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WorksheetsPharmacology Quiz 1
Total questions: 15
Worksheet time: 30mins
•A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care provider prescribes Atropine Sulfate. Which of the following best describes the intended action of atropine for this client?
To stimulate the SA node and sympathetic fibers to increase the rate.
To accelerate the heart rate by interfering with vagal impulses.
To dry oral and tracheobronchial secretions.
To reduce peristalsis and urinary bladder tone.
A client is prescribed digoxin (Lanoxin) 1mg by mouth QID. The client states that the objects in his room have a yellowish tinge and he is nauseated. Select the most appropriate nursing action at this time.
Hold the medication and count the apical pulse before the next dose is to be given.
Count the apical pulse; if it is regular and above 60, administer the drug as ordered.
Administer the medication and observe the client for further nausea.
Hold the drug and call the health care provider
A nurse is reviewing the morning laboratory results while preparing to administer a client their dose of digoxin (Lanoxin). Which result would the nurse need to report to the primary care provider?
Digoxin level of 0.5 ng/ml
Calcium level of 11mg/dl
Potassium level of 3.4 mEq/l
Sodium level of 133 mEq/l
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of potassium/L to infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse calculates the flow rate to be: ______ gtt/min.
9 drops/min
10 drops/min
11 drops/min
12 drops/min
A nurse is to administer Nitroglycerin to a client for the treatment of angina. Which of the following should the nurse first advise the client?
Dizziness may occur.
To sit or lie down.
A headache may occur.
To rise slowly
A client is prescribed digoxin (Lanoxin). Which of the following statements by the client indicates to the nurse the need for further teaching?
“I should eat bananas and drink orange juice when I am on this medication.”
“I will take my medication at the same time each day.”
“I will check my pulse every day before taking my medication.”
“If I see halos around lights there is no need to notify my provider.”
A client experiences postural hypotension during initial drug therapy with diltiazem (Cardizem). Which of the following would be most important for the nurse to recommend to this client?
Eat small, frequent meals during the day.
Rise slowly from a sitting or lying position.
Lie down for 30 minutes after taking the medication.
Drink additional oral fluids each day.
The nurse is reviewing a 24-hour log of a child with insulin-dependent diabetes blood sugars and notes a 7:30 am blood sugar of 59. The nurse suspects this is a result of:
6:00 pm NPH dose is too high
6:00 pm dose of rapid-acting insulin is too low.
6:00 am dose of NPH is to high
6:00 am dose of rapid-acting insulin is too low.
The nurse is assessing a child with Kawasaki's disease taking high-dose aspirin for salicylism. The nurse should observe for:
dry mouth.
vomiting.
strawberry tongue.
tremmors.
The nurse is reviewing teaching instructions for a child newly prescribed Ferrous Sulfate oral drops. What should the nurse include in the teaching?
The importance of oral hygiene.
The need to take the medication on an empty stomach.
To mix the medication in a citrus juice for administration.
Drink a glass of milk prior to administration.
Which of the following are symptoms of hyperkalemia?
paresthesia of the face and hands
Abdominal cramping and paralytic ileus
Leg cramps and muscle weakness
hyperactive deep tendon reflexes
The suffix "-pril" indicates which class of anti-hypertensive medication?
Angiotensin II-Receptor blocker
Angiotensin Converting Enzyme (ACE) Inhibitor
Non-selective Beta Blocker
Calcium Channel Blocker
What disease process would a nurse expect to see fluticasone propionate, a nasal glucocorticoid, prescribed?
Rhinitis
Infection
Epistaxis (bleeding)
Vaccination against flu
Which classes of medications would a prescription of guaifenesin/codeine belong to?
Antihistamine/antitussive
Vasoconstrictor/antipyretic
Analgesic/expectorant
Expectorant/antitussive
The nurse should question the use of this drug as a treatment for nausea associated with motion sickness?
Dimenhydrinate
Scopolamine
Meclizine hydrochloride
Metoclopramide hydrochloride
