Pharmacology II - RN Pharmacology Online Practice 2019 A
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1. A nurse is preparing to administer Answer: 300 mg
ciprofloxacin 15 mg/kg PO every 12 hr
to a child who weighs 44 lb. How many .2 = 20kg
mg should the nurse administer per 15 * 20 = 300mg
dose? (Round the answer to the near-
***12 hr is an unnecessary number for this math
est whole number. Using a leading zero
problem***
if it applies. Do not use a trailing zero.)
_________ mg
2. A nurse is developing a teaching plan Answer: 1, 2, 5
for a client who has a new prescription1. Report muscle pain to the provider.
for simvastatin. Which of the following2. Avoid taking the medication with grapefruit
instructions should the nurse include juice.
in the teaching plan? (Select all that ap-
3. Take the medication in the early morning.
ply.) Rationale: Medication should be taken in the
evening.
1. Report muscle pain to the provider. 4. Expect a flushing of the skin as a reaction to the
2. Avoid taking the medication with medication.
grapefruit juice. Rationale: Flushing of the skin is an adverse effect
3. Take the medication in the early of niacin, not simvastatin.
morning. 5. Expect therapy with this medication to be life-
4. Expect a flushing of the skin as a long.
reaction to the medication.
5. Expect therapy with this medication
to be lifelong.
3. A nurse is assessing a client who is tak- Answer: #4
ing propylthiouracil for the treatment 1. Decrease the WBC count
of Graves' disease. Which of the follow- Rationale: This is an adverse effect that can cause
ing findings should the nurse identify myelosuppression.
as an indication that the medication 2. Decrease in amount of time sleeping
has been effective? Rationale: Insomnia is a neurological manifesta-
, Pharmacology II - RN Pharmacology Online Practice 2019 A
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tion of Graves' disease.
1. Decrease the WBC count 3. Increase in appetite
2. Decrease in amount of time sleep- Rationale: Increased appetite is a gastrointestinal
ing manifestation of Graves' disease.
3. Increase in appetite 4. Increase in ability to focus
4. Increase in ability to focus
4. A nurse is preparing to administer he- Answer: #1
parin subcutaneously to a client. Which 1. Administer the medication outside the 5cm
of the following actions should the (2in) radius of the umbilicus.
nurse plan to take? 2. Aspirate for blood return before injecting.
Rationale: This will cause the injection site to
1. Administer the medication outside bruise.
the 5cm (2in) radius of the umbilicus. 3. Rub vigorously after the injection to promote
2. Aspirate for blood return before in- absorption.
jecting. Rationale: This will cause the injection site to
3. Rub vigorously after the injection to bruise.
promote absorption. 4. Place a pressure dressing on the injection site
4. Place a pressure dressing on the in- to prevent bleeding.
jection site to prevent bleeding. Rationale: This is unnecessary if pressure is held
for at least 1 min to prevent bleeding.
5. A nurse at a clinic is providing follow-up Answer: #2
care to a client who is taking fluoxetine 1. Tingling toes
for depression. Which of the following Rationale: Distorted sensations in the extremities
findings should the nurse identify as an are not adverse effects of fluoxetine.
adverse effect of this medication? 2. Sexual dysfunction
3. Absence of dreams
1. Tingling toes Rationale: Absence of dreams is not associated
2. Sexual dysfunction with fluoxetine.
3. Absence of dreams 4. Pica
4. Pica
, Pharmacology II - RN Pharmacology Online Practice 2019 A
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Rationale: An eating disorder is not associated
with fluoxetine.
6. A nurse is teaching a client about the Answer: #4
use of risedronate for the treatment of 1. "I will drink a glass of milk when I take the
osteoporosis. The nurse should iden- risedronate."
tify which of the following statements Rationale: Risedronate should be taken with wa-
as an indication that the client under- ter.
stands the teaching? 2. "I will take the risedronate 15 minutes after my
evening meal."
1. "I will drink a glass of milk when I Rationale: Risedronate should be taken in the
take the risedronate." morning and 30 min prior to a meal.
2. "I will take the risedronate 15 min- 3. "I should take an antacid with the risedronate to
utes after my evening meal." avoid nausea."
3. "I should take an antacid with the Rationale: Risedronate will not be absorbed prop-
risedronate to avoid nausea." erly if taken with an antacid.
4. "I should sit up for 30 minutes after 4. "I should sit up for 30 minutes after taking the
taking the risedronate." risedronate."
7. A nurse is providing teaching to a client Answer: #3
who has a gastric ulcer and a new pre- 1. "Take the medication on an empty stomach for
scription for famotidine. Which of the full effectiveness."
following instructions should the nurse Rationale: Food does not affect the medications
include? effectiveness.
2. "You may discontinue this medication when
1. "Take the medication on an empty stomach discomfort subsides."
stomach for full effectiveness." Rationale: Famotidine inhibits gastric secretion
2. "You may discontinue this medica- and if stopped abruptly, symptoms will return.
tion when stomach discomfort sub- 3. "Report yellowing of the skin."
sides." 4. "You will be taking this medication for 2
3. "Report yellowing of the skin." weeks."
