WorksheetsPharm exam 2
Total questions: 50
Worksheet time: 50mins
The nurse assesses the client for symptoms of hyperthyroidism. Which symptom(s) can indicate hyperthyroidism? (Select all that apply.)
Palpitations
Constipation
Excessive sweating
Tachycardia
Tinnitus
While a client is taking prednisone, which laboratory value would be closely monitored?
Hematocrit
Hemoglobin
Magnesium
Sodium
The nurse is caring for a patient who is receiving growth hormone. Which assessment will the nurse monitor daily?
CBC
Height and weight
Renal function
Serum glucose
A patient is given desmopressin acetate. The nurse knows that this drug is used to treat which condition?
Gigantism
Diabetes Mellitus
Diabetes Insipidus
Adrenal Insufficiency
A child exhibits acromegaly caused by a tumor that cannot be destroyed with radiation. Which medication would be appropriate to treat this child?
Bromocriptine
Conivaptan
Somatrem
Somatroin
Which time frame would the nurse expect the client to experience a hypoglycemic reaction to regular insulin if administration occurs at 0700 and the client does not eat?
0800-0900
0900-1300
1300-1500
1500-1700
Which drug(s) or category(ies) of drug(s) will in-teract with a sulfonylurea? (Select all that apply.
Antacids
Anticoagulants
Anticonvulsants
Aspirin
Cimetidine
The nurse is caring for a patient who has experienced head trauma in a motor vehicle accident. The patient is having excessive output of dilute urine. The nurse will notify the provider and will anticipate administering which medication?
Calcifediol
Corticotropin
Prednisolone
Vasopressin
A patient is receiving a daily dose of NPH insulin at 7:30 a.m. The nurse expects the peak effect of this drug to occur at what time?
0815
1030
1700
2300
A hemoglobin A1c level of 6.7% indicates
Diabetes mellitus
Prediabetes
Hypoglycemia
Normal blood levels
A patient who has type 1 diabetes mellitus must take a glucocorticoid medication for osteoarthritis. When teaching this patient, the nurse will explain that there may be a need to:
Increase the glucocorticoid dose
decrease the insulin dose
increase the glucocorticoid dose
increase the insulin dose
A patient has hypocalcemia caused by parathyroid hormone deficiency. Which medication will the nurse anticipate giving to this patient?
Calcitonin
Calcitriol
Calcium
Vitamin D
A patient is prescribed metoprolol to treat hypertension. It is important for the nurse to monitor the patient for which condition? (Select all that apply.)
Bradycardia
Hypotension
Diaphoresis
Agitation
Erythema
A client with asthma asks the nurse how albuterol inhaler will work to help breathe better. Which response by the nurse best explains the action of the drug?
“Albuterol will increase your heart rate so you will feel like you are able to breathe better.”
“Albuterol causes the airways to open up more in the lungs, improving function.”
“Albuterol will cause an increase in urinary output to remove extra fluid from the lungs.”
“Albuterol causes bronchial smooth muscle contraction that forces air into the lungs.”
A client presents to the clinic with a swollen face and tongue, difficulty breathing, and audible wheezes after eating a peanut butter sandwich for lunch. Which action would the nurse first take?
Ensure a patent airway
obtain an ECG
Administer 1 mg of epinephrine subcut
start an IV normal saline
Which drug(s) is/are classified as beta blockers? (Select all that apply.)
Albuterol
Atenolol
Propranolol
Amphetamine
Acebutolol
The nurse is caring for a patient who will begin taking atenolol (Tenormin). What information will the nurse include when teaching the patient about taking this medication?
The drug must be taken twice daily
The patient must rise slowly from a chair or bed
The medication is safe to take during pregnancy
use NSAIDs as needed for mild to moderate pain
Some over-the-counter (OTC) drugs for cold symptoms contain substances that have sympathetic properties. These drugs are contraindicated in clients with which disease process?
