Capstone Pharm Pre-Assessment Quiz
1. A client is prescribed propranolol. Which of the following client history
findings would require the nurse to clarify this medication prescription?
1) Asthma
2) Hypertension
3) Tachydysrhythmias
4) Urolithiasis: 1) Asthma
Clients with asthma should avoid Beta2 Blockade agents such as propranolol.
Brochoconstriction can occur. Clients with asthma should be administered a beta1
selective agent
2. A nurse is caring for a client prescribed montelukast. Which of the
following should the nurse include in teaching related to this medication?
1) Advise client to take the medication once daily at bedtime
2) This medication is for acute management of asthma
3) Avoid dairy products while taking this medication
4) If the client forgets to take the medication for a few days he can double up
on doses to catch up: 1) Advise client to take the medication once daily at
bedtime
Clients should take montelukast once daily at bedtime
3. A 45-year-old client is taking methylprednisolone. What pharmacologic
action should the nurse expect with this therapy?
1) Suppression of beta2 receptors
2)Suppression of airway mucus production
3) Fortification of bones
4) Suppression of candidiasis: 2) Suppression of airway mucus production
Corticosteroids, such as methylprenisolone will suppress airway mucus production
4. A nurse has just administered a wrong medication to a client. Which of
the following actions should the nurse take next?
1) No action is needed
2) Report error to the provider
3) Complete an institutional incident report
, 4) Inform the client that the wrong medication was given: 2) Report the error
to the provider
The nurse should acknowledge the error and report it to the provider for further
orders. The nurse should also monitor the client for adverse effects. The nurse
should also complete an incident report per institutional policy after notifying the
health care provider
5. A nurse is caring for a client newly prescribed doxazosin mesylate. Which
of the following instructions should the nurse include in client education
regarding taking the first dose of this medication?
1) Change positions slowly and lie down if dizziness occurs
2) There is no need to avoid normal activities
3) Avoid dairy products while taking this medication
4) Do not eat green leafy vegetables: 1) Change positions slowly and lie down if
dizziness occurs
First-dose orthostatic hypotension can occur with doxazosin. The nurse should
instruct clients to change position slowly and to lie down if feeling dizzy, lightheaded
or faint
6. A nurse is caring for a client prescribed ferrous sulfate for the treatment
of anemia. Which of the following instructions should be included in client
teaching about this medication?
1) Take the medication on an empty stomach to maximize absorption
2) Notify your provider if your stool becomes dark green
3) Decrease dietary fiber intake while taking this medication
4) Take prescribed antacids at the same time as this medication: 1) Take this
medication on an empty stomach to maximize absorption
The nurse should instruct the clients to take iron on an empty stomach, such as 1
hr before meals to maximize absorption. Stomach acid increases absorption. If GI
adverse effects occur, the client can take with food to increase adherence to therapy
even though absorption is also decreased
7. A nurse have provided education to a client regarding prescribed
levothyroxene sodium. What of the following client statements
demonstrates understanding of medication administration?
1) "I should take my medication as needed to alleviate symptoms"
1. A client is prescribed propranolol. Which of the following client history
findings would require the nurse to clarify this medication prescription?
1) Asthma
2) Hypertension
3) Tachydysrhythmias
4) Urolithiasis: 1) Asthma
Clients with asthma should avoid Beta2 Blockade agents such as propranolol.
Brochoconstriction can occur. Clients with asthma should be administered a beta1
selective agent
2. A nurse is caring for a client prescribed montelukast. Which of the
following should the nurse include in teaching related to this medication?
1) Advise client to take the medication once daily at bedtime
2) This medication is for acute management of asthma
3) Avoid dairy products while taking this medication
4) If the client forgets to take the medication for a few days he can double up
on doses to catch up: 1) Advise client to take the medication once daily at
bedtime
Clients should take montelukast once daily at bedtime
3. A 45-year-old client is taking methylprednisolone. What pharmacologic
action should the nurse expect with this therapy?
1) Suppression of beta2 receptors
2)Suppression of airway mucus production
3) Fortification of bones
4) Suppression of candidiasis: 2) Suppression of airway mucus production
Corticosteroids, such as methylprenisolone will suppress airway mucus production
4. A nurse has just administered a wrong medication to a client. Which of
the following actions should the nurse take next?
1) No action is needed
2) Report error to the provider
3) Complete an institutional incident report
, 4) Inform the client that the wrong medication was given: 2) Report the error
to the provider
The nurse should acknowledge the error and report it to the provider for further
orders. The nurse should also monitor the client for adverse effects. The nurse
should also complete an incident report per institutional policy after notifying the
health care provider
5. A nurse is caring for a client newly prescribed doxazosin mesylate. Which
of the following instructions should the nurse include in client education
regarding taking the first dose of this medication?
1) Change positions slowly and lie down if dizziness occurs
2) There is no need to avoid normal activities
3) Avoid dairy products while taking this medication
4) Do not eat green leafy vegetables: 1) Change positions slowly and lie down if
dizziness occurs
First-dose orthostatic hypotension can occur with doxazosin. The nurse should
instruct clients to change position slowly and to lie down if feeling dizzy, lightheaded
or faint
6. A nurse is caring for a client prescribed ferrous sulfate for the treatment
of anemia. Which of the following instructions should be included in client
teaching about this medication?
1) Take the medication on an empty stomach to maximize absorption
2) Notify your provider if your stool becomes dark green
3) Decrease dietary fiber intake while taking this medication
4) Take prescribed antacids at the same time as this medication: 1) Take this
medication on an empty stomach to maximize absorption
The nurse should instruct the clients to take iron on an empty stomach, such as 1
hr before meals to maximize absorption. Stomach acid increases absorption. If GI
adverse effects occur, the client can take with food to increase adherence to therapy
even though absorption is also decreased
7. A nurse have provided education to a client regarding prescribed
levothyroxene sodium. What of the following client statements
demonstrates understanding of medication administration?
1) "I should take my medication as needed to alleviate symptoms"
