VATI RN PHARMACOLOGY 2024 TEST BANK / PHARMACOLOGY
VATI RN LATEST EXAM 2023 TEST BANK 300 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
A nurse is administering nasal decongestant drops to a client. What action should the nurse take? -
ANSWER-Tell the client to blow her nose gently before the instillation. This will help remove any
secretions or crusts that could interfere with the distribution and absorption of the med
How long should a client remain in the same position when administering nasal decongestant drops? -
ANSWER-5 minutes to make sure drops do not run out when he sits up or stands up
Hydrochlorthiazide (HCTZ) potassium wasting or sparing? - ANSWER-Potassium wasting, you'll
experience hypokalemia
What does muscle pain indicate if a client is on hydrochlorothiazide? - ANSWER-May be an indication
of hypokalemia
Is a nurse allowed to transcribe a provider's order into the client's health record? - ANSWER-Yes
What should a nurse do if a provider leaves a recorded order message (even if she can hear and
understand it clearly)? - ANSWER-Call the provider and obtain the prescription verbally over the
telephone
A nurse is planning care for a client who is to receive a competitive neuromuscular blocking agent. What
should the nurse have at the client's bedside? - ANSWER-Bag-valve-mask device. Competitive
neuromuscular blocking agents prevent acetylcholine from activating receptors on the skeletal muscles
and cause muscle relaxation. These agents can cause respiratory arrest due to relaxation of the
respiratory muscles. The nurse should have a bag-valve-mask device, endobrachial intubation
equipment, and oxygen at the bedside of a client who is receiving this medication to reduce the risk for
respiratory arrest.
A nurse is preparing to administer phenytoin IV to a client with a seizure disorder. What action should
the nurse take? - ANSWER-Flush the injection site with a saline solution after the injection of
phenytoin to reduce and prevent venous irritation
,How fast should IV phenytoin be administered? - ANSWER-Slowly, <50 mg/min to reduce hypotension
risk
What are two adverse effects for ondansetron? - ANSWER-HA and urinary retention
What drug turns urine red-orange - ANSWER-Phenazopyridine
What is phenazopyridine? - ANSWER-a urinary analgesic that discolors the urine (dark orange/red)
-AKA Pyridium
What is an adverse effect of ciprofloxacin? - ANSWER-Can cause tendinitis and tendon rupture.
Monitor and report tendon pain or inflammation
What should you rinse your mouth with after inhaling with a metered dose inhaler (MDI)? - ANSWER-
TAP WATER
*Mouthwash can further dry the mouth
What are some teaching points for a client with a new prescription for a metered dose inhaler (MDI)? -
ANSWER--Shake inhaler for vigorously 3-5 seconds after inserting canister to mix med thoroughly
-Rinse mouth with TAP WATER after inhaling med (med can cause irritation to the mucosa, mouth wash
can further dry the mouth)
-Only need to wait 20-30 seconds between inhalations of receiving more than one inhalation of med
How do oral contraceptives affect menstrual-associated migraine headaches? - ANSWER-Decrease
frequency
How do oral contraceptives affect pelvic inflammatory disease, benign breast disease? -
ANSWERDecrease risk
A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to
experience dyspnea and tongue swelling. What action should the nurse perform first? -
, ANSWERAdminister epinephrine subcutaneously. ABCs-it will act on adrenergic receptors, causing
bronchodilation of the lungs and an elevation of BP (it stimulates both alpha and beta adrenergic
receptors, accomplishing for anaphylaxis goals than any other therapy (vasoconstricts tongue swelling
and opens lungs for dyspnea))
What is an adverse effect of finasteride? - ANSWER-Decreased libido b/c of androgenic effect on
prostate
A nurse is preparing to administer an IM injection of meperidine to a client. What is the priority
assessment the nurse should complete? - ANSWER-RR. Meperidine can cause respiratory depression
What is meperidine (Demerol)? - ANSWER-Narcotic used for moderate-severe pain
What does the erythrocyte sedimentation rate (ESR) measure? - ANSWER-Inflammation
What is finasteride used for? - ANSWER-treats benign prostatic hypertrophy and also helps reduce the
risk of prostate cancer.
What is cyclophosphamide used for? - ANSWER-treats leukemia, multiple myeloma, lymphomas, and
head, ovary, breast, and lung cancer.
What is leuprolide used for? - ANSWER-treats cancer of the prostate hormonally. It antagonizes the
androgens that androgen-dependent neoplasms require
A client is taking bacizumab for metastic colorectal cancer. What is an adverse effect and what should be
done? - ANSWER-Nosebleeds. Should be reported to provider b/c client has an increased risk when
taking this medication for severe bleeding from nosebleeds, vaginal bleeding, GI bleeding, intracranial
bleeding and pulmonary bleeding, which may be caused from the development of thrombocytopenia
and other blood disorders.
