Farmacolog1

1. A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her
blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?

A. Discard the NPH solution if it appears cloudy.

B. Shake the insulin vigorously before loading the syringe.

C. Expect the NPH insulin to peak in 6 to 14 hr.

D. Freeze unopened insulin vials.

2. A nurse is obtaining a medical history from a client who is to start warfarin therapy and currently uses herbal
supplements at home. The nurse should inform the client that which of the following herbal supplements can
interact adversely with warfarin?

A. Feverfew

B. Black cohosh

C. Echinacea

D. Flaxseed

3. A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the
nurse include in the teaching?

A. Diazepam can cause drowsiness.

B. This medication must be swallowed whole.

C. It is important to avoid foods that contain tyramine.

D. Grapefruit juice inactivates this medication.

4. A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following
findings should indicate to the nurse that the medication is having a therapeutic effect?

A. Systolic blood pressure is increased

B. Cardiac output is reduced

C. Apical heart rate is increased

D. Urine output is reduced

Created on:03/23/2024 Page 1

 Farmacolog1

5. A nurse is preparing to administer the monthly injection of haloperidol decanoate to a client who has schizophrenia.
Which of the following actions should the nurse plan to take?

A. Have the client lie down for 30 min after the medication is injected.

B. Monitor the client for bradycardia following the injection.

C. Assess the client for a sudden relapse of manifestations.

D. Administer the medication using a tuberculin syringe.

6. A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that
taking which of the following herbal preparations reduces the effectiveness of this birth control method?

A. Ginseng

B. Gingko biloba

C. St. John's wort

D. Saw palmetto

7. A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse
should inform the client that which of the following is a therapeutic effect of this medication?

A. Reduces risk of infection

B. Decreases inflammation

C. Improves peripheral blood flow

D. Increases bone density

8. A nurse is preparing to administer cefazolin IVPB over 20 min. Available is cefazolin 1 g in 100 mL of dextrose 5%
in water (D5W). The drop factor of the manual IV tubing is 15gtt/mL. The nurse should set the IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)

______ gtt/min

9. A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of
the following laboratory tests should the nurse instruct the client will be required while on this medication regimen?

Created on:03/23/2024 Page 2

 Farmacolog1

A. Liver function tests

B. Gallbladder studies

C. Thyroid function studies

D. Blood glucose levels

10. A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. Available is digoxin 0.125
mg/tab. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)

______ tablets

11. A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to
take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions
should the nurse provide?

A. "Do not have vaginal intercourse until after your next period."

B. "Stop taking the pills and switch to a different contraceptive method."

C. "Take the missed dose now, then continue the medication as ordered."

D. "Take a home pregnancy test."

12. A nurse is preparing to administer hydromorphone 2.5 mg. The amount available is 5 mg/5 mL elixir. How many
mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not
use a trailing zero.)

______ mL

13. 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.

Created on:03/23/2024 Page 3

 Farmacolog1

14. A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following
findings should the nurse include as adverse effects of this medication?

A. Bradycardia

B. Tremor

C. Cough

D. Constipation

15. A nurse is assessing a client who is receiving a unit of packed RBCs. The client appears flushed and reports
low-back pain. Which of the following actions is the nurse's priority?

A. Stop the transfusion.

B. Collect a urine specimen.

C. Notify the blood bank.

D. Begin an infusion of 0.9% sodium chloride through new tubing.

16. A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin
sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?

A. "I'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart."

B. "I'll dial 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-minute period."

C. "I'll dial 911 when I have pain and then take the nitroglycerin tablets."

D. "I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes
apart while waiting."

17. A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is
receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse
should explain that it has which of the following actions?

A. Prevents dysrhythmias

B. Slows intestinal motility

C. Dissolves blood clots

D. Relieves pain

Created on:03/23/2024 Page 4

 Farmacolog1

18. A nurse is caring for a client who has a prescription for 3,000 mL of dextrose 5% in 0.45% sodium chloride to
infuse IV over 24 hr. The nurse initiates an IV infusion of 1,000 mL of this fluid at 0800. At what time should the
nurse prepare to initiate the second 1,000 mL bag?

A. 1600

B. 2400

C. 1200

D. 1800

19. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of
the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

A. The leukocyte count

B. The platelet count

C. The hematocrit (Hct)

D. The erythrocyte sedimentation rate (ESR)

20. A nurse is reviewing the medication administration records from the previous shift. Which of the following findings
should indicate to the nurse a need for an incident report?

A. A client received gentamicin intermittent IV bolus over 1 hr.

B. A nurse used a 25-gauge 3/8 inch needle to administer a heparin injection.

C. A nurse injected Demerol IM into the vastus lateralis site of adult.

D. A client received a crushed bupropion XL tablet mixed with applesauce.

21. A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking warfarin. For which of the
following results should the nurse notify the provider?

A. PT 45 seconds

B. Hgb 16 g/dL

C. Hct 44%

D. Platelets 190,000/mm3

Created on:03/23/2024 Page 5

 Farmacolog1

22. A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10
mg/mL. Which of the following actions should the nurse take?

A. Discard the extra medication in a sharps container.

B. Save the extra medication for a later dosing.

C. Send the waste amount to the pharmacy.

D. Have another nurse witness the disposal of the extra medication.

23. A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL IV to
infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL/hr

24. A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should
indicate to the nurse the medication is effective?

A. Increased appetite

B. Regular bowel movements

C. Absence of headache

D. Reduced dyspepsia

25. A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following statements by
the client indicates an understanding of the teaching?

A. "I will expect the color of my urine to be amber."

B. "I should expect dark, tarry stools."

C. "I should expect increased bruising."

D. "I will not get as many infections."

26. A nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side
of the catheter insertion. Which of the following complications should the nurse suspect?

A. Catheter occlusion

B. Catheter rupture

Created on:03/23/2024 Page 6

 Farmacolog1

C. Catheter dislodgment

D. Catheter migration

27. A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction
during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of
the following allergic responses?

A. Urticaria

B. Fever

C. Fluid overload

D. Hemolysis

28. A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the
following statements by the client's parent is the nurse’s priority?

A. "He takes a 2-hour nap every day after school."

B. "He says he feels sick to his stomach after taking this medication."

C. "He has so many new bruises on his body."

D. "He says his mouth is always dry."

29. A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following
laboratory values should the nurse review before administering furosemide?

A. Bicarbonate

B. Carbon dioxide

C. Potassium

D. Phosphate

30. A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL.
How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it
applies. Do not use a trailing zero.)

______ mL

Created on:03/23/2024 Page 7

 Farmacolog1

31. A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of
medication has which of the following actions?

A. Reduces inflammation

B. Suppresses the urge to cough

C. Dries mucous membranes

D. Stimulates secretions

32. A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually
take." Which of the following responses should the nurse make?

