Pharmacology Exam #2 Multiple Choice
Questions
A nurse is caring for a client who is receiving furosemide IV for peripheral edema.
Which of the following interventions should the nurse include in the plan of care? (select
all that apply).
A. assess for tinnitus
B. report urine output 50mL/hr
C. monitor blood potassium levels
D. elevate the head of the bed slowly before ambulation
E. recommend eating a banana daily correct answers A. assess for tinnitus
C. monitor blood potassium levels
D. elevate the head of the bed slowly before ambulation
E. recommend eating a banana daily
A nurse is providing information to a client who has a new prescription for
hydrochlorothiazide. Which of the following information should the nurse include?
A. take the medication with food
B. plan to take the medication at bedtime
C. expect increased swelling of the ankles
D. fluid intake should be limited in the morning correct answers A. take the medication
with food
A nurse is monitoring a client who is receiving spironolactone. Which of the following
findings should the nurse report to the provider?
A. blood sodium 144 mEq/L
B. urine output 120mL in 4 hr
C. blood potassium 5.2 mEq/L
D. blood pressure 140/90 mm Hg correct answers C. blood potassium 5.2 mEq/L
A nurse is caring for a client who has increased intracranial pressure and is receiving
mannitol. Which of the following findings should the nurse report to the provider?
A. blood glucose 150 mg/dl
B. urine output 40 mL/hr
C. dyspnea
D. bilateral equal pupil size correct answers C. dyspnea
,A nurse is planning care for a client who has a new prescription for torsemide. The
nurse should plan to monitor for which of the following conditions as potential adverse
reactions of this medication? (Select all that apply).
A. respiratory acidosis
B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias correct answers B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias
A nurse is reviewing the health care record of a client who asks about using propranolol
to treat hypertension. The nurse should recognize which of the following conditions is a
contraindication for taking propranolol?
A. asthma
B. glaucoma
C. hypertension
D. tachycardia correct answers A. asthma
A nurse is teaching a client who has a new prescription for verapamil to control
hypertension. Which of the following instructions should the nurse include?
A. increase the amount of fiber in the diet
B. drink grapefruit juice daily to increase vitamin C intake
C. decrease the amount of calcium in the diet
D. withhold food for 1 hr after the medication is taken correct answers A. increase the
amount of fiber in the diet
A nurse is caring for a client who has a new prescription for captopril for hypertension.
The nurse should monitor the client for which of the following as an adverse effect of
this medication?
A. hypokalemia
B. hypernatremia
C. neutropenia
D. bradycardia correct answers C. neutropenia
A nurse is planning to administer a first dose of captopril to a client who has
hypertension. Which of the following medications can intensify first-dose hypertension?
(Select all that apply).
A. simvastatin
B. hydrochlorothiazide
,C. phenytoin
D. clonidine
E. aliskiren correct answers B. hydrochlorothiazide
D. clonidine
E. aliskiren
A nurse in a provider's office is monitoring blood electrolytes for four clients who take
digoxin. Which of the following electrolyte values increases a client's risk for digoxin
toxicity?
A. calcium 9.2 mg/dl
B. calcium 10.3 mg/dl
C. potassium 3.4 mEq/L
D. potassium 4.8 mEq/L correct answers C. potassium 3.4 mEq/L
A nurse is caring for a client who has a new prescription for digoxin and takes multiple
other medications. The nurse should recognize that concurrent use of which of the
following medications places the client at risk for digoxin toxicity?
A. phenytoin
B. verapamil
C. warfarin
D. aluminium hydroxide correct answers B. verapamil
A nurse is administering a dopamine infusion at a low dose to a client who has severe
heart failure. Which of the following findings is an expected effect of this medication?
A. lowered heart rate
B. increased urine output
C. decreased conduction through the AV node
D. vasoconstriction of renal blood vessels correct answers B. increased urine output
A nurse is providing teaching to a client who has a new prescription for digoxin. the
nurse should instruct the client to monitor and report which of the following adverse
effects that is a manifestation of digoxin toxicity? (Select all that apply).
