WorksheetsPharm notes ati
Total questions: 100
Worksheet time: 50mins
What should a patient do if they develop a rash while taking amoxicillin?
Report the rash to the provider immediately due to possible allergic reaction.
Continue taking the medication and ignore the rash.
Apply a topical cream and wait for the rash to subside.
Stop the medication only if the rash becomes painful.
Which of the following is an adverse effect of amoxicillin?
Hypertension
Diarrhea
Bradycardia
Muscle pain
Identify two manifestations of PEG complications that a nurse should watch for.
A gastric pH greater than 7 and a gastric residual greater than 500 ml.
Increased urine output and decreased heart rate.
Elevated blood glucose and decreased respiratory rate.
Low blood pressure and increased appetite.
Metoprolol is used to treat which of the following conditions?
Bacterial infections
Hypertension and angina
Allergies
Joint pain
Which of the following is a side effect of metoprolol that a nurse should identify?
Rash
Diarrhea
Muscle pain
Allergic reaction
Gentamicin IV is used to treat a wide range of ________.
bacterial infections
viral infections
fungal infections
parasitic infections
Why is it important to monitor peak and trough levels for Gentamicin IV?
To check the lowest concentration of meds in the blood stream, checked prior to next dose.
To ensure the medication is administered at the same time every day.
To monitor for allergic reactions only.
To determine if the patient needs a higher dose immediately.
Loratadine (Claritin and Alavert) is used to ________.
relieve allergy symptoms
treat bacterial infections
reduce blood pressure
cure diabetes
Celecoxib is contraindicated for a client with a history of which condition?
Hypertension
Myocardial infarction or heart disease
Allergies
High cholesterol
What should a patient taking simvastatin do if they develop muscle pain or tenderness?
Notify the provider, as this can indicate rhabdomyolysis.
Ignore the pain, as it is a common side effect.
Increase the dose to see if the pain improves.
Take an over-the-counter pain reliever and continue the medication.
Enalapril (Vasotec) is an ACE inhibitor used to treat ________.
high blood pressure and heart failure
diabetes mellitus
asthma
hypothyroidism
Which of the following is an adverse effect of enalapril?
Productive cough
Persistent dry or nonproductive cough
Rash
Muscle pain
Metoprolol is a beta blocker that slows the conduction through the ________.
AV node
sinoatrial node
Purkinje fibers
bundle of His
Isotretinoin is given for which condition?
Severe acne
Hypertension
Diabetes mellitus
Asthma
After starting Isotretinoin, what needs to be monitored after 1 month?
Liver enzymes
Blood pressure
Serum calcium
Thyroid function tests
Which of the following is a possible side effect of Isotretinoin?
High blood pressure
Nose bleeds
Weight gain
Insomnia
How many negative pregnancy tests are required prior to starting Isotretinoin?
2
1
3
4
Amphotericin B is used to treat what type of infections?
Serious, life threatening systemic fungal infections
Bacterial skin infections
Viral respiratory infections
Parasitic intestinal infections
Which of the following is a serious adverse effect of Amphotericin B?
Hypertension
Nephrotoxicity
Hyperkalemia
Weight loss
Phenelzine (Nardil) is classified as what type of medication?
Antidepressant
Antipsychotic
Anticonvulsant
Antihypertensive
What should be avoided when taking Phenelzine (Nardil)?
Tyramine
Vitamin C
Calcium
Ibuprofen
Morphine IV is given for what purpose?
Pain
Fever
Cough
Hypertension
When should a provider be notified for a patient on Morphine IV?
If respiratory rate is 20/min
If respiratory rate is 11/min
If blood pressure is 120/80
If heart rate is 80/min
Cefotetan is structurally similar to which class of antibiotics?
Penicillins
Macrolides
Tetracyclines
Aminoglycosides
What allergy should be checked before administering Cefotetan?
