ACCURATE PHARMACOLOGY
TEST BANKS WITH COMPLETE
SOLUTION NEWEST
1. The nurse is preparing to administer the first dose of hydrochlorothiazide (HydroDIURIL) 50 mg to a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
patient who has a blood pressure of 160/95 mm Hg. The nurse notes that the patient had a urine output of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
200 mL in the past 12 hours. The nurse will perform which action?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
a. Administer the medication as ordered. Il` Il` Il` Il` Il`
b. Encourage the patient to drink more fluids. Il` Il` Il` Il` Il` Il` Il`
c. Hold the medication and request an order for serum BUN and creatinine.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
d. Request an order for serum electrolytes and administer the medication. - CORRECT ANSWER -ANS: C
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Thiazide diuretics are contraindicated in renal failure. This patient has oliguria and should be evaluated for
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
renal failure prior to administration of the diureticespecially in the absence of known renal failure for this
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
patient. Drinking more fluids will not increase urine output in patients with renal failure.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 623
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Assessment/Nursing Intervention
Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
2. The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin)
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
to a patient who has heart failure. The patient reports having blurred vision. The nurse notes a heart rate
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
of 60 beats per minute and a blood pressure of 140/78 mm Hg. Which action will the nurse take?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
a. Administer the medications and request an order for serum electrolytes. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. Give both medications and evaluate serum blood glucose frequently.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
c. Hold the digoxin and notify the provider. Il` Il` Il` Il` Il` Il` Il`
d. Hold the hydrochlorothiazide and notify the provider. - CORRECT ANSWER -ANS: C
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
,When thiazide diuretics are taken with digoxin, patients are at risk of digoxin toxicity because thiazides can
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
cause hypokalemia. The patient has bradycardia and blurred vision, which are both signs of digoxin
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
toxicity. The nurse should hold the digoxin and notify the provider. Serum electrolytes may be ordered,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
but the digoxin should not be given.
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 623
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Nursing Intervention/Evaluation
Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pathophysiology
Il` Il` Il` Il` Il`
Il`
3. The nurse is teaching a patient about taking hydrochlorothiazide. Which statement by the patient
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
indicates a need for further teaching?
Il` Il` Il` Il` Il` Il` Il`
a. I may need extra sodium and calcium while taking this drug.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. I should eat plenty of fruits and vegetables while taking this medication.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
c. I should take care when rising from a bed or chair when Im on this medication.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
d. I will take the medication in the morning to minimize certain side effects. - CORRECT ANSWER -ANS: A
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Patients do not need extra sodium or calcium while taking thiazide diuretics.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Thiazide diuretics can lead to hypokalemia, so patients should be counseled to eat fruits and vegetables
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
that are high in potassium. Patients can develop orthostatic hypotension and should be counseled to rise
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
from sitting or lying down slowly. Taking the medication in the morning helps to prevent nocturiainduced
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
insomnia.
Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 624
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
Il` Il` Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
4. The nurse is caring for a patient who is to begin receiving a thiazide diuretic to treat heart failure. When
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
performing a health history on this patient, the nurse will be concerned about a history of which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
condition?
Il` Il`
a. Asthma Il`
b. Glaucoma Il`
c. Gout Il`
, d. Hypertension - CORRECT ANSWER -ANS: C Il` Il` Il` Il` Il` Il`
Thiazides block uric acid secretion and elevated levels can contribute to gout. Patients with a history of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
gout should take thiazide diuretics with caution; they may need behavioral and/or pharmacologic changes
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
to their gout treatment.
Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 626
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Assessment
Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
5. The nurse is caring for a patient who develops marked edema and a low urine output as a result of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` heart failure. Which medication will the nurse expect the provider to order for this patient? a. Digoxin
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` (Lanoxin) Il`
b. Furosemide (Lasix) Il` Il`
c. Hydrochlorothiazide (HydroDIURIL) Il` Il`
d. Spironolactone (Aldactone) - CORRECT ANSWER -ANS: B Il` Il` Il` Il` Il` Il` Il`
Furosemide is a loop diuretic and is given when the patients condition warrants immediate removal of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
body fluid, as in heart failure. Digoxin improves cardiac function but does not remove fluid quickly. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
other diuretics may be used when immediate fluid removal is not necessary.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 627
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Nursing Intervention
Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
6. The nurse is caring for a patient who is receiving furosemide (Lasix) and an aminoglycoside antibiotic.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse will be most concerned if the patient reports which symptom? a. Dizziness
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. Dysuria Il`
c. Nausea Il`
d. Tinnitus - CORRECT ANSWER -ANS: D Il` Il` Il` Il` Il` Il`
TEST BANKS WITH COMPLETE
SOLUTION NEWEST
1. The nurse is preparing to administer the first dose of hydrochlorothiazide (HydroDIURIL) 50 mg to a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
patient who has a blood pressure of 160/95 mm Hg. The nurse notes that the patient had a urine output of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
200 mL in the past 12 hours. The nurse will perform which action?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
a. Administer the medication as ordered. Il` Il` Il` Il` Il`
b. Encourage the patient to drink more fluids. Il` Il` Il` Il` Il` Il` Il`
c. Hold the medication and request an order for serum BUN and creatinine.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
d. Request an order for serum electrolytes and administer the medication. - CORRECT ANSWER -ANS: C
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Thiazide diuretics are contraindicated in renal failure. This patient has oliguria and should be evaluated for
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
renal failure prior to administration of the diureticespecially in the absence of known renal failure for this
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
patient. Drinking more fluids will not increase urine output in patients with renal failure.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 623
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Assessment/Nursing Intervention
Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
2. The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin)
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
to a patient who has heart failure. The patient reports having blurred vision. The nurse notes a heart rate
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
of 60 beats per minute and a blood pressure of 140/78 mm Hg. Which action will the nurse take?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
a. Administer the medications and request an order for serum electrolytes. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. Give both medications and evaluate serum blood glucose frequently.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
c. Hold the digoxin and notify the provider. Il` Il` Il` Il` Il` Il` Il`
d. Hold the hydrochlorothiazide and notify the provider. - CORRECT ANSWER -ANS: C
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
,When thiazide diuretics are taken with digoxin, patients are at risk of digoxin toxicity because thiazides can
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
cause hypokalemia. The patient has bradycardia and blurred vision, which are both signs of digoxin
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
toxicity. The nurse should hold the digoxin and notify the provider. Serum electrolytes may be ordered,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
but the digoxin should not be given.
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 623
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Nursing Intervention/Evaluation
Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pathophysiology
Il` Il` Il` Il` Il`
Il`
3. The nurse is teaching a patient about taking hydrochlorothiazide. Which statement by the patient
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
indicates a need for further teaching?
Il` Il` Il` Il` Il` Il` Il`
a. I may need extra sodium and calcium while taking this drug.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. I should eat plenty of fruits and vegetables while taking this medication.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
c. I should take care when rising from a bed or chair when Im on this medication.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
d. I will take the medication in the morning to minimize certain side effects. - CORRECT ANSWER -ANS: A
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Patients do not need extra sodium or calcium while taking thiazide diuretics.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Thiazide diuretics can lead to hypokalemia, so patients should be counseled to eat fruits and vegetables
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
that are high in potassium. Patients can develop orthostatic hypotension and should be counseled to rise
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
from sitting or lying down slowly. Taking the medication in the morning helps to prevent nocturiainduced
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
insomnia.
Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 624
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
Il` Il` Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
4. The nurse is caring for a patient who is to begin receiving a thiazide diuretic to treat heart failure. When
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
performing a health history on this patient, the nurse will be concerned about a history of which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
condition?
Il` Il`
a. Asthma Il`
b. Glaucoma Il`
c. Gout Il`
, d. Hypertension - CORRECT ANSWER -ANS: C Il` Il` Il` Il` Il` Il`
Thiazides block uric acid secretion and elevated levels can contribute to gout. Patients with a history of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
gout should take thiazide diuretics with caution; they may need behavioral and/or pharmacologic changes
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
to their gout treatment.
Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 626
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Assessment
Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
5. The nurse is caring for a patient who develops marked edema and a low urine output as a result of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` heart failure. Which medication will the nurse expect the provider to order for this patient? a. Digoxin
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` (Lanoxin) Il`
b. Furosemide (Lasix) Il` Il`
c. Hydrochlorothiazide (HydroDIURIL) Il` Il`
d. Spironolactone (Aldactone) - CORRECT ANSWER -ANS: B Il` Il` Il` Il` Il` Il` Il`
Furosemide is a loop diuretic and is given when the patients condition warrants immediate removal of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
body fluid, as in heart failure. Digoxin improves cardiac function but does not remove fluid quickly. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
other diuretics may be used when immediate fluid removal is not necessary.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il`
DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 627
Il` Il` Il` Il` Il` Il` Il` Il`
TOP: NURSING PROCESS: Nursing Intervention
Il` Il` Il` Il` Il`
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Il` Il` Il` Il` Il` Il` Il` Il`
Il`
6. The nurse is caring for a patient who is receiving furosemide (Lasix) and an aminoglycoside antibiotic.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse will be most concerned if the patient reports which symptom? a. Dizziness
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. Dysuria Il`
c. Nausea Il`
d. Tinnitus - CORRECT ANSWER -ANS: D Il` Il` Il` Il` Il` Il`