A. fatigue
B. constipation
C. anorexia
D. rash
E. blurred vision correct answers A. fatigue
C. anorexia
E. blurred vision
A nurse is teaching a client who has a new prescription for digoxin to treat heart failure.
Which of the following instructions should the nurse include in the teaching?
, A. contact provider if heart rate is less than 60/min
B. check pulse rate for 30 seconds and multiply result by 2
C. increase intake of sodium
D. take with food if nausea occurs correct answers A. contact provider if heart rate is
less than 60/min
A nurse is teaching a client who has anginal pectoris and is learning how to treat acute
anginal attacks. The client asks "what is my next step if I take one tablet, wait 5 minutes,
but still have anginal pain?" Which of the following responses should the nurse make?
A. "take 2 more sublingual tablets at the same time"
B. "call the emergency response team"
C. "take a sustained-release nitroglycerin capsule"
D. "wait another 5 minutes then take a second sublingual tablet" correct answers B.
"call the emergency response team"
A nurse is teaching a client who has a new prescription for nitroglycerin transdermal
patch for angina pectoris. Which of the following instructions should the nurse include?
A. remove the patch each evening
B. cut each patch in half if angina attacks are under control
C. take off the nitroglycerin patch 30min if a headache occurs
D. apply a new patch every 48hr correct answers A. remove the patch each evening
A nurse is taking care of a medication history from a client who has angina and is to
begin taking ranolazine. The nurse should report which of the following medications in
the client's history that can interact with ranolazine? (select all that apply).
A. digoxin
B. simvastatin
C. verapamil
D. amlodipine
E. nitroglycerin transdermal patch correct answers A. digoxin
B. simvastatin
C. verapamil
A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable
angina and develops reflex tachycardia. Which of the following medications should the
nurse expect to administer?
A. furosemide
B. captopril
C. ranolazine
D. metoprolol correct answers D. metoprolol
Questions
A nurse is caring for a client who is receiving furosemide IV for peripheral edema.
Which of the following interventions should the nurse include in the plan of care? (select
all that apply).
A. assess for tinnitus
B. report urine output 50mL/hr
C. monitor blood potassium levels
D. elevate the head of the bed slowly before ambulation
E. recommend eating a banana daily correct answers A. assess for tinnitus
C. monitor blood potassium levels
D. elevate the head of the bed slowly before ambulation
E. recommend eating a banana daily
A nurse is providing information to a client who has a new prescription for
hydrochlorothiazide. Which of the following information should the nurse include?
A. take the medication with food
B. plan to take the medication at bedtime
C. expect increased swelling of the ankles
D. fluid intake should be limited in the morning correct answers A. take the medication
with food
A nurse is monitoring a client who is receiving spironolactone. Which of the following
findings should the nurse report to the provider?
A. blood sodium 144 mEq/L
B. urine output 120mL in 4 hr
C. blood potassium 5.2 mEq/L
D. blood pressure 140/90 mm Hg correct answers C. blood potassium 5.2 mEq/L
A nurse is caring for a client who has increased intracranial pressure and is receiving
mannitol. Which of the following findings should the nurse report to the provider?
A. blood glucose 150 mg/dl
B. urine output 40 mL/hr
C. dyspnea
D. bilateral equal pupil size correct answers C. dyspnea
,A nurse is planning care for a client who has a new prescription for torsemide. The
nurse should plan to monitor for which of the following conditions as potential adverse
reactions of this medication? (Select all that apply).
A. respiratory acidosis
B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias correct answers B. hypokalemia
C. hypotension
D. ototoxicity
E. ventricular dysrhythmias
A nurse is reviewing the health care record of a client who asks about using propranolol
to treat hypertension. The nurse should recognize which of the following conditions is a
contraindication for taking propranolol?
A. asthma
B. glaucoma
C. hypertension
D. tachycardia correct answers A. asthma
A nurse is teaching a client who has a new prescription for verapamil to control
hypertension. Which of the following instructions should the nurse include?
