RN Pharmacology A Relias Exam (Latest )PASSED
FIRST ATTEMPT
1. A nurse is caring for a client who has a prescription for bethanechol to treat urinary
retention. The nurse should recognize that which of the findings is a manifestation of
muscarinic stimulation?
ANS Excessive perspiration.
2. A nurse is preparing to administer penicillin V to a client who has a streptococcal
infection. The client tells the nurse that she has difficulty swallowing tablets and doesn't
do well with liquid or chewable medications because the taste gags her, even when the
nurse mixes the medication with food. The nurse should request a prescription for
which of the following medications?
ANS Nafcillin.
3. A nurse is teaching a client who has a new prescription for combination oral NRTIs
(abacavir, lamivudine, and zidovudine) for treatment of HIV infection. Which of the
following statements should the nurse include?
1
,ANS These medications work by inhibiting enzymes to prevent HIV replication.
4. A nurse is caring for a client who has a urinary tract infection and a history of
recurrence of this type of infection. The client asks why the provider has not yet
prescribed an antibiotic. The nurse should explain that the provider has to wait for the
results of which of the following laboratory tests to identify which antibiotic to
prescribe?
ANS Sensitivity.
5. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is
starting repaglinide. Which of the following statements by the client indicates
understanding of the administration of this medication?
ANS I'll take this medication 30 minutes before I eat.
6. A nurse is preparing to administer cefepime to a client who has a cerebrospinal fluid
infection with gram-negative bacteria. Which of the following cephalosporin antibiotics
should the nurse expect to administer IV to treat this infection?
ANS Cefepime.
2
,7. A nurse is teaching a client who has a new prescription for tetracycline to treat a GI
infection due to Helicobacter pylori. Which statement should the nurse identify as an
indication that the client understands the instructions?
ANS I will let my doctor know if I start having diarrhea.
8. A nurse is preparing to administer cyclophosphamide IV to a client who has Hodgkin's
disease. Which of the following medications should the nurse expect to administer
concurrently with the chemotherapy to prevent an adverse effect of
cyclophosphamide?
ANS Uroprotectant agent, such as mesna.
9. A nurse is caring for a client who has breast cancer and asks why she is receiving a
combination therapy of cyclophosphamide, methotrexate, and fluorouracil. The
response by the nurse should include that combination chemotherapy is used to do
which of the following?
ANS Decrease medication resistance, Attack cancer cells at different stages of cell
growth, Decrease injury to normal body cells.
3
, 10. A nurse is caring for a client who has a new prescription for valproic acid. The nurse
should instruct the client that while taking this medication he will need to have which of
the following laboratory tests completed periodically?
ANS Thrombocyte count, Amylase, Liver function tests.
11. A nurse is preparing to administer leucovorin to a client who has cancer and is
receiving chemotherapy with methotrexate. Which of the following responses should
the nurse use when the client asks why leucovorin is being given?
ANS Leucovorin protects healthy cells from methotrexate's toxic effect.
12. A nurse is teaching a client who has breast cancer about tamoxifen. Which of the
following adverse effects of tamoxifen should the nurse discuss with the client?
ANS Abnormal uterine bleeding.
13. A nurse is caring for a client who is being treated with interferon alfa-2b for
malignant melanoma. For which of the following adverse effects should the nurse
monitor?
ANS Muscle aches, Peripheral neuropathy, Depression.
4
FIRST ATTEMPT
1. A nurse is caring for a client who has a prescription for bethanechol to treat urinary
retention. The nurse should recognize that which of the findings is a manifestation of
muscarinic stimulation?
ANS Excessive perspiration.
2. A nurse is preparing to administer penicillin V to a client who has a streptococcal
infection. The client tells the nurse that she has difficulty swallowing tablets and doesn't
do well with liquid or chewable medications because the taste gags her, even when the
nurse mixes the medication with food. The nurse should request a prescription for
which of the following medications?
ANS Nafcillin.
3. A nurse is teaching a client who has a new prescription for combination oral NRTIs
(abacavir, lamivudine, and zidovudine) for treatment of HIV infection. Which of the
following statements should the nurse include?
1
,ANS These medications work by inhibiting enzymes to prevent HIV replication.
4. A nurse is caring for a client who has a urinary tract infection and a history of
recurrence of this type of infection. The client asks why the provider has not yet
prescribed an antibiotic. The nurse should explain that the provider has to wait for the
results of which of the following laboratory tests to identify which antibiotic to
prescribe?
ANS Sensitivity.
5. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is
starting repaglinide. Which of the following statements by the client indicates
understanding of the administration of this medication?
ANS I'll take this medication 30 minutes before I eat.
6. A nurse is preparing to administer cefepime to a client who has a cerebrospinal fluid
infection with gram-negative bacteria. Which of the following cephalosporin antibiotics
should the nurse expect to administer IV to treat this infection?
ANS Cefepime.
2
,7. A nurse is teaching a client who has a new prescription for tetracycline to treat a GI
infection due to Helicobacter pylori. Which statement should the nurse identify as an
indication that the client understands the instructions?
ANS I will let my doctor know if I start having diarrhea.
8. A nurse is preparing to administer cyclophosphamide IV to a client who has Hodgkin's
disease. Which of the following medications should the nurse expect to administer
concurrently with the chemotherapy to prevent an adverse effect of
cyclophosphamide?
ANS Uroprotectant agent, such as mesna.
9. A nurse is caring for a client who has breast cancer and asks why she is receiving a
combination therapy of cyclophosphamide, methotrexate, and fluorouracil. The
response by the nurse should include that combination chemotherapy is used to do
which of the following?
ANS Decrease medication resistance, Attack cancer cells at different stages of cell
growth, Decrease injury to normal body cells.
3
, 10. A nurse is caring for a client who has a new prescription for valproic acid. The nurse
should instruct the client that while taking this medication he will need to have which of
the following laboratory tests completed periodically?
ANS Thrombocyte count, Amylase, Liver function tests.
11. A nurse is preparing to administer leucovorin to a client who has cancer and is
receiving chemotherapy with methotrexate. Which of the following responses should
the nurse use when the client asks why leucovorin is being given?
ANS Leucovorin protects healthy cells from methotrexate's toxic effect.
12. A nurse is teaching a client who has breast cancer about tamoxifen. Which of the
following adverse effects of tamoxifen should the nurse discuss with the client?
ANS Abnormal uterine bleeding.
13. A nurse is caring for a client who is being treated with interferon alfa-2b for
malignant melanoma. For which of the following adverse effects should the nurse
monitor?
ANS Muscle aches, Peripheral neuropathy, Depression.
4
