Pharmacology Exam II
Question 1
The drug atropine sulfate is usually not prescribed for any client with glaucoma. The nurse knows the
contraindication is due to which of the following effects of atropine sulfate?
Increase intraocular pressure
Question 2
When a client receives dantrolene sodium for muscle spasticity and/or Malignant Hyperthermia, which
lab result is a priority for the nurse to assess?
Calcium released
Question 3
Which of the following symptoms is a common adverse effect of cyclobenzaprine, a CNS agent used for
muscle relaxation?
Drowsiness
Question 4
Which of following clients suffering clients suffering from muscle spasms should not be given the direct-
acting antispasmodic medication dantrolene sodium?
57 old suffering from congestive heart failure (CHF)
Question 5
A 2-year-old client comes to the ER with his parents with a laceration to the lower leg. The wound needs
suturing, and the HCP plans to use a local anesthetic agent, but the child is frightened by the sight of the
needle. What would be the best suggestion by the nurse regarding this situation?
Rub a local anesthetic cream under skin so that child will not feel the needle and ask the parent to hold
and comfort the child.
Question 6
The client has a Patient-Controlled Analgesia (PCA) pump with an opioid medication following surgery for
the management of pain. The nurse keeps naloxone in the client’s room as per protocol. What does the
nurse recognize as the rationale for this action?
The drug naloxone will reverse the effects of the opioid in the PCA pump if an overdose occurs
Question 7
, Following the administration of phenylephrine, the nurse would assess which of the following symptoms
for an adverse effect?
Insomnia, nervousness, and hypertension
● Intranasal – mucosal irritation, rebound congestion
● Opthalmic – narrow angle glaucoma
● Parenteral – anxiety, restlessness, tremor
Question 8
Which of the following drugs enhance the action of norepinephrine at the alpha and beta receptor sites?
Sympatholytic
Question 9
The client comes to the ED with confusion, ataxia, increased reflexes, tremors, high fever and
diaphoresis. Blood pressure is 160/94; heart rate 86 bpm. The partner states the only medication the
client is taking is something for depression but does not know the name of the drug. The client is unable
to provide the name. What classification of antidepressants does the nurse suspect the patient is taking?
MAOI’s
Question 10
A client with depression does not want to continue the prescribed medication because of the adverse
effect. What could the nurse suggest as a possible solution to help the patient with medication
compliance? Select All That Apply
Use ice chips to alleviate dry mouth
Chew gum or use hard candy to help alleviate dry mouth
Avoid alcohol-based mouthwash so help alleviate dry mouth
Use “dry eye “drops to help with eye dryness and imitation
Question 11
The client has been taking acetylsalicylic acid for several years. The nurse would assess which of the
following adverse effects that need to be reported to the HCP immediately?
I may develop heartburn??? GI upset and bleeding
Question 12
Question 1
The drug atropine sulfate is usually not prescribed for any client with glaucoma. The nurse knows the
contraindication is due to which of the following effects of atropine sulfate?
Increase intraocular pressure
Question 2
When a client receives dantrolene sodium for muscle spasticity and/or Malignant Hyperthermia, which
lab result is a priority for the nurse to assess?
Calcium released
Question 3
Which of the following symptoms is a common adverse effect of cyclobenzaprine, a CNS agent used for
muscle relaxation?
Drowsiness
Question 4
Which of following clients suffering clients suffering from muscle spasms should not be given the direct-
acting antispasmodic medication dantrolene sodium?
57 old suffering from congestive heart failure (CHF)
Question 5
A 2-year-old client comes to the ER with his parents with a laceration to the lower leg. The wound needs
suturing, and the HCP plans to use a local anesthetic agent, but the child is frightened by the sight of the
needle. What would be the best suggestion by the nurse regarding this situation?
Rub a local anesthetic cream under skin so that child will not feel the needle and ask the parent to hold
and comfort the child.
Question 6
The client has a Patient-Controlled Analgesia (PCA) pump with an opioid medication following surgery for
the management of pain. The nurse keeps naloxone in the client’s room as per protocol. What does the
nurse recognize as the rationale for this action?
The drug naloxone will reverse the effects of the opioid in the PCA pump if an overdose occurs
Question 7
, Following the administration of phenylephrine, the nurse would assess which of the following symptoms
for an adverse effect?
Insomnia, nervousness, and hypertension
● Intranasal – mucosal irritation, rebound congestion
● Opthalmic – narrow angle glaucoma
● Parenteral – anxiety, restlessness, tremor
Question 8
Which of the following drugs enhance the action of norepinephrine at the alpha and beta receptor sites?
Sympatholytic
Question 9
The client comes to the ED with confusion, ataxia, increased reflexes, tremors, high fever and
diaphoresis. Blood pressure is 160/94; heart rate 86 bpm. The partner states the only medication the
client is taking is something for depression but does not know the name of the drug. The client is unable
to provide the name. What classification of antidepressants does the nurse suspect the patient is taking?
MAOI’s
Question 10
A client with depression does not want to continue the prescribed medication because of the adverse
effect. What could the nurse suggest as a possible solution to help the patient with medication
compliance? Select All That Apply
Use ice chips to alleviate dry mouth
Chew gum or use hard candy to help alleviate dry mouth
Avoid alcohol-based mouthwash so help alleviate dry mouth
Use “dry eye “drops to help with eye dryness and imitation
Question 11
The client has been taking acetylsalicylic acid for several years. The nurse would assess which of the
following adverse effects that need to be reported to the HCP immediately?
I may develop heartburn??? GI upset and bleeding
Question 12
