CAPSTONE PHARMACOLOGY 2 Exam / Practice Questions and Answers Provided / Graded A

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CAPSTONE PHARMACOLOGY 2 Exam PHARMACOLOGY 1-A nurse is assessing a client who started taking furosemide 2 days ago and has a potassium level 3.1. Which of the following findings should the nurs... e expected? Depressed deep tendon reflexes. 2-A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory test should the nurse monitor to detect an adverse effect of the medication? Creatinine 3- A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect this medication? Increase urinary output 4- A nurse is providing teaching to a client who has fibromyalgia and a new prescription for pregabalin. Which of the following instruction should the nurse include in the teaching? You should notify your provider if you experience facial swelling. 5- A nurse is assessing a client who is in preterm labor and is receiving magnesium via continuous IV infusion. Which of the following findings should the nurse identify as the priority? Deep tendon reflexes 1+ 6-A nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate. During previous infusion? Adm diphenhydramine prior to administration. 7- A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statement indicates an understanding of the teaching? I will need to have regular eye exams while taking this medication 8-a nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse? Infiltration of peripheral IV 9-A nurse is providing discharge instruction to a client who has a new prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching? This medication reduces stomach acid 10- A nurse is providing teaching to a client who has prostate cancer and a new prescription for leuprolide. The nurse should explain to the client that leuprolide treats prostate cancer by which of the following actions? Leuprolide decrease the production of testosterone 11-A nurse is reviewing laboratory data for a client who is taking niacin to correct plasm lipid levels. Which of the following’s findings should the nurse identify as an adverse effect of this therapy? Elevated Alanine Aminotransferase (ALT) 12-A nurse is caring for a client who requires a transfusion of one unit of packed RBC. The nurse received the following prescription diphenhydramine 50mg by mouth once, one hour to transfusion. The nurse should identify this as which of the following types of prescription? Single prescription 13- A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client foe which of the following manifestations s an adverse of COLESEVELAM Constipation. 14- A nurse is caring for older adult client who is confirmed positive for HIV and will begin medication therapy. Which of the following instructions should the nurse give the client? SATA You will be prescribed more than one medication to fight the virus. Your medication plan can also include an antibiotic medication. You will need to take medication for the rest of your life 15- A nurse is completing an admission assessment for a client who has been taking ST John’s worst. The nurse should identify that which of the following medications can interact with St John worst? Citalopram 16- The first action the nurse should take is to assess the client for injury due to medication error. Assess the client 17- A nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerine tablets. Which of the following instructions should the nurse include in the teaching? Store used tablet a room temperature 18- A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indication understanding of the teaching? I should not drive while taking this medication 19- A nurse is assessing a client who has diabetes insipidus and is starting intranasal desmopressin. Which of the following findings should indicates to nurse that medication in effective? The client’s 24 hr urine is 1256ml 20- A nurse is transcribing a telephone prescription for acetaminophen 650mg by mouth daily at bedtime. The nurse should identify that which of the following abbrevations are acceptable to use when transcribing the prescription Abbreviate by mouth as PO 21- A nurse is reviewing the medical record of a client who takes lithium. Which of the following findings is the priority to report to use the provider? Sodium 130 22- adverse effect of iron preparation Monitor your child for constipation (increase fluid) 23- A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which of the following client statements indicates an understanding of the teaching? I will have my blood checked to monitor the medication levels 25- A nurse is reviewing the medical record of a client who has asthma and takes albuterol. Which of the following findings should the nurse identify as an adverse effect of albuterol? Heart rate 110bpm 26- A nurse is assessing a client who has a prescription for haloperidol 0.5mg PO three times daily. The medication administration record shows that the client received 5 mg per dose on the previous day. Which of the following manifestations is the nurse’s priority to assess? Muscle stiffness 27- A nurse is teaching a client who has a new prescription for isoniazid to treat tuberculosis. Which of the following information should the nurse include in the teaching You will have frequent sputum test to monitor the effectiveness of this medication 28- A nurse is assessing a client who received ondansetron 1 hr ago, Which of the following finding should the nurse identify as a therapeutic effect Suppressed emesis 29- A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medications should the nurse expect the provider to prescribe? Chlordiazepoxide 30- A nurse is providing teaching to a client who has erectile dysfunction and has a new prescription for tadalafil. Which of the following client statement indicates an understanding of the teaching? This medication can decrease BP 31- A nurse is assessing a group of clients. Which of the following findings is the priority to reports to the provider? A client who is receiving continuous IV lidocaine and has a respiratory rate of 10min 32. A nurse is providing teaching to a client who has a new prescription for rantidine for the treatment of Zollinger-ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following action? It reduces gastric acid production 33. A nurse is caring for a client who has open angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose the nurse should ask the client if they have an allergy to which of the following medication classifications? Sulfa-based medications 34. a nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. The