been taking an angiotensin converting enzyme inhibitor,
a thiazide diuretic and a beta-blocker for several months comes to the clinic for evaluation. As
part if the ongoing assessment of this client, the nurse will expect the provider to order which
assessment?
(a) Complete blood count
(b) Ejection fraction
(c) Maximal exercise capacity
(d) Serum electrolyte levels
Q4) A provider has ordered captopril for a client and the nurse notes the client has a history of
swelling of the tongue and lips after taking enalapril. Which action by the nurse is correct?
(a) Administer the captopril and monitor for adverse effects
(b) Hold the dose and notify the provider ( angioedema is a serious side effect of Ace
inhibitors)
(c) Request an order to administer fosinoprill instead of captopril
(d) Reassure the client reaction in the past was an expected side effect
Q5) Which statement by the student nurse indicate the need for further teaching regarding the
use of sucralfate and ciprofloxacin to treat peptic ulcer disease?
(a) Sucralfate atheres to the ulcer and blocks the back-diffusion of hydrogen ions
(b) Sucralfate and ciprofloxacin should be administered two hours apart
(c) Sucralfate may cause systemic side effects
(d) Sucralfate has a potent acid-neutralizing capacity
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, lOMoARcPSD|44532475
Q6) A nursing student who is preparing to care for a postoperative client with deep vein
thrombosis asks the nurse why the client must take heparin rather than warfarin. Which response
by the nurse is correct?
(a) Heparin has a longer half life
(b) Heparin has fewer adverse effect
(c) The onset of warfarin is delayed
(d) Warfarin prevent platelet aggregation
Q7) A client with chronic obstructive pulmonary disease is prescribe tiotropium. After the initial
dose, the client reports only mild relief within 30 minutes. What is the nurse’s best response?
(a) You may have another dose in four hours
(b) You may need to take two inhalations instead of one
(c) You should have peak effect in about six hours
(d) You should see improved effect within the next week (tiotropium is long acting, usually
once a day and it may take several weeks to see full effect. Used for prevention not acute
flare).
Q8) A client with diabetes develops hypertension. The will anticipate administering which type
of medication to treat hypertension in this client?
(a) ACE inhibitors (or angiotensin II receptor blockers because they prevent and slow kidney
disease in diabetes).
(b) Anticoagulant
(c) Direct acting vasodilators
(d) Aldosterone antagonist
Q9) A client with asthma admitted to an emergency department with a respiratory rate of 22
breath per minute and an oxygen saturation level of 90% on room air. The client reports using
fluticasone inhaler 110 mcg twice daily and two puffs of albuterol, 90 mcg/puff, every four hours
for two days. The nurse will expect to administer which medications?
(a) Four puff of albuterol, oxygen, and intravenous theophylline
(b) Intramuscular glucocorticoids and salmeterol by metered-dose inhaler
(c) Intravenous glucocorticoids, nebulized albuterol and ipratropium, and oxygen
(d) Intravenous theophylline, oxygen, and fluticasone 220mcg
Q10) A client with chronic hypertension is admitted to the hospital. During the admission
assessment, the nurse notes a heart rate of 96 beats/min, a blood pressure of 150/90 mmHg
bibasilar crackles, 2+ pitting edema of the ankles and distension of the jugular veins. What
medication will the nurse expect the provider to order?
(a) Angiotensin converting enzyme inhibitor
(b) Digoxin
(c) …osemide (furosemide i.e. Lasix for diuresis)
Downloaded by madiba South Africa stuvia ()
PHARM EXAM II
Q1) Which information should the nurse include in client education regarding a cholesterol-
lowering agent?
(a) This medication will replace other interventions you have been trying
(b) It is important for you to double your dose if you miss one
(c) Stop taking the medication if you experience constipation
(d) You should continue your exercise program to increase your HDL serum level
(adjunctive therapy with diet and exercise)
Q2) What would the nurse expect has occurred with a client who has taken senna for several
days and now experiencing yellowish-brown urea?
(a) Renal failure
(b) Dehydration
(c) Drug toxicity
(d) Expected effect of the medication (anthraquinones in laxatives such as senna, change
urine to brown, yellow or orange)
Q3) A client with heart failure who has been taking an angiotensin converting enzyme inhibitor,
a thiazide diuretic and a beta-blocker for several months comes to the clinic for evaluation. As
part if the ongoing assessment of this client, the nurse will expect the provider to order which
assessment?
(a) Complete blood count
(b) Ejection fraction
(c) Maximal exercise capacity
(d) Serum electrolyte levels
Q4) A provider has ordered captopril for a client and the nurse notes the client has a history of
swelling of the tongue and lips after taking enalapril. Which action by the nurse is correct?
(a) Administer the captopril and monitor for adverse effects
(b) Hold the dose and notify the provider ( angioedema is a serious side effect of Ace
inhibitors)
(c) Request an order to administer fosinoprill instead of captopril
(d) Reassure the client reaction in the past was an expected side effect
Q5) Which statement by the student nurse indicate the need for further teaching regarding the
use of sucralfate and ciprofloxacin to treat peptic ulcer disease?
(a) Sucralfate atheres to the ulcer and blocks the back-diffusion of hydrogen ions
(b) Sucralfate and ciprofloxacin should be administered two hours apart
(c) Sucralfate may cause systemic side effects
(d) Sucralfate has a potent acid-neutralizing capacity
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
Q6) A nursing student who is preparing to care for a postoperative client with deep vein
thrombosis asks the nurse why the client must take heparin rather than warfarin. Which response
by the nurse is correct?
(a) Heparin has a longer half life
(b) Heparin has fewer adverse effect
(c) The onset of warfarin is delayed
(d) Warfarin prevent platelet aggregation
Q7) A client with chronic obstructive pulmonary disease is prescribe tiotropium. After the initial
dose, the client reports only mild relief within 30 minutes. What is the nurse’s best response?
(a) You may have another dose in four hours
(b) You may need to take two inhalations instead of one
(c) You should have peak effect in about six hours
(d) You should see improved effect within the next week (tiotropium is long acting, usually
once a day and it may take several weeks to see full effect. Used for prevention not acute
flare).
Q8) A client with diabetes develops hypertension. The will anticipate administering which type
of medication to treat hypertension in this client?
(a) ACE inhibitors (or angiotensin II receptor blockers because they prevent and slow kidney
disease in diabetes).
(b) Anticoagulant
(c) Direct acting vasodilators
(d) Aldosterone antagonist
Q9) A client with asthma admitted to an emergency department with a respiratory rate of 22
breath per minute and an oxygen saturation level of 90% on room air. The client reports using
fluticasone inhaler 110 mcg twice daily and two puffs of albuterol, 90 mcg/puff, every four hours
for two days. The nurse will expect to administer which medications?
(a) Four puff of albuterol, oxygen, and intravenous theophylline
(b) Intramuscular glucocorticoids and salmeterol by metered-dose inhaler
(c) Intravenous glucocorticoids, nebulized albuterol and ipratropium, and oxygen
(d) Intravenous theophylline, oxygen, and fluticasone 220mcg
Q10) A client with chronic hypertension is admitted to the hospital. During the admission
assessment, the nurse notes a heart rate of 96 beats/min, a blood pressure of 150/90 mmHg
bibasilar crackles, 2+ pitting edema of the ankles and distension of the jugular veins. What
medication will the nurse expect the provider to order?
(a) Angiotensin converting enzyme inhibitor
(b) Digoxin
(c) …osemide (furosemide i.e. Lasix for diuresis)
Downloaded by madiba South Africa stuvia ()
