PHARM FINAL REVIEW 2022\2023 CORRECT UPDATE GRADED A
1. A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client
indicates an understanding of the teaching?
*A. "I will avoid drinking grapefruit juice."
B. "I should take this medication without food."
C. "I should expect my stools to turn clay-colored."
D. "It is not necessary to have routine lab tests done."
2. A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine
prescribed for one client was inadvertently administered to another client. Which of the following actions should
the nurse take first?
A. Notify the client's provider.
*B. Check the client's vital signs. C.
Fill out an occurrence form.
D. Administer the medication to the correct client.
3. A client is teaching a client who has a new prescription for hydrochlorothiazide for management of
hypertension. Which of the following instructions should the nurse include?
A. "Take this medication before bedtime."
*b. "Monitor for leg cramps." c. "Avoid
grapefruit juice.'
d. "Reduce intake of potassium-rich foods."
,4. A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin
sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?
A. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart."
B. "I'll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period."
C. "I'll dial 911 when I have pain and then take the nitroglycerin tablets."
*D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5
minutes apart while waiting."
5. A nurse is teaching a client who has a new prescription for colesevelam to lower his low-density lipoprotein
level. Which of the following instructions should the nurse include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
6. A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I should expect to feel better after 24 hours of starting this medication."
B. "I should not take this medicine with grapefruit juice."
C. "I'll take this medicine with food."
*D. "I'll take this medicine first thing in the morning."
7. A nurse is teaching a client who has a new prescription for simvastatin. Which of the following instructions
should the nurse include?
A. "You should expect brown-colored urine."
,*B. "You should avoid grapefruit juice."
C. "You should monitor for ringing in the ears."
D. "You should take the medication in the morning."
8. A nurse is teaching a client who has a new prescription for colesevelam to lower his low-density lipoprotein
level. Which of the following instructions should the nurse include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
9. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following
findings should the nurse recognize as a potential adverse effect?
A. Urinary retention
*B. Weakness
C. Orthostatic hypotension
D. Blurred vision
10. A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following
prescriptions with the provider?
*A. Amoxicillin-clavulanate
B. Gentamicin
, C. Erythromycin
D. Amphotericin B
11. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following
statements by the nurse indicates an understanding of the teaching?
A. "I should increase my intake of potassium-rich foods."
B. "I should expect to have facial swelling when taking this medication."
C. "I should take this medication with food."
*D. "I should report a cough to my provider."
12. A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the
following actions by the newly licensed nurse should prompt the charge nurse to intervene? A. Verifies the
medication against the prescription and medication label.
B. Scans the bar code on the medication administration record and the client’s arm band.
C. Checks the provider's orders and confirmed dosage in a medication reference guide.
*D. Documents medication administration prior to administering it.
13. A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following
statements should the nurse include in the teaching?
A. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain."
B. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
C. “You can store the bottle of tablets in your bathroom medicine cabinet."
1. A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client
indicates an understanding of the teaching?
*A. "I will avoid drinking grapefruit juice."
B. "I should take this medication without food."
C. "I should expect my stools to turn clay-colored."
D. "It is not necessary to have routine lab tests done."
2. A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine
prescribed for one client was inadvertently administered to another client. Which of the following actions should
the nurse take first?
A. Notify the client's provider.
*B. Check the client's vital signs. C.
Fill out an occurrence form.
D. Administer the medication to the correct client.
3. A client is teaching a client who has a new prescription for hydrochlorothiazide for management of
hypertension. Which of the following instructions should the nurse include?
A. "Take this medication before bedtime."
*b. "Monitor for leg cramps." c. "Avoid
grapefruit juice.'
d. "Reduce intake of potassium-rich foods."
,4. A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin
sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?
A. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart."
B. "I'll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period."
C. "I'll dial 911 when I have pain and then take the nitroglycerin tablets."
*D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5
minutes apart while waiting."
5. A nurse is teaching a client who has a new prescription for colesevelam to lower his low-density lipoprotein
level. Which of the following instructions should the nurse include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
6. A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I should expect to feel better after 24 hours of starting this medication."
B. "I should not take this medicine with grapefruit juice."
C. "I'll take this medicine with food."
*D. "I'll take this medicine first thing in the morning."
7. A nurse is teaching a client who has a new prescription for simvastatin. Which of the following instructions
should the nurse include?
A. "You should expect brown-colored urine."
,*B. "You should avoid grapefruit juice."
C. "You should monitor for ringing in the ears."
D. "You should take the medication in the morning."
8. A nurse is teaching a client who has a new prescription for colesevelam to lower his low-density lipoprotein
level. Which of the following instructions should the nurse include?
*A. "Take this medication 4 hours after other medications."
B. "Reduce fluid intake."
C. "Take this medication on an empty stomach."
D. "Chew tablets before swallowing."
9. A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following
findings should the nurse recognize as a potential adverse effect?
A. Urinary retention
*B. Weakness
C. Orthostatic hypotension
D. Blurred vision
10. A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following
prescriptions with the provider?
*A. Amoxicillin-clavulanate
B. Gentamicin
, C. Erythromycin
D. Amphotericin B
11. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following
statements by the nurse indicates an understanding of the teaching?
A. "I should increase my intake of potassium-rich foods."
B. "I should expect to have facial swelling when taking this medication."
C. "I should take this medication with food."
*D. "I should report a cough to my provider."
12. A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the
following actions by the newly licensed nurse should prompt the charge nurse to intervene? A. Verifies the
medication against the prescription and medication label.
B. Scans the bar code on the medication administration record and the client’s arm band.
C. Checks the provider's orders and confirmed dosage in a medication reference guide.
*D. Documents medication administration prior to administering it.
13. A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following
statements should the nurse include in the teaching?
A. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain."
B. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
C. “You can store the bottle of tablets in your bathroom medicine cabinet."