A. "Describe what the pill looks like."

B. "This is the medication prescribed by your provider."

C. "This pill is probably from a different lot number than yours at home."

D. "This hospital might use a different manufacturer, but the medication is the same."

33. A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of
the following statements by the client indicates an understanding of the teaching?

A. "I'll rinse my mouth after taking this medication."

B. "I'll take this medication when I get an asthma attack."

C. "I'll take this medication once a day in the evening."

D. "I'll use a spacer device when I inhale this medication."

34. A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which of
the following techniques should the nurse use?

A. Cleanse the skin with an alcohol swab, insert the needle, aspirate, and inject the heparin.

B. Cleanse the skin with an alcohol swab, insert the needle, aspirate, inject the heparin, and massage the site.

C. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding.

D. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, aspirate, and observe for
bleeding.

Created on:03/23/2024 Page 8

 Farmacolog1

35. A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following
medications should the nurse identify as having the potential to cause nephrotoxicity?

A. Omeprazole

B. Vancomycin

C. Ondansetron

D. Diphenhydramine

36. A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10
mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)

______ tablet(s)

37. A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct
the client to monitor for which of the following adverse reactions to this medication?

A. Tinnitus

B. Muscle pain

C. Hyperglycemia

D. Jaundice

38. A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information
should the nurse include?

A. "Take this medication with a glass of grapefruit juice."

B. "Expect your skin to turn yellow."

C. "Monitor for ringing in your ears."

D. "Increase fiber intake to prevent constipation."

39. A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should
set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero)

Created on:03/23/2024 Page 9

 Farmacolog1

______ mL/hr

40. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following statements by
the nurse indicates an understanding of the teaching?

A. "I should increase my intake of potassium-rich foods."

B. "I should expect to have facial swelling when taking this medication."

C. "I should take this medication with food."

D. "I should report a cough to my provider."

41. A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for
sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking
sildenafil?

A. Isosorbide

B. Phenytoin

C. Metronidazole

D. Prednisone

42. A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat
heart failure. The nurse should explain that which of the following medications puts clients at risk for both
hyperkalemia and hyponatremia?

A. Furosemide

B. Hydrochlorothiazide

C. Metolazone

D. Spironolactone

43. A nurse is preparing to administer medications to a client who states, "I don't want to take those drugs." Which of
the following actions should the nurse take?

A. Tell the client the physician wants him to take the medications.

B. Ask the client why he is refusing to take the medications.

C. Explain the purpose for the medications.

Created on:03/23/2024 Page 10

 Farmacolog1

D. Document that the client refuses the medications.

44. A nurse is caring for a client who is experiencing Cushing's Triad following a subdural hematoma. Which of the
following medications should the nurse plan to administer?

A. Albumin 25%

B. Dextran 70

C. Hydroxyethyl glucose

D. Mannitol 25%

45. A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the
following statements by the client indicates an understanding of the teaching? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

46. A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following
assessments is an indication the client might be experiencing a hemolytic reaction?

A. Flushing

B. Dyspnea

C. Hypotension

D. Vomiting

47. A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before
he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should
the nurse take?

A. Give the insulin at 0700.

B. Give the insulin when the breakfast tray arrives.

C. Give the insulin 30 min after breakfast with the client's other routine medicines.

D. Give the insulin at 0730.

48. A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions

Created on:03/23/2024 Page 11

 Farmacolog1

should the nurse plan to take?

A. Check the unit of blood with an assistant personal (AP).

B. Premedicate the client with an antiemetic.

C. Plan to infuse the unit of blood over 6 hr.

D. Remain with the client for the first 15 minutes of the transfusion.

49. A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an
influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of
the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAIV)?

A. The client's age is 62.

B. The client smokes one pack of cigarettes a day

C. The client has a history of myocardial infarction.

D. The client has recently traveled to Europe.

50. A nurse is preparing to administer vancomycin 500 mg PO daily divided into four equal doses. The amount
available is vancomycin 125 mg capsules. How many capsules should the nurse administer with each dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ capsule(s)

51. A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need
this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is
used to decrease levels of which of the following components in the bloodstream?

A. Glucose

B. Ammonia

C. Potassium

D. Bicarbonate

52. A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the
nurse instruct the client to use to abort an acute asthma attack?

A. Beclomethasone

Created on:03/23/2024 Page 12

 Farmacolog1

B. Salmeterol

C. Formoterol

D. Albuterol

53. A nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a
severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the client
states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?

A. Administer another nitroglycerin tablet.

B. Initiate a peripheral IV.

C. Call the Rapid Response Team.

D. Obtain an ECG.

54. A nurse is teaching a client who has a new prescription for simvastatin. Which of the following instructions should
the nurse include?

A. "You should expect brown-colored urine."

B. "You should avoid grapefruit juice."

C. "You should monitor for ringing in the ears."

D. "You should take the medication in the morning."

55. A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following actions
should the nurse take?

A. Administer 50,000 units of heparin by IV bolus every 12 hr.

B. Check the activated partial thromboplastin time (aPTT) every 4 hr.

C. Have vitamin K available on the nursing unit.

D. Use IV tubing specific for heparin sodium when administering the infusion.

56. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions
by the client indicates an understanding of the teaching?

A. The client holds his breath for 10 seconds after inhaling the medication.

Created on:03/23/2024 Page 13

 Farmacolog1

B. The client takes a quick inhalation while releasing the medication from the inhaler.

C. The client exhales as the medication is released from the inhaler.

D. The client waits 10 min between inhalations.

57. A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the
following assessments is the priority?

A. Pupil reaction

B. Urine output

C. Bowel sounds

D. Respiratory rate

58. A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take?

A. Use a 22-gauge needle to inject the medication.

B. Use a 1-inch needle to inject the medication.

C. Inject the medication into the abdomen above the level of the iliac crest.

D. Massage the injection site after administration of the medication.

59. A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of
oxytocin. Which of the information should the nurse include?

A. "This medication will help prevent nausea and vomiting."

B. "Your contractions will become stronger and more frequent."

C. "I will remove the electronic fetal monitor once contractions are regular."

D. "You can push the button on the control device to administer more medication."

60. A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to
metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the
teaching?

A. "Now I will not have to diet to lose weight."

B. "With the new medication, I should experience fewer side effects."

Created on:03/23/2024 Page 14

 Farmacolog1

C. "I will not have to do anything different because it is the same medication."

D. "The extra letters after the name of medication means it is a stronger dose."

61. A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablets.
How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)

______ tablets

62. A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes
chlorpromazine 50 mg IM every 4 hr as needed. Available is chlorpromazine injection 25 mg/mL. How many mL
should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)

______ mL

63. A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to
beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which
of the following reasons is this verification necessary?

