BSN 315 Pharm II Practice Questions with
Verified Correct Answers
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new
prescription for an ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is
prescribed. Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
Limit intake of high-potassium foods.
A client with peptic ulcer disease receives a new prescription for cimetidine. Which
statement provided by the client requires additional instruction by the nurse?
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
,Decrease cigarette use to a pack per day
A client with chemotherapy induced nausea receives a prescription for metoclopramide.
Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a
prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short
of breath and difficult to arouse. While performing a head to toe assessment. the nurse
discovers four patches on the client's body. Which action should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
The nurse is providing instructions about a client's new medications. How should the
nurse explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
,A client taking atorvastatin develops an increased serum creatine phosphokinase (CK)
level. The nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by client
indicates to the nurse the education was effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine
appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
Explain the color change is normal.
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12
hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose
, 5% in water (D;W) 200 mL. The nurse should program the infusion pump to deliver
how many mL/hr? (Enter numerical value only.)
200mL/hr
A female client who is a vegetarian has a new prescription for warfarin. The client
states she eats leafy green vegetables every day. How should the nurse respond?
a. Suggest that the client replace the leafy vegetables with a protein source such as nuts
or beans.
b. Confirm that her diet choices will help the medication be more effective in preventing
blood clots.
c. Commend the client for her healthy lifestyle and encourage her to continue her
current diet habits.
d. Advise the client that the healthcare provider needs to be made aware of her current
diet.
Advise the client that the healthcare provider needs to be made aware of her current diet.
A female client with multiple sclerosis reports having less fatigue and improved memory
since she began using the herbal supplement, ginkgo biloba. Which information is most
important for the nurse to include in the teaching plan for this client?
a. Anxiety and headaches increase with the use of ginkgo biloba.
a. Nausea and diarrhea can occur when using this supplement.
b. Ginkgo biloba use should be limited and not taken during pregnancy.
c. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
While assessing a client who takes acetaminophen for chronic pain, the nurse observes
that the client's skin looks yellow in color. Which action should the nurse take in
Verified Correct Answers
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new
prescription for an ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is
prescribed. Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
Limit intake of high-potassium foods.
A client with peptic ulcer disease receives a new prescription for cimetidine. Which
statement provided by the client requires additional instruction by the nurse?
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
,Decrease cigarette use to a pack per day
A client with chemotherapy induced nausea receives a prescription for metoclopramide.
Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a
prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short
of breath and difficult to arouse. While performing a head to toe assessment. the nurse
discovers four patches on the client's body. Which action should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
The nurse is providing instructions about a client's new medications. How should the
nurse explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
,A client taking atorvastatin develops an increased serum creatine phosphokinase (CK)
level. The nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by client
indicates to the nurse the education was effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine
appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
Explain the color change is normal.
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12
hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose
, 5% in water (D;W) 200 mL. The nurse should program the infusion pump to deliver
how many mL/hr? (Enter numerical value only.)
200mL/hr
A female client who is a vegetarian has a new prescription for warfarin. The client
states she eats leafy green vegetables every day. How should the nurse respond?
a. Suggest that the client replace the leafy vegetables with a protein source such as nuts
or beans.
b. Confirm that her diet choices will help the medication be more effective in preventing
blood clots.
c. Commend the client for her healthy lifestyle and encourage her to continue her
current diet habits.
d. Advise the client that the healthcare provider needs to be made aware of her current
diet.
Advise the client that the healthcare provider needs to be made aware of her current diet.
A female client with multiple sclerosis reports having less fatigue and improved memory
since she began using the herbal supplement, ginkgo biloba. Which information is most
important for the nurse to include in the teaching plan for this client?
a. Anxiety and headaches increase with the use of ginkgo biloba.
a. Nausea and diarrhea can occur when using this supplement.
b. Ginkgo biloba use should be limited and not taken during pregnancy.
c. Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
While assessing a client who takes acetaminophen for chronic pain, the nurse observes
that the client's skin looks yellow in color. Which action should the nurse take in