Allergic rhinitis
Hypertension
Orthostatic hypotension
Chronic bronchitis
A client calls the home health agency to tell the nurse about shaking and trembling after using the albuterol inhaler. Which question would the nurse first ask the client?
Are you having any other symptoms?
How long ago did this start?
When was the last time you used your inhaler?
How many puffs did you take?
A client with narrow-angle glaucoma is prescribed an anticholinergic drug. Which action would be a priority by the nurse?
Administer the medication as ordered after verifying the patient’s identity.
Give only one-half of the prescribed dose.
Hold the dose and contact the health care provider.
Wait until after the patient has taken glaucoma medication and then give the drug.
Which outcome to the body would occur from receiving large doses of cholinergic drugs?
Decreased blood pressure
Decreased salivation
Mydriasis
Urinary retention
Which drug treats myasthenia gravis by increasing muscle strength?
Bethanechol
Edrophonium chloride
Neostigmine bromide
Pilocarpine
The nurse would question an order for atropine for which client?
A client with a peptic ulcer
a client with parkinsonism
a client with cirrhosis
a client with narrow-angle glaucoma
The client has been taking bethanechol and is experiencing flushing, sweating, nausea, and abdominal cramps. Which action would be best for the nurse to take?
Document the manifestations
Give the client a laxative
increase fluid intake
obtain an order to administer atropine
The nurse is administering bethanechol, a cholinergic agonist, and should know that the expected cholinergic effects include which of the following?
Increased heart rate
decreased peristalsis
decreased salivation
increased pupil constriction
Cholinergic drugs have specific effects on the body. What are the actions of cholinergic medications? (Select all that apply
Dilate pupils
decrease heart rate
stimulate gastric muscle
increase salivation
dilate blood vessels
When a patient has a cholinergic overdose from excessive dosing of bethanechol, the nurse anticipates administration of which drug as the antidote?
Atropine
Tolterodine
Benztropine
Metoclopramide
A patient has been using an amphetamine drug as an anorexiant for several weeks and asks the nurse about long-term adverse effects of this type of medication. The nurse will explain to the patient that these drugs
can cause cardiac dysrhythmias/palpitations with continued use.
contribute to the development of narcolepsy
do not have severe effects when used properly.
. will cause orthostatic hypotension.
What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant?
Keep the patient on bed rest
Monitor the patient for seizure activity
Continuously monitor the patient's pulse rate
Obtain a bedside commode for the patient
A patient taking lorazepam asks the nurse how this drug works. The nurse should respond by stating that it is a benzodiazepine that acts by which mechanism?
Depressing the central nervous system, leading to a loss of consciousness
Depressing the central nervous system, including the motor and sensory activities
Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to GABA receptors
Creating an epidural block by placement of the local anesthetic into the epidural space
The client works 12-hour night shifts one week and 12-hour day shifts the next week. the client tells the nurse that “some kind of sleeping pill from the drugstore” is used to help with sleep. What does the nurse suspect is the most likely main ingredient in the over-the-counter sleep drug?
Antihistamine
Barbiturates
Benzodiazepines
Opioid Agonists
Which class of drug is the most commonly prescribed drug to assist patients with sleep disorders?
Analeptic
Anesthetic
Sedative-Hypnotic
Triptan
The nurse witnesses a patient’s seizure involving generalized contraction of the body followed by jerkiness of the arms and legs. The nurse reports this as which type of seizure?
Myoclonic
Absence
Tonic-Clonic
Pyschomotor
When administering phenytoin, the nurse realizes more teaching is needed if the patient makes which statement?
“I must shake the oral suspension very well before pouring it in the dose cup.”
“I cannot drink alcoholic beverages when taking phenytoin.”
“I should take phenytoin 1 hour before meals.”
“I will need to get periodic dental checkups.”
A patient is admitted to the emergency department with status epilepticus. Which drug should the nurse most likely prepare to administer to this patient? (Select all that apply.)