A. An excess amount of doxorubicin can lead to myelosuppression.

B. Exceeding the lifetime cumulative dose limit of doxorubicin might cause extravasation.

C. An excess amount of doxorubicin can lead to cardiomyopathy.

D. Exceeding the lifetime cumulative dose limit of doxorubicin might produce red tinged urine and sweat.

64. A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following
statements by the client indicates an understanding of the teaching?

A. "I should expect to feel better after 24 hours of starting this medication."

B. "I should not take this medicine with grapefruit juice."

C. "I'll take this medicine with food."

D. "I'll take this medicine first thing in the morning."

65. A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the
following statements made by the nurse requires further action by the charge nurse?

Created on:03/23/2024 Page 15

 Farmacolog1

A. "I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you
witnessed it."

B. "I noted that my client pushed the PCA button six times in the last hour, and the PCA lockout is set for 10
minutes."

C. "I gave my client a bolus dose of morphine when I initiated the PCA pump."

D. "I told the client’s family that they must not push the PCA button for the client."

66. A nurse is preparing to administer desmopressin 0.2 mg daily to a client. Available is desmopressin 0.1 mg tablets.
How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)

______ tablet(s)

67. A nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how
he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?

A. "Gradually decrease the dose once tolerance to the effect is reached."

B. "Distribute the doses evenly throughout the day."

C. "Take most of the daily dose at bedtime."

D. "Take the medication with meals."

68. A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the
manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtt/min

69. A nurse is caring for a client who is to receive a unit of packed RBCs. The nurse should prime the blood
administration tubing using which of the following IV solutions?

A. Lactated Ringer’s solution

B. 0.9% sodium chloride

C. Dextrose 5% in water

D. Dextrose 5% in 0.45% sodium chloride

Created on:03/23/2024 Page 16

 Farmacolog1

70. A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

A. Increased heart rate

B. Decreased respiratory rate.

C. Hyperactive bowel sounds

D. Decreased blood pressure

71. A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking
furosemide. Which of the following instructions should the nurse include?

A. Take aspirin if headaches develop.

B. Eat foods that contain plenty of potassium.

C. Expect some swelling in the hands and feet.

D. Take the medication at bedtime.

72. A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The amount available is amoxicillin 250
mg/5 mL suspension. How many mL should the nurse administer? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL

73. A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider
instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse
effects should the nurse inform the client?

A. Constipation

B. Metallic taste

C. Headache

D. Muscle spasms

74. A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect
of the medication?

A. Decreased blood pressure

Created on:03/23/2024 Page 17

 Farmacolog1

B. Increase of HDL cholesterol

C. Prevention of bipolar manic episodes

D. Improved sexual function

75. A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should
include which of the following instructions in the teaching?

A. "Take the medication with an antacid to minimize stomach upset."

B. "Your doctor might need to reduce your theophylline dose while taking this medication."

C. "Take the medication on an empty stomach for better absorption."

D. "You should plan to take this medication for at least 6 months."

76. A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the
following medications should the nurse have available to reverse heparin's effects?

A. Vitamin K

B. Protamine sulfate

C. Acetylcysteine

D. Deferasirox

77. A nurse is caring for a newborn who has respiratory depression. Which of the following medications should the
nurse anticipate administering?

A. Flumazenil

B. Physostigmine

C. Terbutaline

D. Naloxone

78. A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client
reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following
scenarios should the nurse document as the explanation for this situation?

A. The client not been taking the medication properly.

Created on:03/23/2024 Page 18

 Farmacolog1

B. The client is experiencing episodes of confusion.

C. The client has become addicted to the medication.

D. The client developed a tolerance to the medication.

79. A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new
prescription for timolol eye drops. Which of the following instructions should the nurse provide?

A. The medication is to be applied when the client is experiencing eye pain.

B. The medication will be used until the client's intraocular pressure returns to normal.

C. The medication should be applied on a regular schedule for the rest of the client's life.

D. The medication is to be used for approximately 10 days, followed by a gradual tapering off.

80. A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the
following manifestations should the nurse monitor to prevent fluid volume overload? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

81. A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night
and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse
to assess?

A. Amylase

B. Creatinine

C. Aspartate aminotransferase (AST)

D. Antidiuretic hormone (ADH)

82. A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which
of the following adverse effects should the nurse monitor when giving this medication?

A. Hyperthermia

B. Hypotension

C. Ototoxicity

D. Muscle pain

Created on:03/23/2024 Page 19

 Farmacolog1

83. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The
nurse should plan to administer the client's PRN bethanechol when the client reports which of the following
manifestations?

A. Bladder spasms

B. Severe pain.

C. An inability to void

D. Frequent episodes of painful urination

84. A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse
should include in the teaching that vancomycin is indicated for which of the following infections?

A. Pseudomonas aeruginosa

B. Klebsiella

C. Candida

D. Methicillin-resistant Staphylococcus aureus

85. A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse
plan to take?

A. Administer the medication using a 5/8-inch needle.

B. Administer the medication at a 45&deg angle.

C. Administer the medication in the deltoid muscle.

D. Administer the medication using a Z-track technique.

86. A nurse is preparing to administer ampicillin and gentamicin sulfate via IV infusion. Which of the following
resources should the nurse consult first regarding medication compatibility?

A. Nurse manager

B. Hospital pharmacist

C. Health care provider

D. Medication sales representative

Created on:03/23/2024 Page 20

 Farmacolog1

87. A nurse is reviewing the medication list for a client who has a new prescription for warfarin. The nurse should
recognize that which of the following medications is incompatible with warfarin?

A. Furosemide

B. Alprazolam

C. Vitamin K

D. Vitamin A

88. A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse
should instruct the client to increase dietary intake of which of the following substances?

A. Iron

B. Protein

C. Potassium

D. Sodium

89. A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin
0.125 mg tab. The client's current vital signs are: blood pressure 144/96, heart rate 54/min, respirations 18/min,
and temperature 98.6&deg F. Which of the following actions should the nurse take?

A. Administer digoxin 0.125 mg.

B. Administer digoxin 0.25 mg.

C. Withold the digoxin dose for elevated blood pressure.

D. Withhold the digoxin dose for decreased pulse rate.

90. A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify
which of the following findings as an indication that the medication is effective?

A. A decrease in blood sugar

B. A decrease in blood pressure

C. A decrease in urine output

D. A decrease in specific gravity

Created on:03/23/2024 Page 21

 Farmacolog1

91. A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the
following statements by the client requires further discussion by the nurse?

A. "I signed up for a swimming class."

B. "I've been taking an antacid to help with indigestion."

C. "I've lost 2 pounds since my appointment 2 weeks ago."

D. "The naproxen is easier to take when I crush it and put it in applesauce."

92. A client who is receiving magnesium sulfate has a urine output of 20 mL/hr. Which of the following medications
should the nurse expect to administer?

A. Calcium gluconate

B. Flumazenil

C. Naloxone

D. Protamine

93. A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing
pills. Which of the following actions should the nurse take?