A. increase the amount of fiber in the diet
B. drink grapefruit juice daily to increase vitamin C intake
C. decrease the amount of calcium in the diet
D. withhold food for 1 hr after the medication is taken correct answers A. increase the
amount of fiber in the diet
A nurse is caring for a client who has a new prescription for captopril for hypertension.
The nurse should monitor the client for which of the following as an adverse effect of
this medication?
A. hypokalemia
B. hypernatremia
C. neutropenia
D. bradycardia correct answers C. neutropenia
A nurse is planning to administer a first dose of captopril to a client who has
hypertension. Which of the following medications can intensify first-dose hypertension?
(Select all that apply).
A. simvastatin
B. hydrochlorothiazide
,C. phenytoin
D. clonidine
E. aliskiren correct answers B. hydrochlorothiazide
D. clonidine
E. aliskiren
A nurse in a provider's office is monitoring blood electrolytes for four clients who take
digoxin. Which of the following electrolyte values increases a client's risk for digoxin
toxicity?
A. calcium 9.2 mg/dl
B. calcium 10.3 mg/dl
C. potassium 3.4 mEq/L
D. potassium 4.8 mEq/L correct answers C. potassium 3.4 mEq/L
A nurse is caring for a client who has a new prescription for digoxin and takes multiple
other medications. The nurse should recognize that concurrent use of which of the
following medications places the client at risk for digoxin toxicity?
A. phenytoin
B. verapamil
C. warfarin
D. aluminium hydroxide correct answers B. verapamil
A nurse is administering a dopamine infusion at a low dose to a client who has severe
heart failure. Which of the following findings is an expected effect of this medication?
A. lowered heart rate
B. increased urine output
C. decreased conduction through the AV node
D. vasoconstriction of renal blood vessels correct answers B. increased urine output
A nurse is providing teaching to a client who has a new prescription for digoxin. the
nurse should instruct the client to monitor and report which of the following adverse
effects that is a manifestation of digoxin toxicity? (Select all that apply).
A. fatigue
B. constipation
C. anorexia
D. rash
E. blurred vision correct answers A. fatigue
C. anorexia
E. blurred vision
A nurse is teaching a client who has a new prescription for digoxin to treat heart failure.
Which of the following instructions should the nurse include in the teaching?
, A. contact provider if heart rate is less than 60/min
B. check pulse rate for 30 seconds and multiply result by 2
C. increase intake of sodium
D. take with food if nausea occurs correct answers A. contact provider if heart rate is
less than 60/min
A nurse is teaching a client who has anginal pectoris and is learning how to treat acute
anginal attacks. The client asks "what is my next step if I take one tablet, wait 5 minutes,
but still have anginal pain?" Which of the following responses should the nurse make?
A. "take 2 more sublingual tablets at the same time"
B. "call the emergency response team"
C. "take a sustained-release nitroglycerin capsule"
D. "wait another 5 minutes then take a second sublingual tablet" correct answers B.
"call the emergency response team"
A nurse is teaching a client who has a new prescription for nitroglycerin transdermal
patch for angina pectoris. Which of the following instructions should the nurse include?
A. remove the patch each evening
B. cut each patch in half if angina attacks are under control
C. take off the nitroglycerin patch 30min if a headache occurs
D. apply a new patch every 48hr correct answers A. remove the patch each evening
A nurse is taking care of a medication history from a client who has angina and is to
begin taking ranolazine. The nurse should report which of the following medications in
the client's history that can interact with ranolazine? (select all that apply).
A. digoxin
B. simvastatin
C. verapamil
D. amlodipine
E. nitroglycerin transdermal patch correct answers A. digoxin
B. simvastatin
C. verapamil
A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable
angina and develops reflex tachycardia. Which of the following medications should the
nurse expect to administer?
A. furosemide
B. captopril
C. ranolazine
D. metoprolol correct answers D. metoprolol