How does a high-fat meal affect absorption of sildenafil? - ANSWER-It delays the absorption
VATI RN LATEST EXAM 2023 TEST BANK 300 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
A nurse is administering nasal decongestant drops to a client. What action should the nurse take? -
ANSWER-Tell the client to blow her nose gently before the instillation. This will help remove any
secretions or crusts that could interfere with the distribution and absorption of the med
How long should a client remain in the same position when administering nasal decongestant drops? -
ANSWER-5 minutes to make sure drops do not run out when he sits up or stands up
Hydrochlorthiazide (HCTZ) potassium wasting or sparing? - ANSWER-Potassium wasting, you'll
experience hypokalemia
What does muscle pain indicate if a client is on hydrochlorothiazide? - ANSWER-May be an indication
of hypokalemia
Is a nurse allowed to transcribe a provider's order into the client's health record? - ANSWER-Yes
What should a nurse do if a provider leaves a recorded order message (even if she can hear and
understand it clearly)? - ANSWER-Call the provider and obtain the prescription verbally over the
telephone
A nurse is planning care for a client who is to receive a competitive neuromuscular blocking agent. What
should the nurse have at the client's bedside? - ANSWER-Bag-valve-mask device. Competitive
neuromuscular blocking agents prevent acetylcholine from activating receptors on the skeletal muscles
and cause muscle relaxation. These agents can cause respiratory arrest due to relaxation of the
respiratory muscles. The nurse should have a bag-valve-mask device, endobrachial intubation
equipment, and oxygen at the bedside of a client who is receiving this medication to reduce the risk for
respiratory arrest.
A nurse is preparing to administer phenytoin IV to a client with a seizure disorder. What action should
the nurse take? - ANSWER-Flush the injection site with a saline solution after the injection of
phenytoin to reduce and prevent venous irritation
,How fast should IV phenytoin be administered? - ANSWER-Slowly, <50 mg/min to reduce hypotension
risk
What are two adverse effects for ondansetron? - ANSWER-HA and urinary retention
What drug turns urine red-orange - ANSWER-Phenazopyridine
What is phenazopyridine? - ANSWER-a urinary analgesic that discolors the urine (dark orange/red)
-AKA Pyridium
What is an adverse effect of ciprofloxacin? - ANSWER-Can cause tendinitis and tendon rupture.
Monitor and report tendon pain or inflammation
What should you rinse your mouth with after inhaling with a metered dose inhaler (MDI)? - ANSWER-
TAP WATER
*Mouthwash can further dry the mouth
What are some teaching points for a client with a new prescription for a metered dose inhaler (MDI)? -
ANSWER--Shake inhaler for vigorously 3-5 seconds after inserting canister to mix med thoroughly
-Rinse mouth with TAP WATER after inhaling med (med can cause irritation to the mucosa, mouth wash
can further dry the mouth)
-Only need to wait 20-30 seconds between inhalations of receiving more than one inhalation of med
How do oral contraceptives affect menstrual-associated migraine headaches? - ANSWER-Decrease
frequency
How do oral contraceptives affect pelvic inflammatory disease, benign breast disease? -
ANSWERDecrease risk
A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to
experience dyspnea and tongue swelling. What action should the nurse perform first? -
, ANSWERAdminister epinephrine subcutaneously. ABCs-it will act on adrenergic receptors, causing
bronchodilation of the lungs and an elevation of BP (it stimulates both alpha and beta adrenergic
receptors, accomplishing for anaphylaxis goals than any other therapy (vasoconstricts tongue swelling
and opens lungs for dyspnea))
What is an adverse effect of finasteride? - ANSWER-Decreased libido b/c of androgenic effect on
prostate
A nurse is preparing to administer an IM injection of meperidine to a client. What is the priority
assessment the nurse should complete? - ANSWER-RR. Meperidine can cause respiratory depression
What is meperidine (Demerol)? - ANSWER-Narcotic used for moderate-severe pain
What does the erythrocyte sedimentation rate (ESR) measure? - ANSWER-Inflammation
What is finasteride used for? - ANSWER-treats benign prostatic hypertrophy and also helps reduce the
risk of prostate cancer.
What is cyclophosphamide used for? - ANSWER-treats leukemia, multiple myeloma, lymphomas, and
head, ovary, breast, and lung cancer.
What is leuprolide used for? - ANSWER-treats cancer of the prostate hormonally. It antagonizes the
androgens that androgen-dependent neoplasms require
A client is taking bacizumab for metastic colorectal cancer. What is an adverse effect and what should be
done? - ANSWER-Nosebleeds. Should be reported to provider b/c client has an increased risk when
taking this medication for severe bleeding from nosebleeds, vaginal bleeding, GI bleeding, intracranial
bleeding and pulmonary bleeding, which may be caused from the development of thrombocytopenia
and other blood disorders.
How does a high-fat meal affect absorption of sildenafil? - ANSWER-It delays the absorption