A. Check the client for a penicillin allergy.

B. Monitor the client for constipation.

C. Store the medication at room temperature.

D. Avoid shaking the medication before administering.

94. A nurse is preparing to administer vancomycin 500 mL in 100 mL of dextrose 5% in water (D5W) to infuse over 1
hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should adjust the manual IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)

______ gtt/min

95. A nurse is preparing to administer a continuous heparin infusion at 1600 units/hr. Available is heparin 25,000 units
in dextrose 5% in water (D5W) 500 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Created on:03/23/2024 Page 22

 Farmacolog1

______ mL/hr

96. A nurse is teaching a client who reports taking gingko biloba to improve his memory. Which of the following
adverse effects should the nurse include?

A. Bad breath

B. Decreased alertness

C. Breast enlargement

D. Bleeding gums

97. A nurse is preparing to administer dextrose 5% in water (D5W) IV to infuse at 100 mL/hr. The drop factor of the
manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtt/min

98. A nurse is caring for a client who has Wernicke–Korsakoff psychosis as a result of chronic alcohol use disorder.
Which of the following interventions should the nurse anticipate?

A. Laboratory analysis of cardiac enzymes

B. Monitoring for the presence of esophageal varices

C. Administration of thiamine

D. Placing the client in protective isolation

99. A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports
having discontinued the medication after experiencing severe nausea and vomiting. Which of the following
reasons should the nurse suspect to be a likely cause of the client's distress?

A. The client demonstrated an allergic response to the medication.

B. The client experienced a common side effect to the medication.

C. The client consumed alcohol while taking the medication.

D. The client took an overdose of the medication.

Created on:03/23/2024 Page 23

 Farmacolog1

100.A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the
sequence of events the nurse should follow? (Move the steps of mixing insulin on the left into the box on the right,
placing them in the selected order of performance. All steps must be used.)

A. Inject air into NPH insulin vial.

B. Withdraw short-acting insulin into syringe.

C. Roll NPH vial between palms of hands.

D. Inspect vials for contaminants.

E. Inject air into regular insulin vial.

F. Add intermediate insulin to syringe.

101.A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After
extubation from the ventilator, in which of the following positions should the client be placed?

A. Prone

B. On the nonoperative side

C. Sims'

D. Semi-Fowler's

102.A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following
statements should the nurse include in the teaching?

A. "Clients who have glaucoma should not take warfarin."

B. "Clients who have rheumatoid arthritis should not take warfarin."

C. "Clients who are pregnant should not take warfarin."

D. "Clients who have hyperthyroidism should not take warfarin."

103.A nurse is teaching a client who has a new prescription for docusate. Which of the following information should
the nurse include in the teaching?

A. "Do not take this medication before bedtime."

B. "Take the medication with a full glass of water."

C. "Expect abdominal pain with this medication."

D. "Take this medication on an empty stomach."

Created on:03/23/2024 Page 24

 Farmacolog1

104.A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type
AB blood. Which of the following actions should the nurse take?

A. Administer the blood as ordered.

B. Contact the provider for further orders.

C. Notify the blood bank of the discrepancy.

D. Complete an incident report.

105.A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The
recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

A. The nurse administers the prescribed dosage.

B. The nurse determines the prescription is above the recommended dosage range.

C. The nurse contacts the pharmacist to adjust the prescribed dosage.

D. The nurse determines the prescription is insufficient to achieve the desired effect.

106.A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV to infuse over 3 hr. The drop factor of
the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtt/min

107.A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should
set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.)

______ mL/hr

108.A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine
headaches. Which of the following instructions should the nurse include?

A. "Take this medication daily to prevent headaches."

B. "Activate the patch 30 minutes after application."

C. "Use contraception while taking this medication."

Created on:03/23/2024 Page 25

 Farmacolog1

D. "You can bathe with the patch in place."

109.A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of
the following actions should the nurse take before administering each dose?

A. Shake the container vigorously.

B. Be sure the child has not eaten within the hour.

C. Perform mouth care.

D. Check the child's blood pressure.

110.A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client
reports getting a headache each time he takes the medication. Which of the following statements should the
nurse make?

A. "Take only one dose of nitroglycerin to reduce the risk of getting a headache."

B. "There's nothing that can be done to relieve the headaches that nitroglycerin causes."

C. "Try taking a mild analgesic to relieve the headache."

D. "We will ask the provider to prescribe a different medication for you."

111.A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following
assessments is an indication that the client might be experiencing circulatory overload?

A. Flushing

B. Dyspnea

C. Bradycardia

D. Vomiting

112.A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the
following instructions should the nurse include in the teaching?

A. Keep the open vial of insulin at room temperature.

B. Inject the insulin into a large muscle.

C. Aspirate the medication prior to administration.

Created on:03/23/2024 Page 26

 Farmacolog1

D. Administer the insulin in two separate injections.

113.A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the
client for which of the following electrolyte imbalances?

A. Hypernatremia

B. Hyperuricemia

C. Hypercalcemia

D. Hyperchloremia

114.A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of
the following techniques should the nurse use when opening the glass ampule?

A. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side.

B. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion.

C. Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a
forward motion away from the body.

D. Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by
bending it toward the body.

115.A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of
the following is an adverse effect of this medication?

A. Sedation

B. Constipation

C. Hypertension

D. Bradycardia.

116.A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following
actions should the nurse take to minimize the risk of an adverse effect of the medication?

A. Limit the client's fluid intake.

B. Instruct the client to report agitation.

C. Monitor the serum medication levels.

Created on:03/23/2024 Page 27

 Farmacolog1

D. Administer the medicine with food.

117.A nurse is reinforcing teaching with a client who has a new prescription for colchicine orally to treat gout. The
nurse should inform the client that which of the following findings is an adverse effect of colchicine?

A. Increased appetite

B. Urinary retention

C. Diarrhea

D. Sore throat

118.A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic
effect of the medication?

A. The client experiences less muscle pain.

B. The client's seizure threshold is reduced.

C. The client experiences an increased ease of breathing.

D. The client's platelet count is increased.

119.A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client
indicates an understanding of the teaching?

A. "I will avoid drinking grapefruit juice."

B. "I should take this medication without food."

C. "I should expect my stools to turn clay-colored."

D. "It is not necessary to have routine lab tests done."

120.A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of
the following instructions should the nurse include?

A. "Take this medication with an antacid."

B. "Monitor for tendon pain."

C. "Drink 1,000 milliliters of fluid daily."

D. "Expect urine to turn dark orange."

Created on:03/23/2024 Page 28

 Farmacolog1

121.A nurse is preparing to administer fosamprenavir 1400 mg PO bid. Available is fosamprenavir 700 mg tablets.
How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)

______ tablet(s)

122.A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to infuse over 24 hr. The drop factor
on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtt/min

123.A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of
the following foods as the best source of potassium?