Study online at https://quizlet.com/_9q47bv
1. A nurse is preparing to administer Answer: 300 mg
ciprofloxacin 15 mg/kg PO every 12 hr
to a child who weighs 44 lb. How many .2 = 20kg
mg should the nurse administer per 15 * 20 = 300mg
dose? (Round the answer to the near-
***12 hr is an unnecessary number for this math
est whole number. Using a leading zero
problem***
if it applies. Do not use a trailing zero.)
_________ mg
2. A nurse is developing a teaching plan Answer: 1, 2, 5
for a client who has a new prescription1. Report muscle pain to the provider.
for simvastatin. Which of the following2. Avoid taking the medication with grapefruit
instructions should the nurse include juice.
in the teaching plan? (Select all that ap-
3. Take the medication in the early morning.
ply.) Rationale: Medication should be taken in the
evening.
1. Report muscle pain to the provider. 4. Expect a flushing of the skin as a reaction to the
2. Avoid taking the medication with medication.
grapefruit juice. Rationale: Flushing of the skin is an adverse effect
3. Take the medication in the early of niacin, not simvastatin.
morning. 5. Expect therapy with this medication to be life-
4. Expect a flushing of the skin as a long.
reaction to the medication.
5. Expect therapy with this medication
to be lifelong.
3. A nurse is assessing a client who is tak- Answer: #4
ing propylthiouracil for the treatment 1. Decrease the WBC count
of Graves' disease. Which of the follow- Rationale: This is an adverse effect that can cause
ing findings should the nurse identify myelosuppression.
as an indication that the medication 2. Decrease in amount of time sleeping
has been effective? Rationale: Insomnia is a neurological manifesta-
, Pharmacology II - RN Pharmacology Online Practice 2019 A
Study online at https://quizlet.com/_9q47bv
tion of Graves' disease.
1. Decrease the WBC count 3. Increase in appetite
2. Decrease in amount of time sleep- Rationale: Increased appetite is a gastrointestinal
ing manifestation of Graves' disease.
3. Increase in appetite 4. Increase in ability to focus
4. Increase in ability to focus
4. A nurse is preparing to administer he- Answer: #1
parin subcutaneously to a client. Which 1. Administer the medication outside the 5cm
of the following actions should the (2in) radius of the umbilicus.
nurse plan to take? 2. Aspirate for blood return before injecting.
Rationale: This will cause the injection site to
1. Administer the medication outside bruise.
the 5cm (2in) radius of the umbilicus. 3. Rub vigorously after the injection to promote
2. Aspirate for blood return before in- absorption.
jecting. Rationale: This will cause the injection site to
3. Rub vigorously after the injection to bruise.
promote absorption. 4. Place a pressure dressing on the injection site
4. Place a pressure dressing on the in- to prevent bleeding.
jection site to prevent bleeding. Rationale: This is unnecessary if pressure is held
for at least 1 min to prevent bleeding.
5. A nurse at a clinic is providing follow-up Answer: #2
care to a client who is taking fluoxetine 1. Tingling toes
for depression. Which of the following Rationale: Distorted sensations in the extremities
findings should the nurse identify as an are not adverse effects of fluoxetine.
adverse effect of this medication? 2. Sexual dysfunction
3. Absence of dreams
1. Tingling toes Rationale: Absence of dreams is not associated
2. Sexual dysfunction with fluoxetine.
3. Absence of dreams 4. Pica
4. Pica
, Pharmacology II - RN Pharmacology Online Practice 2019 A
Study online at https://quizlet.com/_9q47bv
Rationale: An eating disorder is not associated
with fluoxetine.
6. A nurse is teaching a client about the Answer: #4
use of risedronate for the treatment of 1. "I will drink a glass of milk when I take the
osteoporosis. The nurse should iden- risedronate."
tify which of the following statements Rationale: Risedronate should be taken with wa-
as an indication that the client under- ter.
stands the teaching? 2. "I will take the risedronate 15 minutes after my
evening meal."
1. "I will drink a glass of milk when I Rationale: Risedronate should be taken in the
take the risedronate." morning and 30 min prior to a meal.
2. "I will take the risedronate 15 min- 3. "I should take an antacid with the risedronate to
utes after my evening meal." avoid nausea."
3. "I should take an antacid with the Rationale: Risedronate will not be absorbed prop-
risedronate to avoid nausea." erly if taken with an antacid.
4. "I should sit up for 30 minutes after 4. "I should sit up for 30 minutes after taking the
taking the risedronate." risedronate."
7. A nurse is providing teaching to a client Answer: #3
who has a gastric ulcer and a new pre- 1. "Take the medication on an empty stomach for
scription for famotidine. Which of the full effectiveness."
following instructions should the nurse Rationale: Food does not affect the medications
include? effectiveness.
2. "You may discontinue this medication when
1. "Take the medication on an empty stomach discomfort subsides."
stomach for full effectiveness." Rationale: Famotidine inhibits gastric secretion
2. "You may discontinue this medica- and if stopped abruptly, symptoms will return.
tion when stomach discomfort sub- 3. "Report yellowing of the skin."
sides." 4. "You will be taking this medication for 2
3. "Report yellowing of the skin." weeks."