Penicillin allergy
Sulfa allergy
Aspirin allergy
Latex allergy
Propylthiouracil is used to treat which condition?
Hyperthyroidism
Diabetes mellitus
Hypertension
Asthma
What are early indications of agranulocytosis in a patient taking Propylthiouracil?
Sore throat and fever
Weight gain and hair loss
Increased appetite and sweating
Bradycardia and dry skin
Pioglitazone works by increasing the body's sensitivity to what?
Insulin
Glucagon
Adrenaline
Cortisol
Chlorpromazine is used as a medication for which condition?
Psychosis
Hypertension
Diabetes
Asthma
What precaution should be taken when using Chlorpromazine due to increased skin sensitivity?
Use sunblock
Increase caffeine intake
Wear dark colored clothes only
Avoid drinking water
Epoetin is given for which condition?
Kidney failure
Hypertension
Asthma
Diabetes
What is the desired effect of Epoetin administration?
Increase of the Hgb (hemoglobin)
Decrease of the Hgb (hemoglobin)
Increase of blood glucose
Decrease of white blood cells
Omeprazole is a ________ (proton pump inhibitor) that blocks the secretion of gastric acid and patients should be instructed to swallow the pill whole.
ppi
antacid
antibiotic
antihistamine
Methotrexate is used for ________ treatment and patients should increase fluid intake.
rheumatoid arthritis
hypertension
diabetes mellitus
hyperthyroidism
Valproic Acid is given for ________ and patients should tell the provider if abdominal pain is present, as it is a risk for hepatoxicity and pancreatitis.
seizures
hypertension
diabetes
asthma
Etonogestrel is an implantable progestin used for ________ control and may cause weight gain, irregular vaginal bleeding, and depression as adverse effects.
birth
pain
blood pressure
cholesterol
Esomeprazole is an ________ med and a proton pump inhibitor (ppi).
anti reflux
antibiotic
antiviral
antifungal
Estradiol is a type of ________ used for hormone replacement.
estrogen
androgen
progestin
corticosteroid
Ciprofloxacin is a ________ (fluoroquinolone).
antibiotic
analgesic
antiviral
antifungal
Diphenoxylate-atropine is an opioid used to treat ________.
diarrhea
hypertension
cough
insomnia
Aspirin (salicylates) can lead to ________.
ototoxicity
nephrotoxicity
hepatotoxicity
cardiotoxicity
Magnesium sulfate IV toxicity is treated with ________ gluconate.
calcium
potassium
magnesium
sodium
Lactated Ringers (LR) is an isotonic crystalloid fluid commonly used to manage ________ shock, replaces fluids and electrolytes, and is more like blood plasma than saline.
hypovolemic
cardiogenic
neurogenic
anaphylactic
Rho-gam is administered to RH- mothers with a ________ fetus/infant.
RH+
RH-
O+
AB-
Medroxyprogesterone Acetate (DMPA) can cause weight gain, increase calcium intake after injection, and can cause irregular vaginal ________.
spotting
itching
discharge
dryness
Pancrelipase (creon) is used for ________ pancreatic insufficiency.
exocrine
endocrine
autoimmune
chronic
What should oral potassium supplements be diluted with to avoid unpleasant taste and prevent gastric upset?
4 oz of juice or other liquids
1 cup of hot coffee
2 tablespoons of honey
A glass of carbonated soda
For which condition is Celecoxib commonly given?
Osteoarthritis
Diabetes Mellitus
Asthma
Epilepsy
Celecoxib should be administered with caution to clients with cardiac diseases and gastrointestinal diseases such as GI bleeding and ulcer.
True
False
Methylergonovine (Methergine): What is Methergine used to treat?
Postpartum hemorrhaging
Hypertension
Diabetes mellitus
Asthma
What vital sign should be checked when administering Methergine?
Blood pressure
Respiratory rate
Temperature
Pulse oximetry
What is the main purpose of Metoclopramide?