A. Bananas

B. Cooked carrots

C. Cheddar cheese

D. 2% milk

124.A nurse is preparing to administer amoxicillin 2 gm/day PO divided into two doses. The amount available is
amoxicillin 500 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ tablet(s)

125.A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should
the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.)

______ mL

126.A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following
instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

A. "Administer the medication with food."

Created on:03/23/2024 Page 29

 Farmacolog1

B. "Chew on sugarless gum or suck on hard, sour candies."

C. "Place a humidifier at your bedside every evening."

D. "Discontinue the medication and notify your provider."

127.A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the
nurse include in the teaching?

A. 'You should take the medication on an empty stomach to prevent nausea."

B. "You should limit alcohol intake to 12 ounces daily."

C. "You should expect to experience diarrhea while taking this medication."

D. "You should change positions slowly."

128.A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate.
Which of the following instructions should the nurse include? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

129.A nurse is preparing to administer blood to a client. The unit of blood on hand is type O negative, and the client
has type A positive blood. Which of the following actions should the nurse take?

A. Administer the blood as ordered.

B. Contact the provider for further orders.

C. Notify the blood bank.

D. Complete an incident report.

130.A nurse is caring for a client who is postoperative following hip arthroplasty. The nurse should anticipate which of
the following prescriptions for this client?

A. Aspirin

B. Clopidogrel

C. Enoxaparin

D. Alteplase

Created on:03/23/2024 Page 30

 Farmacolog1

131.A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the
following medications should the nurse prepare to instruct the client?

A. Piperacillin/tazobactam

B. Levothyroxine

C. Levodopa/carbidopa

D. Carbamazepine

132.A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5
days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the nurse make?

A. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic
level."

B. "I will call the provider to get a prescription for discontinuing the IV heparin today."

C. "Both heparin and warfarin work together to dissolve the clots."

D. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay."

133.A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4
hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following
explanations should the nurse provide?

A. "The medication relieves nausea by promoting gastric emptying."

B. "The medication works by decreasing gastric acid secretions."

C. "The medication relieves nausea by slowing peristalsis."

D. "The medication works by relaxing gastric muscles."

134.A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations
of toxicity. Which of the following statements by the client indicates an understanding of the teaching?

A. "I will report any loss of appetite."

B. "Increased flatulence is an indication of toxicity."

C. "Vomiting is an indication of toxicity."

D. "I will call my provider if I experience any headaches."

Created on:03/23/2024 Page 31

 Farmacolog1

135.A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the
following findings is a manifestation of digoxin toxicity?

A. Anorexia

B. Ataxia

C. Photosensitivity

D. Jaundice

136.A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following
instructions should the nurse include?

A. "Take this medication with food if nausea develops."

B. "Monitor for muscle pain."

C. "Expect to have increased bruising."

D. "Increase your intake of grapefruit juice."

137.A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the
nurse include as an adverse effect of metronidazole?

A. Olfactory changes

B. Metallic taste

C. Alterations in touch

D. Hearing loss

138.A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of
the following instructions should the nurse provide regarding this type of insulin?

A. Insulin glargine has a duration of 3 to 6 hr.

B. Insulin glargine has a duration of 6 to 10 hr.

C. Insulin glargine has a duration of 16 to 24 hr.

D. Insulin glargine has a duration of 18 to 24 hr.

Created on:03/23/2024 Page 32

 Farmacolog1

139.A nurse is preparing to administer cefprozil 15 mg/kg PO every 12 hr to a child. The child weighs 45 lb. Available
is cefprozil 250 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL

140.A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a new prescription for an
ophthalmic ointment. Which of the following instructions should the nurse provide?

A. "Apply the ointment in a thin line into the conjunctival sac."

B. "Ask the child to look down before applying the ointment."

C. "Always wipe from the outer to the inner canthus when wiping away secretions."

D. "Use a sterile glove and applicator to apply the antibiotic ointment."

141.A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension.
Which of the following statements by the client indicates an understanding of the teaching?

A. "I will store the medication at room temperature."

B. "I will take the medicine every morning on an empty stomach."

C. "I will spit the medication out after swishing it around my mouth."

D. "I will only need to take this medication for a few days."

142.A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse
use?

A. Pull the auricle down and back.

B. Pull the auricle down and out.

C. Pull the auricle up and back.

D. Pull the auricle up and out.

143.A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline
(Theo-24). The nurse should tell the client that this medication might cause which of the following adverse
effects?

A. Drowsiness

Created on:03/23/2024 Page 33

 Farmacolog1

B. Constipation

C. Oliguria

D. Tachycardia

144.A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the following findings
is an adverse effect of this medication?

A. Weight gain

B. Increased blood pressure

C. Hypoglycemia

D. Leg cramps

145.A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should
recognize which of the following findings is a therapeutic response to this medication?

A. Decrease in appetite

B. Increase in weight

C. Increase in energy

D. Decrease in body temperature

146.A nurse is preparing to administer indomethacin 75 mg PO bid. Available is indomethacin 25 mg/5mL. How many
mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.)

______ mL

147.A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience
dyspnea and tongue swelling. Which of the following actions should the nurse perform first?

A. Obtain intravenous fluids for administration.

B. Record the observed data in medical record.

C. Deliver a dose of aminophylline by inhalation.

D. Administer epinephrine subcutaneously.

Created on:03/23/2024 Page 34

 Farmacolog1

148.A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following
medications should the nurse plan to administer for DVT prophylaxis?

A. Aspirin PO

B. Enoxaparin subcutaneous

C. Heparin infusion

D. Warfarin PO

149.A nurse is preparing to administer digoxin 8 mcg/kg/day PO to divide equally every 12 hr for a preschooler who
weighs 33 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL

150.A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of
the following statements by the client indicates an understanding of the teaching?

A. "I will take this medication until my sore throat goes away."

B. "I should take this medication on an empty stomach between meals."

C. "I will stop taking this medication if I develop itching."

D. "I will double my dose, if I miss one."

151.A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse
expect? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

152.A nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of
the following statements by the client indicates the need for further teaching?

A. "I might need to increase my regular insulin during this time."

B. "I will gradually stop the prednisone when my rash goes away."

C. "I should expect my stools to become very dark and sticky while on this medication."

D. "I might have a hard time falling asleep while taking prednisone."

Created on:03/23/2024 Page 35

 Farmacolog1

153.A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child.
Which of the following actions should the nurse plan to take? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

154.A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should
monitor the client for which of the following adverse effects of this medication?

A. Insomnia

B. Bradycardia

C. Hearing loss

D. Hypertension

155.A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is
potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to
the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL

156.A nurse is preparing to administer furosemide 40 mg via IV bolus to a client. The amount available is furosemide
10 mg/1 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL

157.A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor
(MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the
nurse?

A. Glass of whole milk

B. Celery sticks

C. Bologna sandwich

D. Sliced apples

Created on:03/23/2024 Page 36

 Farmacolog1

158.A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of
the following instructions should the nurse include?

