NLN Practice Pharm Exam/ 70 Qs & Correct
Ans/ A+ Score Solution.
A client who has renal failure has all of these prescriptions. Which on should a nurse question?
(single answer)
• Ampicillin sodium (omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - Answer: d. Tobramycin sulfate (Nebcin)
A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied in a vial
that contains 300 mg/2 mL. How many milliters should a nurse administer to the client? (single
answer)
• 0.6
• 0.75
• 1.3
• 1.5 - Answer: c. 1.3
Page 1 of 19
,A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose; a
nurse should
• Ensure culture and sensitivity specimens have been obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - Answer: a. Ensure culture and sensitivity specimens have been
obtained
A physician orders heparin sodium (Liquaemin Sodium) 1,250 units/hour IV for a client. The IV
solution contains 25,000 unites of heparin in 500mL. A nurse should set the infusion pump to
run at how many mL/hr?
• 20
• 22
• 25
• 30 - Answer: c. 25
A nurse should monitor a client who is receiving cefotaxime sodium (Claforan) for side effects,
which include
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia - Answer: a. Diarrhea
A nurse should monitor a client, who is taking an angiotensin converting enzyme (ACE) inhibitor,
for evidence of therapeutic effects, which include
• Increased cardiac workload
• Increased exercise tolerance
• Increased peripheral vascular resistance
Page 2 of 19
, • Increased respiratory effort - Answer: b. Increased exercise tolerance
A client who is receiving chemotherapy is started on epoetin alfa (Epogen). A nurse should
recognize that the medication is having the desired effect if the client develops
• Decreased lymphocytes
• Decreased neutrophils
• Increased platelet count
• Increased hematocrit level - Answer: d. Increased hematocrit level
A client is started on vancomycin hydrochloride (Vancocin) for a methylcillin-resistant
staphylococcus aureus infection. A nurse should monitor the client carefully for signs of renal
toxicity, which include
• Increased serum creatinine level
• Decreased blood urea nitrogen (BUN) level
• Increased blood pressure
• Intermittent flank pain - Answer: a. Increased serum creatinine level
A client who is receiving bethanechol chloride (Urecholine) develops a cholinergic crisis. Which
of these medications should the nurse have available?
• Atropine sulfate (Isopto Atropine)
• Epinephrine hydrochloride (Adrenalin chloride)
• Diphenhydramine hydrochloride (Benadryl)
• Acetaminophen (Tylenol) - Answer: a. Atropine sulfate (Isopto Atropine)
A client is receiving an IV infusion of 20 units of a medication mixed in 1 L of 0.9%NaCl. How
many units of the medication are present in one milliliter of solution?
• 0.002
• 0.02
• 0.2
Page 3 of 19
Ans/ A+ Score Solution.
A client who has renal failure has all of these prescriptions. Which on should a nurse question?
(single answer)
• Ampicillin sodium (omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - Answer: d. Tobramycin sulfate (Nebcin)
A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied in a vial
that contains 300 mg/2 mL. How many milliters should a nurse administer to the client? (single
answer)
• 0.6
• 0.75
• 1.3
• 1.5 - Answer: c. 1.3
Page 1 of 19
,A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose; a
nurse should
• Ensure culture and sensitivity specimens have been obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - Answer: a. Ensure culture and sensitivity specimens have been
obtained
A physician orders heparin sodium (Liquaemin Sodium) 1,250 units/hour IV for a client. The IV
solution contains 25,000 unites of heparin in 500mL. A nurse should set the infusion pump to
run at how many mL/hr?
• 20
• 22
• 25
• 30 - Answer: c. 25
A nurse should monitor a client who is receiving cefotaxime sodium (Claforan) for side effects,
which include
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia - Answer: a. Diarrhea
A nurse should monitor a client, who is taking an angiotensin converting enzyme (ACE) inhibitor,
for evidence of therapeutic effects, which include
• Increased cardiac workload
• Increased exercise tolerance
• Increased peripheral vascular resistance
Page 2 of 19
, • Increased respiratory effort - Answer: b. Increased exercise tolerance
A client who is receiving chemotherapy is started on epoetin alfa (Epogen). A nurse should
recognize that the medication is having the desired effect if the client develops
• Decreased lymphocytes
• Decreased neutrophils
• Increased platelet count
• Increased hematocrit level - Answer: d. Increased hematocrit level
A client is started on vancomycin hydrochloride (Vancocin) for a methylcillin-resistant
staphylococcus aureus infection. A nurse should monitor the client carefully for signs of renal
toxicity, which include
• Increased serum creatinine level
• Decreased blood urea nitrogen (BUN) level
• Increased blood pressure
• Intermittent flank pain - Answer: a. Increased serum creatinine level
A client who is receiving bethanechol chloride (Urecholine) develops a cholinergic crisis. Which
of these medications should the nurse have available?
• Atropine sulfate (Isopto Atropine)
• Epinephrine hydrochloride (Adrenalin chloride)
• Diphenhydramine hydrochloride (Benadryl)
• Acetaminophen (Tylenol) - Answer: a. Atropine sulfate (Isopto Atropine)
A client is receiving an IV infusion of 20 units of a medication mixed in 1 L of 0.9%NaCl. How
many units of the medication are present in one milliliter of solution?
• 0.002
• 0.02
• 0.2
Page 3 of 19