client asks why they must take both medications. Which of the following responses should the nurse make. Taking the two medications together keeps you from becoming resistant to either of them 35. a nurse is providing teaching to a client who has type 2 diabetes and is starting to take immediate- release exenatide. Which of the following statements indicates an understanding of the teaching? I will take this medications one hour before morning and evening meals 36. a nurse is providing teaching to a client who has a new prescription for folic acid. The client states “I thought that was only given during pregnancy”. Which of the following statements should the nurse make? Folic acid is important for the building of blood cells 37. A nurse in the PACU is caring for a client who has received general anesthesia and has manifestations of malignant hyperthermia. Which of the following medications should the nurse expect to administer? Dantrolene 38. a nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. The nurse should recognize that’s chest pain can be an adverse effect of which of the following medications? Albuterol 39. a nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following actions should the nurse take first? Ask the client to describe their concerns 40. a nurse is caring for a client who has a prescription for a hypotonic IV fluid. Which of the following solutions should the nurse expect to administer? 0.45% sodium chloride 41. a nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following conditions should the nurse expect to administer this medication? Acetaminophen toxicity 42. a nurse is obtaining vital sings for a client who has been taking propranolol. Which of the following should the nurse identity as an adverse effect of the medication? Apical pulse 50/min 43. a nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day. Which of the following information should the nurse include in the teaching? Increase fluids while taking the medication 44. . a nurse is providing teaching to a client who a new prescription for oral extended-release potassium chloride tablets. Which of the following instructions should the nurse include in the teaching? Do Not crush this medication 46. a nurse is providing teaching to a client who a new prescription for levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? I might not realize the full effect of the medication for several weeks 47. while assessing a client at the beginning of the shift, a nurse notes that the client received a medication in error from the nurse on the previous shift. Al which of the following times should the nurse plan to complete an incident report about the error? As soon as the assessment is complete 48. a nurse is preparing to administer a second unit of packed RBCs to a client who is experiencing hemorrhagic shock. the nurse should monitor the client for which of the following manifestation as an indication of circulatory overload? Dyspnea 49. a nurse is planning care for a client who has neutropenia. Which of the following medications should the nurse expect to administer? Filgrastim 50. a nurse is preparing to administer gentamicin 200 mg infusion over 1 hr to a school-age child. Available is gentamicin 200 mg in 100 ml 0.9% sodium chloride solution. The nurse should set the iv pump to deliver….. 100 ml/hr 51. A nurse is assessing a client who has been taking hydrocholorthiazide. Which of following client statements indicates that the medications is effective? The swelling in my feet has decreased 52. a nurse is assessing a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as the priority? Deep tendon reflexes 1+ 53. a nurse teaching a client who is to start taking methyldopa for the treatment of hypertension. Which of the following information should the nurse include in the teaching? This medication can cause dizziness 54. a nurse is caring for a client who reports using the herbal medication garlic along with prescribed warfarin. The nurse should identify that which of the following is a potential adverse effect of taking both of these products concurrently? Increased ecchymosis 55. A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indicates an understanding of the teaching? I should not drive while taking this medication 56. a nurse is caring for a client who has HIV and a prescription for nevirapine. The nurse should monitor the client for which of the following manifestations as an adverse reaction to nevirapine? Rash 57. a nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take? Monitor for hypoglycemia for 3 hr after pramlintide administration 58. a nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching. Take one tablet of the medication on the same date each month. 59. a nurse is providing discharge instructions to a client who has a new prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching? This medication reduces stomach acid 60. a nurse is providing teaching to a client who has a new prescription for methimazole of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching? I will contact the provider if my throat becomes sore 61. a nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take? Administer diphenhydramine prior to administration 62. a nurse is providing teaching to a client who is starting to take aspirin. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication? Black, tarry stools 63. a nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about starting neostigmine. The nurse should identify which of the following client conditions as a potential contraindication for cholinesterase inhibitor therapy? Peptic ulcer disease? 64. a nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider? Fludocortisone 65. a nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression to the nephropathy? Losartan 66. a nurse is caring for a client who is having difficulty voiding following surgery. The nurse notes palpable bladder distention. Which of the following medications should the nurse anticipate administering to the client? Bethanechol 67. a nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? Select all that apply Contact the provider Report the error to the charge nurse Auscultate the client’s lungs Check the client for peripheral edema 68. a nurse is caring for a client who has chemotherapy-induce anemia. The nurse should expect to administer which of the following medications to treat the anemia? Epoetin 69. a nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching? Increase fluid intake while taking the medication [Show More]

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