Pharmacological and Parenteral
Therapies Quiz-Questions & Answers(
A+ Grade)
Bone marrow suppression is a common side effect when using methotrexate for long
term therapy in the treatment of rheumatoid arthritis. The client will have their complete
blood count monitored periodically for evidence of anemia, neutropenia or
thrombocytopenia.
A client is prescribed digoxin. Which of the following statements by the client indicates
to the nurse the need for further teaching?
Select one:
a. "I should eat bananas and drink orange juice when I am on this medication."
b. "If I see halos around lights there is no need to notify my provider."
c. "I will take my medication at the same time each day."
d. "I will check my pulse every day before taking my medication." - CORRECT
ANSWERS-b. "If I see halos around lights there is no need to notify my provider."
CNS effects such as blurred vision, diplopia and white halos around objects are a sign
of drug toxicity and client should notify provider immediately.
A client experiences postural hypotension during initial drug therapy with diltiazem.
Which of the following would be most important for the nurse to recommend to this
client?
Select one:
a. Eat small, frequent meals during the day.
b. Lie down for 30 minutes after taking the medication.
c. Drink additional oral fluids each day.
d. Rise slowly from a sitting or lying position. - CORRECT ANSWERS-d. Rise slowly
from a sitting or lying position.
Rise slowly from a sitting or lying position. This will allow them to adjust to the upright
position; slowly rising allows the heart to adjust the cardiac output to pump harder to
maintain adequate BP to offset any orthostatic hypotension from occurring.
A client ingested a full bottle of imipramine hydrochloride. Which of the following toxic
effects is most important for the nurse monitor?
Select one:
, a. Hypertension
b. Arrhythmias
c. Blurred vision
d. Photophobia - CORRECT ANSWERS-b. Arrhythmias
The nurse is providing client education regarding the combined use of herbal
supplements with prescribed medications. Which of the following statements indicates
the client correctly understands the interaction of ginkgo biloba and warfarin?
Select one:
a. "Ginkgo increases the effects of warfarin so I will stop taking the ginkgo."
b. "I should take the warfarin in the morning and the ginkgo at bedtime so that they do
not interact."
c. "The ginkgo and warfarin work together to help my memory."
d. "Ginkgo and warfarin should be taken at the same time during the day." - CORRECT
ANSWERS-a. "Ginkgo increases the effects of warfarin so I will stop taking the ginkgo."
When ginkgo biloba is taken with antiplatelet or anticoagulant medications, the effect of
the antiplatelet/anticoagulant drug may be increased, resulting in uncontrolled bleeding.
A client diagnosed with bipolar disorder and prescribed lithium carbonate is being
discharged from the hospital. Which of the following medication prescriptions should the
nurse should question?
Select one:
a. Valproic acid 250 mg by mouth three times per day
b. Ranitidine 150 mg by mouth daily
c. Captopril 25 mg by mouth twice per day
d. Furosemide 20 mg by mouth twice per day - CORRECT ANSWERS-d. Furosemide
20 mg by mouth twice per day
A nurse notes the following prescription for a client with thrombophlebitis: Heparin
sodium 25,000 units in 500 mL of D5W to infuse at 1,200 units/hour. What is the flow
rate in mL per hour?
Select one:
a. 25 ml/hr
b. 10 ml/hr
c. 24 ml/hr
d. 50 ml/hr - CORRECT ANSWERS-c. 24 ml/hr
Have 25000 units in 500 mL D5W
25000 divide by 500cc = 50 units/mL
Need to infuse at 1200 units/hr
Therapies Quiz-Questions & Answers(
A+ Grade)
Bone marrow suppression is a common side effect when using methotrexate for long
term therapy in the treatment of rheumatoid arthritis. The client will have their complete
blood count monitored periodically for evidence of anemia, neutropenia or
thrombocytopenia.
A client is prescribed digoxin. Which of the following statements by the client indicates
to the nurse the need for further teaching?
Select one:
a. "I should eat bananas and drink orange juice when I am on this medication."
b. "If I see halos around lights there is no need to notify my provider."
c. "I will take my medication at the same time each day."
d. "I will check my pulse every day before taking my medication." - CORRECT
ANSWERS-b. "If I see halos around lights there is no need to notify my provider."
CNS effects such as blurred vision, diplopia and white halos around objects are a sign
of drug toxicity and client should notify provider immediately.
A client experiences postural hypotension during initial drug therapy with diltiazem.
Which of the following would be most important for the nurse to recommend to this
client?
Select one:
a. Eat small, frequent meals during the day.
b. Lie down for 30 minutes after taking the medication.
c. Drink additional oral fluids each day.
d. Rise slowly from a sitting or lying position. - CORRECT ANSWERS-d. Rise slowly
from a sitting or lying position.
Rise slowly from a sitting or lying position. This will allow them to adjust to the upright
position; slowly rising allows the heart to adjust the cardiac output to pump harder to
maintain adequate BP to offset any orthostatic hypotension from occurring.
A client ingested a full bottle of imipramine hydrochloride. Which of the following toxic
effects is most important for the nurse monitor?
Select one:
, a. Hypertension
b. Arrhythmias
c. Blurred vision
d. Photophobia - CORRECT ANSWERS-b. Arrhythmias
The nurse is providing client education regarding the combined use of herbal
supplements with prescribed medications. Which of the following statements indicates
the client correctly understands the interaction of ginkgo biloba and warfarin?
Select one:
a. "Ginkgo increases the effects of warfarin so I will stop taking the ginkgo."
b. "I should take the warfarin in the morning and the ginkgo at bedtime so that they do
not interact."
c. "The ginkgo and warfarin work together to help my memory."
d. "Ginkgo and warfarin should be taken at the same time during the day." - CORRECT
ANSWERS-a. "Ginkgo increases the effects of warfarin so I will stop taking the ginkgo."
When ginkgo biloba is taken with antiplatelet or anticoagulant medications, the effect of
the antiplatelet/anticoagulant drug may be increased, resulting in uncontrolled bleeding.
A client diagnosed with bipolar disorder and prescribed lithium carbonate is being
discharged from the hospital. Which of the following medication prescriptions should the
nurse should question?
Select one:
a. Valproic acid 250 mg by mouth three times per day
b. Ranitidine 150 mg by mouth daily
c. Captopril 25 mg by mouth twice per day
d. Furosemide 20 mg by mouth twice per day - CORRECT ANSWERS-d. Furosemide
20 mg by mouth twice per day
A nurse notes the following prescription for a client with thrombophlebitis: Heparin
sodium 25,000 units in 500 mL of D5W to infuse at 1,200 units/hour. What is the flow
rate in mL per hour?
Select one:
a. 25 ml/hr
b. 10 ml/hr
c. 24 ml/hr
d. 50 ml/hr - CORRECT ANSWERS-c. 24 ml/hr
Have 25000 units in 500 mL D5W
25000 divide by 500cc = 50 units/mL
Need to infuse at 1200 units/hr