A. "Take this medication every night before sleep."

B. "Take this mediation with a high-fat meal."

C. "Avoid activities that require alertness, such as driving."

D. "Monitor for peripheral edema."

159.A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the
following instructions should the nurse include?

A. Draw up the NPH insulin into the syringe first.

B. Inject air into the regular insulin first.

C. Shake the NPH insulin until it is well mixed.

D. Discard regular insulin that appears cloudy.

160.A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat
hyperthyroidism. The nurse should understand that this client is at increased risk for which of the following
conditions?

A. Excessive bleeding

B. Ecchymosis

C. Infection

D. Hyperglycemia

161.A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following
instructions should the nurse include in the teaching?

A. Take the ferrous sulfate at bedtime.

B. Take the ferrous sulfate with an antacid.

C. Take the ferrous sulfate between meals.

D. Take the ferrous sulfate with yogurt.

Created on:03/23/2024 Page 37

 Farmacolog1

162.A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of
the following actions should the nurse take first?

A. Clamp the catheter.

B. Position the client in left lateral Trendelenburg.

C. Initiate oxygen therapy.

D. Auscultate breath sounds.

163.A nurse is preparing to administer 0. 9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client
who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ hr

164.A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new
treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse
provide?

A. Administer the medications by touching the tip of the dropper to the sclera of the eye.

B. Hold pressure on the conjunctiva sac for 2 min following application of drops.

C. Administer the medications 5 min apart.

D. It is not necessary to remove contact lenses before administering medications.

165.A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris.
Which of the following instructions should the nurse include in the teaching?

A. Apply a new transdermal patch once a week.

B. Apply the transdermal patch in the morning.

C. Apply the transdermal patch in the same location as the previous patch.

D. Apply a new transdermal patch when chest pain is experienced.

166.A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest
pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following
statements should the nurse make?

A. "A headache is an indication of an allergy to the medication."

Created on:03/23/2024 Page 38

 Farmacolog1

B. "A headache is an expected adverse effect of the medication."

C. "A headache indicates tolerance to the medication."

D. "A headache is likely due to the anxiety about the chest pain."

167.A nurse is preparing to administer phenytoin 50 mg IV bolus to a client who has a seizure disorder. The
medication is supplied as a 50 mg/mL vial. Which of the following actions should the nurse take?

A. Slow the injection if the medication crystallizes.

B. Dilute the medication with sterile water before injecting.

C. Follow the IV injection with sterile water.

D. Administer the medication over 1 min.

168.A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The
surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the
nurse should complete which priority assessment?

A. Blood pressure

B. Apical heart rate

C. Respiratory rate

D. Temperature

169.A home health nurse is assessing an older adult client who reports falling a couple of times over the past week.
Which of the following findings should the nurse suspect is contributing to the client's falls?

A. The client takes alprazolam.

B. The client has a nonslip bath mat in his shower.

C. The client uses a raised toilet seat.

D. The client wears fitted slippers.

170.A nurse is preparing a presentation about echinacea for a group of clients. Which of the following information
should the nurse include?

A. "Echinacea blocks testosterone receptors."

Created on:03/23/2024 Page 39

 Farmacolog1

B. "Echinacea boosts the immune system."

C. "Echinacea is used to treat vertigo."

D. "Echinacea increases the ability to walk further distances for clients who have PAD."

171.A nurse is teaching a client who has a new prescription for bumetanide. Which of the following instructions
should the nurse include in the teaching?

A. "Report changes in hearing."

B. "Avoid foods high in potassium."

C. "Take the prescribed second dose at nighttime."

D. "Limit your fluid intake to no more than 1.5 L a day."

172.A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the
following statements by the client indicates an understanding of the teaching?

A. "I won’t pass gas as often now that I am taking this medication."

B. "I will take this medication each morning with my breakfast."

C. "I have an increased risk of getting pneumonia while taking this medication."

D. "I will need to take a daily stool softener while taking this medication."

173.A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent
IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels
dizzy and short of breath. Which of the following actions should the nurse take first?

A. Stop the infusion.

B. Call the client's provider.

C. Elevate the head of the bed.

D. Auscultate the client's breath sounds.

174.A nurse is caring for a 1-month-old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by
intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round the answer
to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

______ mg

Created on:03/23/2024 Page 40

 Farmacolog1

175.A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following
statements should the nurse include in the teaching?

A. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain."

B. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."

C. "You can store the bottle of tablets in your bathroom medicine cabinet."

D. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."

176.A nurse is preparing to administer amoxicillin 30 mg/kg/day in 2 equally divided doses every 12 hr to a toddler
who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer.
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL

177.A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should
include to monitor for which of the following adverse effects of this medication?

A. Constipation

B. Bleeding

C. Blurred vision

D. Insomnia

178.A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The
nurse should include which of the following instructions regarding how to take the medication?

A. "Take this medication after each meal and at bedtime."

B. "Take one tablet every 15 min during an acute attack."

C. "Take one tablet at the first indication of chest pain."

D. "Take this medication with 8 ounces of water."

179.A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is
digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Created on:03/23/2024 Page 41

 Farmacolog1

______ tablet(s)

180.A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of
the following medications for this client?

A. Leuprolide

B. Cyclophosphamide

C. Finasteride

D. Tamoxifen

181.A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following
findings is a manifestation of levothyroxine overdose?

A. Insomnia

B. Constipation

C. Drowsiness

D. Hypoactive deep-tendon reflexes

182.A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO
every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ mg

183.A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed
phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse
administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)

______ mL

184.A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following
medications should the nurse plan to administer?

A. Vitamin K

Created on:03/23/2024 Page 42

 Farmacolog1

B. Heparin

C. Warfarin

D. Ferrous sulfate

185.A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information
should the nurse include in the teaching?

A. Discontinue medication if nausea occurs.

B. Expect urine to turn orange.

C. Monitor for increased muscle spasms.

D. Avoid driving until effects are known.

186.A nurse is preparing to administer bisacodyl suppository to a client. Which of the following actions should the
nurse take? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

187.A nurse is providing teaching to a client who is taking warfarin about monitoring its therapeutic effects. Which of
the following explanations should the nurse provide about the international normalized ratio (INR) test?

A. "The INR also monitors heparin therapy if the provider switches the medication prescription."

B. "The INR is the only test available for anticoagulant therapy monitoring."

C. "You will only need the test twice per month."

D. "The INR is a standardized test that eliminates the variations between laboratories reports in prothrombin
times."

188.A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should
the nurse include?

A. "Take this medication with food."

B. "You might have to stop taking this medication 5 days before any planned surgeries."

C. "Take this medication three times daily."

D. "Expect to have black-colored stools while taking this medication."

Created on:03/23/2024 Page 43

 Farmacolog1

189.A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to
discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which
of the following adverse effects?

