NLN Practice Pharm Exam Questions
and Answers19
A nurse should monitor a client who has hypertension and is receiving a beta-adrenergic blocker
for which of these adverse effects?
• Congestive heart failure
• Hypothyroidism
• Phlebitis
• Hypertension - ANSWERS-a. Congestive heart failure
A nurse on the postpartum unit is preparing to administer Rh-immune globulin (RhoGAM). The
nurse should recognize that this medication is indicated for which of these clients?
• Rh-neg mother who has an Rh-neg infant
• Rh-neg mother who has an Rh-pos infant
• Rh-pos mother who has an Rh-pos infant
• Rh-pos mother who has an Rh-neg infant - ANSWERS-b. Rh-neg mother who has an Rh-pos
infant
A vial contains 5 grams of an antibiotic in 20 mL of solution. If a client is to receive 250 mg, how
many mL should a nurse give to the client?
• 0.5
•1
• 1.5
• 2 - ANSWERS-b. 1
,Which of these client assessments should a nurse make prior to administering terbutaline
sodium (Brethine) subcutaneously?
• Urine output
• Body temperature
• Pulse oximetry
• Heart rate - ANSWERS-d. Heart rate
A nurse should assess a client who is taking isoniazid (INH) for side effects, which include
• Peripheral neuropathy
• Hypertension
• Weight gain
• Elevated blood glucose levels - ANSWERS-a. Peripheral neuropathy
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) - ANSWERS-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 - ANSWERS-c. 1.3
, 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 - ANSWERS-a. Ensure culture and sensitivity specimens have
been obtained
An 18-month-old child who weights 37 lb (17kg) has a temperature of 103 F (39.4 C). A
physician orders acetaminophen (Tylenol) 15 mg/kg. How many milligrams should a nurse
administer?
• 120
• 148
• 200
• 255 - ANSWERS-d. 255
A nurse is assessing a client who is taking glyburide (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 - ANSWERS-a. Cool, wet skin
Which of these statements, if made by a client who is receiving warfarin sodium (Coumadin),
should indicate to a nurse that the client has a correct understanding of the medication
instructions?
• I will shave with an electric razor.
and Answers19
A nurse should monitor a client who has hypertension and is receiving a beta-adrenergic blocker
for which of these adverse effects?
• Congestive heart failure
• Hypothyroidism
• Phlebitis
• Hypertension - ANSWERS-a. Congestive heart failure
A nurse on the postpartum unit is preparing to administer Rh-immune globulin (RhoGAM). The
nurse should recognize that this medication is indicated for which of these clients?
• Rh-neg mother who has an Rh-neg infant
• Rh-neg mother who has an Rh-pos infant
• Rh-pos mother who has an Rh-pos infant
• Rh-pos mother who has an Rh-neg infant - ANSWERS-b. Rh-neg mother who has an Rh-pos
infant
A vial contains 5 grams of an antibiotic in 20 mL of solution. If a client is to receive 250 mg, how
many mL should a nurse give to the client?
• 0.5
•1
• 1.5
• 2 - ANSWERS-b. 1
,Which of these client assessments should a nurse make prior to administering terbutaline
sodium (Brethine) subcutaneously?
• Urine output
• Body temperature
• Pulse oximetry
• Heart rate - ANSWERS-d. Heart rate
A nurse should assess a client who is taking isoniazid (INH) for side effects, which include
• Peripheral neuropathy
• Hypertension
• Weight gain
• Elevated blood glucose levels - ANSWERS-a. Peripheral neuropathy
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) - ANSWERS-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 - ANSWERS-c. 1.3
, 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 - ANSWERS-a. Ensure culture and sensitivity specimens have
been obtained
An 18-month-old child who weights 37 lb (17kg) has a temperature of 103 F (39.4 C). A
physician orders acetaminophen (Tylenol) 15 mg/kg. How many milligrams should a nurse
administer?
• 120
• 148
• 200
• 255 - ANSWERS-d. 255
A nurse is assessing a client who is taking glyburide (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 - ANSWERS-a. Cool, wet skin
Which of these statements, if made by a client who is receiving warfarin sodium (Coumadin),
should indicate to a nurse that the client has a correct understanding of the medication
instructions?
• I will shave with an electric razor.
