Pharmacology: Exam 1 Quizzes UPDATED
Exam Questions and CORRECT Answers
A - CORRECT ANSWER - During administration of theophylline, the nurse should
monitor for signs of an adverse reaction. Which symptom(s) would cause the nurse to suspect
theophylline toxicity?
A. Nausea and Vomiting
B. Dry mouth
C. Sedation
D. Urinary retention
B - CORRECT ANSWER - A nurse has an order to administer theophylline PO to a client.
The nurse determines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this
information, which action should the nurse take first?
A. Redraw the theophylline level to confirm the level.
B. Hold the theophylline dose and notify the health care provider.
C. Start the client on a half-dose of theophylline PO.
D. The theophylline dose can be administered as planned.
A - CORRECT ANSWER - The nurse is caring for a client receiving an
albuterol/ipratropium nebulized breathing treatment. Which report from the client should the
nurse note as an expected side effect of this combination medication?
A. "I feel like my heart is racing."
B. "My eyes have been watering lately."
C. "I haven't had a bowel movement in 4 days."
D. "I feel more bloated than usual."
D - CORRECT ANSWER - A client begins therapy with theophylline. The nurse plans to
teach the client to limit the intake of which items while taking this medication?
A. Cottage cheese, cream cheese, and dairy creamers
,B. Melons, oranges, and pineapple
C. Oysters, lobster, and shrimp
D. Coffee, cola, and chocolate
A - CORRECT ANSWER - The nurse has just administered the first dose of omalizumab
to a client. Which statement by the client alerts the nurse of a life-threatening effect?
A. "My lips and tongue are swollen."
B. "My feet are quite swollen."
C. "I am nauseated and my vomit."
D. "This medication has minimal side effects and I can return to normal activities."
D - CORRECT ANSWER - Zafirlukast is prescribed for a client with bronchial asthma.
Which laboratory test does the nurse expect to be prescribed before the administration of this
medication?
A. Platelet count
B. Neutrophil count
C. Complete blood count
D. Liver function tests
C - CORRECT ANSWER - A client has a prescription to take guaifenesin. The nurse
determines that the client understands the proper administration of this medication if the client
states that she or he will perform which action?
A. Take an extra dose if fever develops
B. Decrease the amount of daily fluid intake
C. Take the tablet with a full glass of water
D. Take the medication with meals only
B - CORRECT ANSWER - The nurse is discharging a client diagnosed with chronic
obstructive pulmonary disease (COPD). Which discharge instructions should the nurse provide
regarding the client's prescription for prednisone?
, A. If you miss a dose of the medication, take two tablets the next time
B. The medication should never be abruptly discontinued
C. Stop taking the prednisone if a noticeable weight gain occurs
D. Take the prednisone on an empty stomach with a full glass of water
C - CORRECT ANSWER - Which information should the nurse teach the client who is
prescribed fluticasone propionate (Flovent) inhaler?
A. Instruct the client to use the inhaler on a PRN basis.
B. Encourage the client not to use a spacer when using the inhaler.
C. Advise the client to gargle after each administration.
D. Teach the client to check his or her forced expiratory volume daily.
B - CORRECT ANSWER - A nurse is about to administer albuterol (Ventolin HFA) 2 puff
and budesonide (Pulmicort) 2 puff by metered dose inhaler. The nurse plans to administer this
medication in which of the following ways?
A. Alternating with a single puff each, starting with albuterol
B. albuterol first then budesonide
C. budsonide inhaler first then the albuterol
D. Alternating with a single puff each, starting with budesonide
A - CORRECT ANSWER - After ingesting high dosages of glucocorticoids for several
weeks, the client asks the nurse about termination of the drug. Which of the following is the
nurse's response?
A. "it is dangerous for steroid to be withdrawn suddenly."
B. "Tapering of the medication requires daily bloodwork to measure serum chemistries."
C. "Even at high doses, adverse reactions are unlikely if the medication is abruptly withdrawn."
D. "You may experience severe psychological symptoms when the medication is withdrawn."
Exam Questions and CORRECT Answers
A - CORRECT ANSWER - During administration of theophylline, the nurse should
monitor for signs of an adverse reaction. Which symptom(s) would cause the nurse to suspect
theophylline toxicity?
