NLN Practice Pharm Exam
Study online at https://quizlet.com/_6s63tr
1. A client who has renal failure has all of these pre- d. Tobramycin sulfate
scriptions. Which on should a nurse question? (single (Nebcin)
answer)
• Ampicillin sodium (omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin)
2. A client has an order for 200 mg of cimetidine hy- c. 1.3
drochloride (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
3. A client is scheduled to start antibiotic therapy. Prior to a. Ensure culture and
administration of the initial dose; a nurse should sensitivity specimens have
• Ensure culture and sensitivity specimens have been been obtained
obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight
4. An 18-month-old child who weights 37 lb (17kg) has a d. 255
temperature of 103 F (39.4 C). A physician orders aceta-
minophen (Tylenol) 15 mg/kg. How many milligrams
should a nurse administer?
• 120
• 148
, NLN Practice Pharm Exam
Study online at https://quizlet.com/_6s63tr
• 200
• 255
5. A nurse is assessing a client who is taking glyburide a. Cool, wet skin
(DiaBeta). Which of these client manifestations who
indicate the need for FURTHER assessment prior to
administering the scheduled dose of the medication?
• Cool, wet skin
• Elevated blood pressure
• Frequent urination
• Blurred vision
6. Which of these statements, if made by a client who a. I will shave with an elec-
is receiving warfarin sodium (Coumadin), should indi- tric razor.
cate to a nurse that the client has a correct understand-
ing of the medication instructions?
• I will shave with an electric razor.
• I will increase my intake of green vegetables.
• I will use unwaxed dental floss twice daily.
• I will decrease my daily dose if I feel fatigued.
7. A nurse should instruct a client who has been taking a. Taper this medication
fentanyl (Duragesic) for several weeks to slowly when discontinuing
• Taper this medication slowly when discontinuing its its use
use
• Increase the dosage when pain persists for several
hours
• Limit physical activity while on this medication
• Vigorously rub medication into skin
8. A nurse should observe a client who is taking captopril d. Persistent cough
(Capoten) for adverse effects, which include
• Dehydration
, NLN Practice Pharm Exam
Study online at https://quizlet.com/_6s63tr
• Peripheral edema
• Hyperglycemia
• Persistent cough
9. Which of these changes should a nurse expect to ob- b. Decreased blood pres-
serve if a client has a therapeutic effect to amlodipine sure
(Norvasc)?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain
10. A nurse should observe a client who is taking a calcium d. Diplopia
channel blocker for side effects, which include
• Hypertension
• Urinary retention
• Weight loss
• Diplopia
11. A nurse should recognize that enoxaparin (Lovenox) is c. Bleeding disorder
CONTRAINDICATED in a client who has a history of
• Congestive health failure
• Kidney stones
• Bleeding disorder
• Asthma
12. A nurse is teaching a client who has osteoarthritis a. Maximum effectiveness
about naproxen (Naprosyn). The nurse should include may take two to four weeks
which of these instructions? of continued therapy
• Maximum effectiveness may take two to four weeks
of continued therapy
• The medication may be taken with aspirin to improve
pain relief.
Study online at https://quizlet.com/_6s63tr
1. A client who has renal failure has all of these pre- d. Tobramycin sulfate
scriptions. Which on should a nurse question? (single (Nebcin)
answer)
• Ampicillin sodium (omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin)
2. A client has an order for 200 mg of cimetidine hy- c. 1.3
drochloride (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
3. A client is scheduled to start antibiotic therapy. Prior to a. Ensure culture and
administration of the initial dose; a nurse should sensitivity specimens have
• Ensure culture and sensitivity specimens have been been obtained
obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight
4. An 18-month-old child who weights 37 lb (17kg) has a d. 255
temperature of 103 F (39.4 C). A physician orders aceta-
minophen (Tylenol) 15 mg/kg. How many milligrams
should a nurse administer?
• 120
• 148
, NLN Practice Pharm Exam
Study online at https://quizlet.com/_6s63tr
• 200
• 255
5. A nurse is assessing a client who is taking glyburide a. Cool, wet skin
(DiaBeta). Which of these client manifestations who
indicate the need for FURTHER assessment prior to
administering the scheduled dose of the medication?
• Cool, wet skin
• Elevated blood pressure
• Frequent urination
• Blurred vision
6. Which of these statements, if made by a client who a. I will shave with an elec-
is receiving warfarin sodium (Coumadin), should indi- tric razor.
cate to a nurse that the client has a correct understand-
ing of the medication instructions?
• I will shave with an electric razor.
• I will increase my intake of green vegetables.
• I will use unwaxed dental floss twice daily.
• I will decrease my daily dose if I feel fatigued.
7. A nurse should instruct a client who has been taking a. Taper this medication
fentanyl (Duragesic) for several weeks to slowly when discontinuing
• Taper this medication slowly when discontinuing its its use
use
• Increase the dosage when pain persists for several
hours
• Limit physical activity while on this medication
• Vigorously rub medication into skin
8. A nurse should observe a client who is taking captopril d. Persistent cough
(Capoten) for adverse effects, which include
• Dehydration
, NLN Practice Pharm Exam
Study online at https://quizlet.com/_6s63tr
• Peripheral edema
• Hyperglycemia
• Persistent cough
9. Which of these changes should a nurse expect to ob- b. Decreased blood pres-
serve if a client has a therapeutic effect to amlodipine sure
(Norvasc)?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain
10. A nurse should observe a client who is taking a calcium d. Diplopia
channel blocker for side effects, which include
• Hypertension
• Urinary retention
• Weight loss
• Diplopia
11. A nurse should recognize that enoxaparin (Lovenox) is c. Bleeding disorder
CONTRAINDICATED in a client who has a history of
• Congestive health failure
• Kidney stones
• Bleeding disorder
• Asthma
12. A nurse is teaching a client who has osteoarthritis a. Maximum effectiveness
about naproxen (Naprosyn). The nurse should include may take two to four weeks
which of these instructions? of continued therapy
• Maximum effectiveness may take two to four weeks
of continued therapy
• The medication may be taken with aspirin to improve
pain relief.