To prevent nausea and vomiting that may occur as a side effect of other medications
To treat high blood pressure
To relieve joint pain
To cure bacterial infections
What type of diuretic is Furosemide?
Potassium depleting diuretic
Potassium sparing diuretic
Osmotic diuretic
Carbonic anhydrase inhibitor
What is the recommended serum potassium level to check when taking Furosemide?
3.5-5
2.0-3.0
5.5-6.5
1.0-2.5
Furosemide (Lasix): Which food is recommended to intake due to its high potassium content when taking Furosemide?
Baked potatoes
White rice
Apple juice
Chicken breast
What class of medication is Doxepin?
Tricyclic antidepressant (TCA)
Selective serotonin reuptake inhibitor (SSRI)
Beta blocker
Benzodiazepine
What color urine should be expected when taking Phenazopyridine hydrochloride?
Orange
Blue
Green
Red
What can excessive sweating cause in patients taking lithium?
Increase in serum lithium level, possibly leading to toxicity
Decrease in serum lithium level, reducing effectiveness
No effect on serum lithium level
Improvement in mood symptoms
What should be checked before each dose of Propranolol?
Pulse
Temperature
Respiratory rate
Blood sugar
What is Lugol solution used for?
Potassium iodide
Sodium chloride
Calcium carbonate
Magnesium sulfate
Lugol solution: What can be done to reduce the bitter taste of Lugol solution?
Take with juice
Add salt
Heat the solution
Mix with vinegar
Which of the following is NOT a finding that indicates a client is getting too much thyroid replacement?
Tachycardia
Tremors
Hypertension
Hypotension
Prochlorperazine is an antiemetic and is given for _________.
nausea and vomiting
hypertension
diabetes
insomnia
Baclofen is used to treat muscle spasms for which condition?
cerebral palsy
diabetes mellitus
hypertension
asthma
Meperidine is an opioid analgesic used for ________ to ________ pain.
moderate to severe
mild to moderate
severe to mild
chronic to acute
Diazepam is a benzodiazepine used for anxiety, muscle spasms, and ________.
seizure
headache
hypertension
diabetes
Naloxone is used to reverse opioid induced ________ depression.
respiratory
cardiac
renal
hepatic
Promethazine is commonly used for motion sickness, post-surgical nausea, and ________ illnesses.
gastrointestinal
respiratory
dermatological
cardiac
Arthralgia means ________ pain.
joint
muscle
nerve
bone
Sulfasalazine is used to treat which condition?
ulcerative colitis
hypertension
diabetes mellitus
asthma
Rifampin is given for which disease?
tuberculosis (tb)
hypertension
diabetes mellitus
asthma
Which immunization is contraindicated in patients with a baker's yeast allergy?
Hepatitis B immunization
Measles, Mumps, and Rubella (MMR) vaccine
Tetanus toxoid vaccine
Influenza vaccine
Diphenhydramine reduces ________ induced inflammation which can help resolve airway symptoms.
histamine
serotonin
dopamine
acetylcholine
Nitrofurantoin is used to treat ________.
urinary tract infections (UTIs)
hypertension
diabetes mellitus
asthma
What is Stevens Johnson Syndrome (SJS) and why is it considered life threatening?
SJS is a rare but serious hypersensitivity reaction that can occur with nitrofurantoin use, presenting with flu-like symptoms followed by a painful rash, blistering, and skin peeling. Immediate discontinuation and medical intervention are required if symptoms develop, as it can be life threatening.
SJS is a mild allergic reaction that causes only mild itching and redness, and usually resolves without treatment.
SJS is a common side effect of antibiotics that only affects the digestive system, causing nausea and vomiting.
SJS is a chronic skin condition characterized by dry, scaly patches and is not considered a medical emergency.
What is the primary use of Sumatriptan?
To treat hypertension
To relieve migraine symptoms
To treat osteoporosis
To stimulate WBC production
Which of the following is a possible side effect of Sumatriptan?
