VATI Pharmacology Pre-Assessment
Questions With Complete Solutions |
Graded A+
/. A nurse is providing teaching to a client who has gout and a new prescription for
allopurinol. Which of the following statements by the client indicates an understanding of
the teaching?
A. "If I get a rash from this medication, I will take my usual antihistamine."
B. "I need to increase my fluid intake while taking this medication."
C. "I should take this medicine on an empty stomach."
D. "If I get a fever while taking this medication, I will take some aspirin." - Answer-✅B. "I
need to increase my fluid intake while taking this medication."
Clients who have gout should increase their fluid intake to 2 to 3L per day to prevent
toxicity of allopurinol and decrease uric acid levels.
/.A nurse is providing instructions to a client who has a new prescription for sublingual
nitroglycerin to treat angina pectoris. Which of the following instructions should the
nurse include?
A. "Place the tablet under your tongue, and then take a small sip of water."
B. "The medication can take up to 15 minutes to take effect."
C. "Avoid taking the medication prior to exercising."
D. "Stop taking the medication and notify your provider if you develop a headache." -
Answer-✅A. "Place the tablet under your tongue, and then take a small sip of water."
A client who takes a sublingual medication should place it under his tongue. A sip of
water can help the medication dissolve. The nurse should tell the client that the
medication takes effect rapidly in 1-3 min. The nurse should tell the client that the
medication can be used to terminate an ongoing anginal attack as well as to prevent
anginal pain prior to exertion. Therefore the client might need the medication prior to
exercising. Headache is a common adverse effect of this medication that often
dissipates with prolonged use. The client should continue to take the medication and
take aspirin or acetaminophen for headache.
/.A nurse is teaching a client who has a new prescription for phenytoin. The nurse
should instruct the client to monitor for and report which of the following adverse effects
of this medication?
A. Metallic taste
, B. Diarrhea
C. Skin rash
D. Anxiety - Answer-✅C. Skin rash
Phenytoin is an antiepileptic medication used to treat partial seizures and generalized
tonic-clonic seizures. Phenytoin can cause a rash that can progress to Stevens-
Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN). If a rash develops, the
client should notify the provider immediately and stop the use of phenytoin.
Adverse effects of clarithromycin include an altered taste. Phenytoin can cause gingival
hyperplasia. Adverse effects of phenytoin include constipation. Adverse effects of
phenytoin include suicidal tendencies and aggression.
/.A nurse is caring for a client who has atrial fibrillation and receives digoxin daily.
Before administering this medication, which of the following actions should the nurse
take?
A. Offer the client a light snack
B. Measure the client's blood pressure
C. Measure the client's apical pulse
D. Weigh the client - Answer-✅C. Measure the client's apical pulse
Digoxin decreases the heart rate, so the nurse should count the apical pulse for at least
1 min before administering. The nurse should hold the medication and notify the
provider if the client's heart rate is below 60/min or if a change in heart rhythm is
detected.
/.A nurse is providing discharge teaching to a client who has a new prescription for
lithium. Which of the following information should the nurse include in the teaching?
A. Follow a low-sodium diet.
B. Limit daily fluid intake.
C. Obtain a daily weight.
D. Avoid foods that have a high tyramine content. - Answer-✅C. Obtain a daily weight
Clients who are taking lithium should monitor their daily weight due to the risk of fluid
imbalance.
Clients who are taking lithium should avoid a low-sodium diet due to the risk of
hyponatremia. Clients who are taking lithium should drink plenty of fluids. Clients who
are taking a monoamine oxidase inhibitor (MAOI), rather than lithium, should avoid
foods that have a high tyramine content.
/.A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a
client. Which of the following is the priority assessment the nurse should complete?
Questions With Complete Solutions |
Graded A+
/. A nurse is providing teaching to a client who has gout and a new prescription for
allopurinol. Which of the following statements by the client indicates an understanding of
the teaching?
A. "If I get a rash from this medication, I will take my usual antihistamine."
B. "I need to increase my fluid intake while taking this medication."
C. "I should take this medicine on an empty stomach."
D. "If I get a fever while taking this medication, I will take some aspirin." - Answer-✅B. "I
need to increase my fluid intake while taking this medication."
Clients who have gout should increase their fluid intake to 2 to 3L per day to prevent
toxicity of allopurinol and decrease uric acid levels.
/.A nurse is providing instructions to a client who has a new prescription for sublingual
nitroglycerin to treat angina pectoris. Which of the following instructions should the
nurse include?
A. "Place the tablet under your tongue, and then take a small sip of water."
B. "The medication can take up to 15 minutes to take effect."
C. "Avoid taking the medication prior to exercising."
D. "Stop taking the medication and notify your provider if you develop a headache." -
Answer-✅A. "Place the tablet under your tongue, and then take a small sip of water."
A client who takes a sublingual medication should place it under his tongue. A sip of
water can help the medication dissolve. The nurse should tell the client that the
medication takes effect rapidly in 1-3 min. The nurse should tell the client that the
medication can be used to terminate an ongoing anginal attack as well as to prevent
anginal pain prior to exertion. Therefore the client might need the medication prior to
exercising. Headache is a common adverse effect of this medication that often
dissipates with prolonged use. The client should continue to take the medication and
take aspirin or acetaminophen for headache.
/.A nurse is teaching a client who has a new prescription for phenytoin. The nurse
should instruct the client to monitor for and report which of the following adverse effects
of this medication?
A. Metallic taste
, B. Diarrhea
C. Skin rash
D. Anxiety - Answer-✅C. Skin rash
Phenytoin is an antiepileptic medication used to treat partial seizures and generalized
tonic-clonic seizures. Phenytoin can cause a rash that can progress to Stevens-
Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN). If a rash develops, the
client should notify the provider immediately and stop the use of phenytoin.
Adverse effects of clarithromycin include an altered taste. Phenytoin can cause gingival
hyperplasia. Adverse effects of phenytoin include constipation. Adverse effects of
phenytoin include suicidal tendencies and aggression.
/.A nurse is caring for a client who has atrial fibrillation and receives digoxin daily.
Before administering this medication, which of the following actions should the nurse
take?
A. Offer the client a light snack
B. Measure the client's blood pressure
C. Measure the client's apical pulse
D. Weigh the client - Answer-✅C. Measure the client's apical pulse
Digoxin decreases the heart rate, so the nurse should count the apical pulse for at least
1 min before administering. The nurse should hold the medication and notify the
provider if the client's heart rate is below 60/min or if a change in heart rhythm is
detected.
/.A nurse is providing discharge teaching to a client who has a new prescription for
lithium. Which of the following information should the nurse include in the teaching?
A. Follow a low-sodium diet.
B. Limit daily fluid intake.
C. Obtain a daily weight.
D. Avoid foods that have a high tyramine content. - Answer-✅C. Obtain a daily weight
Clients who are taking lithium should monitor their daily weight due to the risk of fluid
imbalance.
Clients who are taking lithium should avoid a low-sodium diet due to the risk of
hyponatremia. Clients who are taking lithium should drink plenty of fluids. Clients who
are taking a monoamine oxidase inhibitor (MAOI), rather than lithium, should avoid
foods that have a high tyramine content.
/.A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a
client. Which of the following is the priority assessment the nurse should complete?
