Nr 293 Pharmacology Exam 2 Study Guide | Chamberlain
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Question 1
A client is prescribed amoxicillin for a respiratory infection. Which adverse effect should the
nurse monitor for?
A) Bradycardia
B) Diarrhea and candidiasis
C) Hypertension
D) Hyperkalemia
Answer
Answer: B
Rationale
Broad-spectrum antibiotics like amoxicillin can disrupt normal flora, causing GI upset and
superinfections such as oral/vaginal candidiasis.
Question 2
A client receiving IV vancomycin develops flushing of the face and neck during the infusion.
What is the priority nursing action?
A) Stop the infusion permanently
B) Slow the infusion rate
C) Administer epinephrine
D) Increase the infusion rate
Answer
,Answer: B
Rationale
Red man syndrome is caused by rapid infusion of vancomycin; slowing the rate prevents further
histamine release.
Question 3
Which laboratory value should be monitored closely in a client taking gentamicin?
A) Serum potassium
B) Serum creatinine
C) Serum calcium
D) Serum magnesium
Answer
Answer: B
Rationale
Aminoglycosides like gentamicin are nephrotoxic and can cause acute kidney injury; monitor renal
function.
Question 4
A client on warfarin has an INR of 5.2 and no signs of bleeding. Which action should the nurse
take?
A) Administer vitamin K IV
B) Hold the warfarin and notify the provider
C) Give the next dose as ordered
D) Increase the warfarin dose
Answer
Answer: B
2
,Rationale
Supratherapeutic INR without bleeding requires holding warfarin and notifying the provider for dose
adjustment.
Question 5
A client is started on lisinopril. Which side effect should the nurse include in teaching?
A) Bradycardia
B) Dry cough
C) Hyperkalemia
D) Constipation
Answer
Answer: B
Rationale
ACE inhibitors cause a dry cough due to bradykinin accumulation; report if intolerable as ARBs may be
substituted.
Question 6
A client with type 1 diabetes is prescribed insulin glargine. When should the nurse administer
this medication?
A) Before each meal
B) Once daily at the same time
C) Only when blood glucose is high
D) Every 4 hours
Answer
Answer: B
3
, Rationale
Insulin glargine is a long-acting basal insulin given once daily at a consistent time; it has no peak.
Question 7
A client on furosemide reports muscle weakness and leg cramps. Which electrolyte imbalance
should the nurse suspect?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypercalcemia
Answer
Answer: B
Rationale
Loop diuretics like furosemide cause potassium loss; monitor potassium levels and assess for muscle
weakness.
Question 8
Which medication should be held if a client's apical pulse is below 60 bpm?
A) Metoprolol
B) Digoxin
C) Amlodipine
D) Lisinopril
Answer
Answer: B
Rationale
4
University | Key Concepts & Exam Review | Newest Actual
Exam With Complete Questions And Correct Answers With
Detailed Rationales | Already Graded A+| |Brand New
Version!!
Question 1
A client is prescribed amoxicillin for a respiratory infection. Which adverse effect should the
nurse monitor for?
A) Bradycardia
B) Diarrhea and candidiasis
C) Hypertension
D) Hyperkalemia
Answer
Answer: B
Rationale
Broad-spectrum antibiotics like amoxicillin can disrupt normal flora, causing GI upset and
superinfections such as oral/vaginal candidiasis.
Question 2
A client receiving IV vancomycin develops flushing of the face and neck during the infusion.
What is the priority nursing action?
A) Stop the infusion permanently
B) Slow the infusion rate
C) Administer epinephrine
D) Increase the infusion rate
Answer
,Answer: B
Rationale
Red man syndrome is caused by rapid infusion of vancomycin; slowing the rate prevents further
histamine release.
Question 3
Which laboratory value should be monitored closely in a client taking gentamicin?
A) Serum potassium
B) Serum creatinine
C) Serum calcium
D) Serum magnesium
Answer
Answer: B
Rationale
Aminoglycosides like gentamicin are nephrotoxic and can cause acute kidney injury; monitor renal
function.
Question 4
A client on warfarin has an INR of 5.2 and no signs of bleeding. Which action should the nurse
take?
A) Administer vitamin K IV
B) Hold the warfarin and notify the provider
C) Give the next dose as ordered
D) Increase the warfarin dose
Answer
Answer: B
2
,Rationale
Supratherapeutic INR without bleeding requires holding warfarin and notifying the provider for dose
adjustment.
Question 5
A client is started on lisinopril. Which side effect should the nurse include in teaching?
A) Bradycardia
B) Dry cough
C) Hyperkalemia
D) Constipation
Answer
Answer: B
Rationale
ACE inhibitors cause a dry cough due to bradykinin accumulation; report if intolerable as ARBs may be
substituted.
Question 6
A client with type 1 diabetes is prescribed insulin glargine. When should the nurse administer
this medication?
A) Before each meal
B) Once daily at the same time
C) Only when blood glucose is high
D) Every 4 hours
Answer
Answer: B
3
, Rationale
Insulin glargine is a long-acting basal insulin given once daily at a consistent time; it has no peak.
Question 7
A client on furosemide reports muscle weakness and leg cramps. Which electrolyte imbalance
should the nurse suspect?
A) Hyperkalemia
B) Hypokalemia
C) Hypernatremia
D) Hypercalcemia
Answer
Answer: B
Rationale
Loop diuretics like furosemide cause potassium loss; monitor potassium levels and assess for muscle
weakness.
Question 8
Which medication should be held if a client's apical pulse is below 60 bpm?
A) Metoprolol
B) Digoxin
C) Amlodipine
D) Lisinopril
Answer
Answer: B
Rationale
4