Hypertension
Musculoskeletal pain
Gingival hyperplasia
Bone pain
Erythromycin is commonly prescribed as an alternative for clients with an allergy to which antibiotic?
Penicillin
Tetracycline
Ciprofloxacin
Vancomycin
Diazepam is commonly used to manage acute alcohol withdrawal by preventing seizures, reducing agitation, and alleviating autonomic hyperactivity.
True
False
Nitroglycerin (sublingual) should be taken at what interval and maximum dose within 15 minutes?
Should be taken at 5 minute intervals, maxing at 3 doses within 15 minutes.
Should be taken at 10 minute intervals, maxing at 2 doses within 15 minutes.
Should be taken at 2 minute intervals, maxing at 4 doses within 15 minutes.
Should be taken at 15 minute intervals, maxing at 1 dose within 15 minutes.
Which of the following is NOT a correct instruction for taking sublingual nitroglycerin?
A) Take at 5 minute intervals
B) Dissolve under the tongue
C) Store in heat and light
D) Take a small sip of water if mouth is dry before taking
Propylthiouracil is given for which disease?
Graves disease (which causes hyperthyroidism)
Diabetes mellitus
Addison's disease
Cushing's syndrome
What is a known side effect of Alendronate?
Musculoskeletal pain, including bone, joint, and muscle discomfort.
Increased appetite
Hair growth
Improved vision
Phenytoin is a medication used to treat which condition?
Seizures
Hypertension
Diabetes
Asthma
Bleeding gums known as gingival hyperplasia is a well known side effect of which medication?
Phenytoin
Aspirin
Metformin
Amoxicillin
Prednisone can cause which of the following?
Hypertension
Hyperglycemia
Bone pain
Muscle discomfort
Filgrastim is used to stimulate the production of which blood cells?
White blood cells (WBCs)
Red blood cells (RBCs)
Platelets
Plasma cells
What is the most common adverse effect of Filgrastim?
Bone pain
Nausea
Rash
Headache
Tobramycin is ototoxic and can cause which of the following symptoms?
Tinnitus, hearing loss, or balance disturbances
Increased appetite
Skin rash
Insomnia
What is the first line treatment for anaphylaxis during the administration of an intermittent IV bolus of nafcillin?
Epinephrine
Diphenhydramine
Hydrocortisone
Salbutamol
When administering Heparin, what size needle should be used to ensure the medication is delivered into the subcutaneous tissue rather than deeper layers?
25 gauge, ½ inch needle
18 gauge, 1½ inch needle
21 gauge, 1 inch needle
22 gauge, 1½ inch needle
Rifampin should be taken on an empty stomach (1-2 hrs after meals) to improve absorption and effectiveness.
True
False
What is a common symptom of allergic reaction when trying a new medication, known as urticaria?
Hives (raised, red, itchy welts on the skin)
Headache
Nausea
Dizziness
Lithium is a mental health drug used for which conditions?
Bipolar disorder, depression
Schizophrenia, anxiety
Obsessive-compulsive disorder, PTSD
ADHD, autism
What should be done after applying nitroglycerin ointment?
Cover the admin area with plastic wrap
Massage the ointment into the skin
Expose the area to sunlight
Remove the ointment immediately
Alendronate is used to treat which condition?
Osteoporosis
Hypertension
Diabetes
Asthma
What is a rare adverse effect of alendronate?
Jaw pain
Headache
Nausea
Rash
Epoetin alfa is given for renal failure and which blood levels are to be checked?
Hemoglobin (red blood cell production) levels
Blood glucose levels
Serum calcium levels
Liver enzyme levels
Who should press the PCA button to self-administer medication?
Only the client
The nurse
The family member
The physician
Glipizide lowers blood sugar glucose levels. What should be offered to the client as a snack?
A carbohydrate snack
A high-protein snack
A fatty snack
A sugar-free snack