Diazepam
Midazolam
Gabapentin
Levetiracetam
The nurse is caring for a patient who has a seizure disorder being treated with phenytoin. The nurse notes that the patient has reddened gums that bleed when brushing. The nurse recognizes this finding as:
an adverse effect of the phenytoin
likely due to a drug interaction with aspirin.
a symptom of hepatotoxicity.
. a sign of poor self-care.
Phenytoin has been prescribed for a patient with seizures. The nurse should include which appropriate nursing intervention in the plan of care?
Report an abnormal phenytoin level of 18 mcg/mL.
Monitor complete blood count levels for early detection of blood dyscrasias.
Encourage the patient to brush teeth vigorously to prevent plaque buildup.
Teach the patient to stop the drug immediately when passing pinkish-red or reddish-brown urine
An older patient exhibits a shuffling gait, lack of facial expression, and tremors at rest. The nurse will expect the provider to order which medication for this patient?
Carbidopa/levidopa
donepezil
rivastigmine
tacrine
A patient is receiving carbidopa-levodopa for Parkinson disease. What is most important for the nurse know about this drug?
Carbidopa-levodopa may lead to hypertension.
Carbidopa-levodopa may lead to salivation.
Dopaminergics may lead to drowsiness.
Dopaminergics are contraindicated in glaucoma.
A client taking carbidopa-levodopa tablets for parkinsonism is complaining of dizziness, diarrhea, anxiety, and nasal stuffiness. Which complaints would the nurse recognize as a possible side effect of carbidopa-levodopa?
Dizziness
Diarrhea
Anxiety
Nasal stuffiness
The nurse is teaching a patient recently diagnosed with multiple sclerosis about the disease. Which statement is not correct concerning multiple sclerosis?
The disease has periods of exacerbations followed by periods of remissions.
Goals of treatment are to decrease the inflammation in the nervous system
Patients experience muscle weakness, fatigue, vision and emotional problems
Multiple sclerosis is an autoimmune disorder that causes plaque to develop
The nurse is assessing a client who is receiving treatment for myasthenia gravis with pyridostigmine. Which clinical manifestations would be
noted if the drug is working
Increased salivation
maintenance of muscle strength
miosis
tachycardia
Levodopa is prescribed for a patient with Parkinson’s disease. At discharge, which of the following teaching points should the nurse include?
Monitor blood pressure every 2 hours for the first 2 weeks.
Report the development of diarrhea
Take the pill on an empty stomach or 2 hours after a meal containing protein.
If tremors seem to worsen, take a double dose for two doses and call the provider
The nurse suspects that a patient who is experiencing facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face may have which condition?
Akathisia
Acute dystonia
Tardive dyskinesia
Pseudoparkinsonism
An antipsychotic agent, fluphenazine, is ordered for a patient with psychosis. The nurse understands that this agent can lead to symptoms of extrapyramidal syndrome (EPS). What are the symptoms of EPS?
Parkinsonism
Nausea and vomiting
Hyperthermia and dysrhythmias
Tremors, rigidity, and shuffling gait
Neuroleptic drugs are useful in the management of which type of medical condition?
Anxiety disorders
Depressive disorders
Psychotic Disorders
Psychosomatic disorders
Which food(s) or beverage(s) is/are contraindicated in a client that is prescribed isocarboxazid? (Select all that apply.)
Bananas
Chocolate
Chicken
Milk
Wine
Which effect is an advantage of taking selective serotonin reuptake inhibitors (SSRIs) over tricyclic antidepressants (TCAs)?
Fewer sexual side effects
Increased appetite
Less sedation
Less tachycardia
Which nursing intervention is most important for a client taking lithium?
Advising the client that the drug can be stopped when not in a manic phase
Emphasizing the importance of client-adjusted dosage
Monitoring for excessive thirst, weight gain, and increased urination
Teaching the client to limit fluid intake to pre-vent weight gain
The client is currently taking lithium for bipolar disorder, manic phase. Which laboratory value would the nurse monitor?
BUN
Blood glucose
INR
Platelet count