A. Hyperglycemia

B. Adrenocortical insufficiency

C. Severe dehydration

D. Rebound pulmonary congestion

190.A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate.
Which of the following information should the nurse provide?

A. Expect to have a fever for the first days of therapy.

B. Drink 2 to 3 L of water per day while on the medication.

C. Administer the medication with an NSAID to enhance effectiveness.

D. Take the medication in the morning to prevent insomnia.

191.A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the
following instructions should the nurse provide?

A. Do not use salt substitutes while taking this medication.

B. Take the medication with food.

C. Count your pulse rate before taking the medication.

D. Expect to gain weight while taking this medication.

192.A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should
the nurse make? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

193.A nurse is providing teaching to a client who has stable angina and a new prescription for transdermal
nitroglycerin. Which of the following instructions should the nurse include? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

Created on:03/23/2024 Page 44

 Farmacolog1

194.A nurse is preparing to administer ticarcillin / clavulanate 3.1 g by intermittent IV bolus over 30 min. Available is
ticarcillin / clavulanate 3.1 g in 50 mL 0.9% sodium chloride (NSS). The nurse should set the IV pump to deliver
how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)

______ mL/hr

195.A nurse is preparing to administer 0.9% sodium chloride 1,200 mL IV to infuse over 24 hr. The drop factor of the
manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtt/min

196.A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should
the nurse include in the teaching?

A. Monitor for a cough.

B. Hold medication for heart rate less than 60/min.

C. Take this medication with food.

D. Avoid grapefruit juice.

197.A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a
client who is going to have a colonoscopy. Which of the following information should the nurse include?

A. "To prevent dehydration, drink an additional liter of fluid during preparation time."

B. "Expect bowel movements to begin 3 hr following completion of solution."

C. "Abdominal bloating might occur."

D. "Drink 400 mL every hour until bowel movements are clear."

198.A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate
tablets. Which of the following information should the nurse provide?

A. "An antacid may be taken with the medication if indigestion occurs."

B. "Take sucralfate 1 hr before meals."

C. "Take the tablets whole."

Created on:03/23/2024 Page 45

 Farmacolog1

D. "Store sucralfate in the refrigerator."

199.A nurse is planning to administer butorphanol to a client who is in labor. Which of the following medications
should the nurse plan to have available to reverse the action of this medication?

A. Protamine

B. Diphenhydramine

C. Atropine

D. Naloxone

200.A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused
breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take
first?

A. Check the client's vital signs.

B. Request a dietitian consult.

C. Suggest that the client rests before eating the meal.

D. Request an order for an antiemetic.

201.A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a
priority to report?

A. Dry cough

B. Swelling of the tongue

C. Nausea

D. Nasal congestion

202.A nurse is monitoring a client who took an overdose of acetaminophen 72 hr ago. The nurse should identify which
of the following findings as a manifestation of acetaminophen poisoning?

A. Constipation

B. Xerostomia

C. Tinnitus

Created on:03/23/2024 Page 46

 Farmacolog1

D. Vomiting

203.A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should
include in the teaching that which of the following antagonist medications is used for benzodiazepines?

A. Flumazenil

B. Diphenhydramine

C. Protamine

D. Naloxone

204.A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the
nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.)

______ mL

205.A nurse is preparing to administer dexamethasone 8 mg IM divided into 4 equal doses QID. The amount
available is dexamethasone 4 mg/mL. How many mL should the nurse administer per dose? (Round the answer
to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

______ mL

206.A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are
a pregnancy risk category B. Which of the following medications should the nurse include?

A. Acetaminophen

B. Aspirin

C. Ibuprofen

D. Naproxen

207.A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse
should administer which of the following medications before breakfast?

A. Alendronate

B. Digoxin

Created on:03/23/2024 Page 47

 Farmacolog1

C. Mycostatin mouthwash

D. Divalproex

208.A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the
following instructions should the nurse include in the teaching?

A. "Do not take antihistamines with this medication."

B. "Take the medication on an empty stomach."

C. "Stop taking the medication immediately for a headache."

D. "Expect to develop diarrhea initially."

209.A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The
nurse should inform the client that this medication is contraindicated in clients who have a history of which of the
following conditions?

A. Asthma

B. Glaucoma

C. Depression

D. Migraines

210.A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the
following findings is a manifestation of an allergic reaction?

A. Pruritus

B. Diarrhea

C. Dark urine

D. Fever

211.A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for
rifampin. Which of the following information should the nurse provide?

A. "Treatment with this medication will last for 1 month."

B. "This medication can cause insomnia."

Created on:03/23/2024 Page 48

 Farmacolog1

C. "It is best to take the medication with meals."

D. "Urine and other secretions might turn orange."

212.A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following
information should the nurse include?

A. Take an antiemetic 1 hr following administration.

B. Drink 2 to 3 L of water per day.

C. Take the medication with an NSAID.

D. Rinse mouth 2 times per day with an alcohol based mouthwash.

213.A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which
of the following manifestations as an expected response to this medication?

A. A decrease in resting blood pressure

B. Control of seizure activity

C. Decreased auditory hallucinations

D. Increased energy level and involvement in activities

214.A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin.
The nurse should instruct the client that they should expect to experience which of the following manifestations
while taking this medication?

A. Constipation

B. Black-colored stools

C. Staining of teeth

D. Red-colored urine

215.A nurse is assessing a client after administering a dose of losartan. The client has a hoarse voice, and swollen
lips and tongue. In which order should the nurse take the following actions? Move the nursing actions into the
box on the right, placing them in the selected order of performance. All steps must be used.)

A. Administer IV epinephrine.

B. Initiate IV access.

Created on:03/23/2024 Page 49

 Farmacolog1

C. Call the emergency response team.

D. Administer IV antihistamines.

E. Apply high-flow oxygen.

F. Assess the client’s airway.

216.A nurse is teaching about medications to a group of clients. Which of the following statements by a client
indicates a need for further teaching?

A. "I will take ibuprofen for arthritis."

B. "I will take morphine during sickle cell crisis."

C. "I will take propranolol to manage high blood pressure."

D. "I will take aspirin to reduce pain from my peptic ulcer.

217.The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2
months ago. Which of the following actions should the nurse take?

A. Give the medication.

B. Discard the medication.

C. Notify the provider.

D. Return the medication to the pharmacy.

218.A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed
RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the
following actions by the new nurse requires intervention by the charge nurse?

A. The nurse initiates an infusion of 0.9% sodium chloride.

B. The nurse collects a urine specimen.

C. The nurse sends a blood specimen to the laboratory.

D. The nurse starts the transfusion of another unit of blood product.

219.A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy.
The nurse should monitor the client for which of the following clinical manifestations?

