WorksheetsPharmacology Exam 2 Practice
Total questions: 12
Worksheet time: 6mins
The patient tells the nurse that she has a cold, is coughing, and feels like she has fluid in her lungs. What action will the nurse anticipate performing first?
Encourage the patient to drink fluids hourly.
Administer guaifenesin.
Administer dextromethorphan.
dminister fluticasone (Flonase).
A patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spray every 2 hours. What is the nurse’s most appropriate response?
“Oxymetazoline should be administered every hour for severe congestion.”
“Overuse of nasal decongestants results in rebound congestion.”
“Oxymetazoline is not an effective nasal decongestant.”
“You are probably displaying an unexpected reaction to oxymetazoline.”
A patient with a history of asthma is short of breath and says, “I feel like I’m having an asthma attack.” What is the nurse’s priority action?
Administering a beta2 adrenergic agonist
Administering a long-acting glucocorticoid
Calling a code
Asking the patient to describe the symptoms
Which instruction will the nurse include when teaching a patient about the proper use of metered-dose inhalers?
“After you inhale the medication once, repeat until you obtain relief.”
“Hold your breath for 10 seconds if you can after you inhale the medication.”
“Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler.”
“Make sure that you puff out air repeatedly after you inhale the medication.”
Which statement made by the patient demonstrates a need for additional instruction from the nurse regarding the use of nitroglycerin?
“If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief.”
“I should keep my nitroglycerin in a cool, dry place.”
“I can take up to five tablets at 3-minute intervals for chest pain if necessary.”
“I should change positions slowly to avoid getting dizzy.”
Which patient assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker?
Patient denies dizziness.
Absence of chest pain
Patient states that she feels stronger.
Decreased swelling in the ankles and feet
A patient with acute pulmonary edema is receiving furosemide. What assessment finding indicates to the nurse that the intervention is working?
Improvement in mental status
Output 30 mL/h
Potassium level decreased from 4.5–3.5 mEq/L
Lungs clear to auscultation
The nurse notes that the patient is receiving hydrochlorothiazide for hypertension. Which additional medication in the patient’s drug regimen would cause concern on the part of the nurse?
Nitroglycerine
Digoxin
Maalox
Albuterol
What statement indicates to the nurse that the patient needs additional instruction about antihypertensive treatment?
“I will change my position slowly to prevent feeling dizzy.”
“I will check my blood pressure daily and take my medication when it is over 140/90.”
“I will include rest periods during the day to help me tolerate the fatigue my medicine may cause.”
“I will not mow my lawn until I see how this medication makes me feel.”
The nurse is caring for several patients who are all being treated for hypertension. Which patient will the nurse assess first?
The patient who has been on beta blockers for 1 day
The patient who has stopped taking a beta blocker due to cost
The patient who is on a beta blocker and a thiazide diuretic
The patient who is taking a beta blocker and Lasix (furosemide)
Which statement made by the patient indicates to the nurse that the patient understands discharge instructions on antihyperlipidemic medications?
“It is important to double my dose if I miss one in order to maintain therapeutic blood levels.”
“I will stop taking the medication if it causes nausea and vomiting.”
“Antihyperlipidemic medications will replace the other interventions I have been doing to try to decrease my cholesterol.”
“I will continue my exercise program to help increase my high-density lipoprotein serum levels.”
A patient is taking pravastatin sodium. Which assessment finding requires immediate action by the nurse?
Slight nausea
Headache
Muscle pain
Fatigue