A. Nausea and Vomiting
B. Dry mouth
C. Sedation
D. Urinary retention
B - CORRECT ANSWER - A nurse has an order to administer theophylline PO to a client.
The nurse determines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this
information, which action should the nurse take first?
A. Redraw the theophylline level to confirm the level.
B. Hold the theophylline dose and notify the health care provider.
C. Start the client on a half-dose of theophylline PO.
D. The theophylline dose can be administered as planned.
A - CORRECT ANSWER - The nurse is caring for a client receiving an
albuterol/ipratropium nebulized breathing treatment. Which report from the client should the
nurse note as an expected side effect of this combination medication?
A. "I feel like my heart is racing."
B. "My eyes have been watering lately."
C. "I haven't had a bowel movement in 4 days."
D. "I feel more bloated than usual."
D - CORRECT ANSWER - A client begins therapy with theophylline. The nurse plans to
teach the client to limit the intake of which items while taking this medication?
A. Cottage cheese, cream cheese, and dairy creamers
,B. Melons, oranges, and pineapple
C. Oysters, lobster, and shrimp
D. Coffee, cola, and chocolate
A - CORRECT ANSWER - The nurse has just administered the first dose of omalizumab
to a client. Which statement by the client alerts the nurse of a life-threatening effect?
A. "My lips and tongue are swollen."
B. "My feet are quite swollen."
C. "I am nauseated and my vomit."
D. "This medication has minimal side effects and I can return to normal activities."
D - CORRECT ANSWER - Zafirlukast is prescribed for a client with bronchial asthma.
Which laboratory test does the nurse expect to be prescribed before the administration of this
medication?
A. Platelet count
B. Neutrophil count
C. Complete blood count
D. Liver function tests
C - CORRECT ANSWER - A client has a prescription to take guaifenesin. The nurse
determines that the client understands the proper administration of this medication if the client
states that she or he will perform which action?
A. Take an extra dose if fever develops
B. Decrease the amount of daily fluid intake
C. Take the tablet with a full glass of water
D. Take the medication with meals only
B - CORRECT ANSWER - The nurse is discharging a client diagnosed with chronic
obstructive pulmonary disease (COPD). Which discharge instructions should the nurse provide
regarding the client's prescription for prednisone?
, A. If you miss a dose of the medication, take two tablets the next time
B. The medication should never be abruptly discontinued
C. Stop taking the prednisone if a noticeable weight gain occurs
D. Take the prednisone on an empty stomach with a full glass of water
C - CORRECT ANSWER - Which information should the nurse teach the client who is
prescribed fluticasone propionate (Flovent) inhaler?
A. Instruct the client to use the inhaler on a PRN basis.
B. Encourage the client not to use a spacer when using the inhaler.
C. Advise the client to gargle after each administration.
D. Teach the client to check his or her forced expiratory volume daily.
B - CORRECT ANSWER - A nurse is about to administer albuterol (Ventolin HFA) 2 puff
and budesonide (Pulmicort) 2 puff by metered dose inhaler. The nurse plans to administer this
medication in which of the following ways?
A. Alternating with a single puff each, starting with albuterol
B. albuterol first then budesonide
C. budsonide inhaler first then the albuterol
D. Alternating with a single puff each, starting with budesonide
A - CORRECT ANSWER - After ingesting high dosages of glucocorticoids for several
weeks, the client asks the nurse about termination of the drug. Which of the following is the
nurse's response?
A. "it is dangerous for steroid to be withdrawn suddenly."
B. "Tapering of the medication requires daily bloodwork to measure serum chemistries."
C. "Even at high doses, adverse reactions are unlikely if the medication is abruptly withdrawn."
D. "You may experience severe psychological symptoms when the medication is withdrawn."