Created on:03/23/2024 Page 50

 Farmacolog1

A. Metabolic acidosis

B. Metabolic alkalosis

C. Respiratory acidosis

D. Respiratory alkalosis

220.A nurse is caring for a client is who has a deep vein thrombosis and is prescribed heparin by continuous IV
infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump
to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it
applies. Do not use a trailing zero.)

______ mL/hr

221.A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a
need for further teaching?

A. "I have started taking ginger root to treat my joint stiffness."

B. "I take this medication at the same time each day."

C. "I eat a green salad every night with dinner."

D. "I had my INR checked three weeks ago."

222.A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of
the following beverages should the nurse tell the client to avoid while taking this medication?

A. Milk

B. Orange juice

C. Coffee

D. Grapefruit juice

223.A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should
instruct the client that which of the following foods can have an adverse interaction with this medication?

A. Pepperoni

B. Orange juice

C. Grapefruit juice

Created on:03/23/2024 Page 51

 Farmacolog1

D. Smoked salmon

224.A nurse is teaching a client who has a new prescription for sumatriptan tablets to treat migraine headaches.
Which of the following instructions should the nurse include?

A. "Take daily to prevent headaches."

B. "Chew tablet well before swallowing."

C. "Report swelling of eyelids after dosage."

D. "Repeat dose in 1 hour for unrelieved headache."

225.A nurse is evaluating teaching with a client who is receiving continuous subcutaneous insulin via an external
insulin pump. Which of the following statements by the client indicates a need for further teaching?

A. "I will change the needle every 3 days."

B. "I should store all unused insulin in the refrigerator."

C. "If I skip lunch, I will skip my mealtime dose of insulin."

D. "I will use insulin glargine in my insulin pump."

226.A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15
gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtts/min

227.A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D5 lactated
Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL.
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ gtt/min

228.A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings
is a manifestation of phlebitis? (Select all that apply.)

Answers cannot be displayed for this alternate item format.

Created on:03/23/2024 Page 52

 Farmacolog1

229.A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an
antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication
therapy. Which of the following interventions should the staff use to encourage the client's adherence? (Select all
that apply.)

Answers cannot be displayed for this alternate item format.

230.A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial
pressure. Which of the following medications should the nurse plan to administer?

A. Albumin 25%

B. Dextran 70

C. Hydroxyethyl glucose

D. Mannitol 25%

231.A nurse is caring for a client who is at 6 weeks of gestation and has pneumonia. While the nurse is obtaining the
client's history, the client tells the nurse that she takes the herb feverfew for migraine headaches. Which of the
following actions should the nurse take?

A. Tell the client that she should take an over-the-counter analgesic instead.

B. Explain to the client that she should not take this herb while she is pregnant.

C. Ask the client why she would take an herb during pregnancy.

D. Suggest that the client ask her herbalist within the next few weeks about taking it while pregnant.

232.A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following
findings should the nurse recognize as a potential adverse effect?

A. Urinary retention

B. Muscle weakness

C. Orthostatic hypotension

D. Blurred vision

233.A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir
every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should the

Created on:03/23/2024 Page 53

 Farmacolog1

nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.)

______ mL

234.A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the
nurse place the client for insertion of the suppository?

A. Sim's position

B. Prone position

C. Lying on the right side

D. Supine

235.A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of
the following data indicates a therapeutic response to the epinephrine?

A. Respirations are unlabored.

B. Client reports decreased groin pain of 3 on a 1 to 10 scale.

C. The client's blood pressure when arising from resting position is at premedication levels.

D. The client tolerates a second dose of medication with no greater than 1+ peripheral edema.

236.A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following
prescriptions with the provider?

A. Amoxicillin-clavulanate

B. Gentamicin

C. Erythromycin

D. Amphotericin B

237.A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which
of the following information should the nurse provide?

A. "This medication might turn urine your orange."

B. "Sleepiness should subside within a week."

Created on:03/23/2024 Page 54

 Farmacolog1

C. "Stop the medication if hypotension occurs."

D. "A low-grade fever is expected with first doses."

238.A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin paste. Which of
the following statements by the client indicates the need for further teaching?

A. "I should measure the dosage on the supplied paper."

B. "I should leave the patch in place until it is time for the next dose."

C. "I should get up slowly when I stand."

D. "I might have a headache when I first start taking this medication."

239.A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The
nurse should withhold which of the following medications?

A. Senna

B. Ibuprofen

C. Omeprazole

D. Zolpidem

240.A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following instructions should
the nurse include?

A. "Discard the medication if it is cloudy."

B. "Briskly shake the medication before filling the syringe."

C. "Take this medication15 minutes before meals."

D. "Eat a snack 8 hours after taking this medication."

241.A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin.
Which of the following baseline examinations should the nurse include in the teaching?

A. Liver function tests

B. Hearing test

C. Papanicolaou test

Created on:03/23/2024 Page 55

 Farmacolog1

D. Dental examination

242.A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of
the following manifestations should the nurse include as an indication of mild toxicity?

A. Constipation

B. Urinary retention

C. Muscle weakness

D. Hyperactivity

243.A nurse is teaching an adolescent about medication therapy with oral acetylcysteine. Which of the following
information should the nurse include in the teaching?

A. "You should avoid eating eggs."

B. "Your mouth will become dry."

C. "It is necessary to monitor your serum electrolyte levels."

D. "This medication has a very unusual odor."

244.A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat
chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor?

A. Headache

B. Dependent edema

C. Polyuria

D. Photosensitivity

245.A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following
adverse effects of calcium should the nurse suspect when the client reports having flank pain?

A. Hepatitis

B. Hip fracture

C. Renal stones

D. Pancreatitis

Created on:03/23/2024 Page 56

 Farmacolog1

246.A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the
following instructions should the nurse give to the client?

A. "If the medicine causes an upset stomach, take an antacid at the same time."

B. "Limit your daily fluid intake while taking this medication."

C. "This medication can cause photophobia, so be sure to wear sunglasses outdoors."

D. "You should report any tendon discomfort you experience while taking this medication."

247.A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several
medications. Which of the following factors should the nurse recognize is of primary consideration when
determining the schedule of administration?

A. Institutional policies regarding routine medication administration times

B. Specific characteristics of the medications

C. Schedule of administration that the client follows at home

D. Time at which the medication can be available from the pharmacy

248.A nurse is caring for a client who is prescribed tetracycline 2 grams daily PO in four divided doses every 6 hr.
Available is tetracycline 250 mg capsules. How many capsules should the nurse administer per dose? (Round
the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

______ capsule

249.A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should recognize which of the following medications can cause glucose intolerance?

A. Cimetidine

B. Dextromethorphan

C. Prednisone

D. Atorvastatin

250.A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast.
The nurse should instruct the client to report which of the following adverse effects to the provider?

Created on:03/23/2024 Page 57

 Farmacolog1

A. Blurred vision

B. Palpitations

C. Constipation

D. Depression

Created on:03/23/2024 Page 58