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WorksheetsBlailock's Pharm Pt 2 Practice Quiz
Total questions: 48
Worksheet time: 1hrs 12mins
Which of the following best describes the primary mechanism of action of NSAIDs?
Inhibition of beta-adrenergic receptors
Inhibition of cyclooxygenase enzymes (COX-1 and COX-2)
Activation of opioid receptors
Inhibition of angiotensin-converting enzyme
Which side effect is most commonly associated with opioid analgesics?
Hypertension
Constipation
Diarrhea
Polyuria
Which of the following is a primary indication for beta blocker therapy?
Asthma
Hypertension
Peptic ulcer disease
Hyperthyroidism
Which laboratory value should be closely monitored in a patient receiving warfarin therapy?
Blood glucose
International Normalized Ratio (INR)
Serum potassium
White blood cell count
Which class of diuretics is most likely to cause hypokalemia?
Thiazide diuretics
Potassium-sparing diuretics
Osmotic diuretics
Carbonic anhydrase inhibitors
Which of the following is a common adverse effect of fluoroquinolones?
Tendon rupture
Bradycardia
Hyperglycemia
Hearing loss
Which NSAID is known for having the highest risk of gastrointestinal bleeding?
Ibuprofen
Aspirin
Celecoxib
Acetaminophen
Which symptom should a nurse monitor for in a patient receiving opioid analgesics?
Tachypnea
Respiratory depression
Hypertension
Polyuria
Which of the following is NOT an indication for beta blocker use?
Angina pectoris
Heart failure
Bradycardia
Hypertension
Which test is used to monitor the effectiveness of heparin therapy?
INR
aPTT (activated partial thromboplastin time)
Platelet count
Serum creatinine
A patient is prescribed a loop diuretic. Which electrolyte imbalance should the nurse monitor for?
Hyperkalemia
Hypokalemia
Hypernatremia
Hypercalcemia
Which of the following instructions should be given to a patient starting a thiazide diuretic?
Increase potassium-rich foods in your diet
Avoid all dairy products
Take the medication at bedtime
Restrict fluid intake to less than 500 mL/day
A patient taking NSAIDs reports new onset of black, tarry stools. What is the most appropriate nursing action?
Reassure the patient this is a common side effect
Advise the patient to stop the NSAID and notify the healthcare provider
Instruct the patient to increase fluid intake
Suggest taking the NSAID with food
A patient on opioid analgesics becomes drowsy and difficult to arouse. What is the nurse’s priority action?
Administer naloxone as prescribed
Encourage the patient to ambulate
Offer the patient food
Increase the opioid dose
A patient is prescribed a beta blocker for hypertension. Which statement by the patient indicates a need for further teaching?
“I will not stop taking this medication abruptly.”
“I will monitor my blood pressure regularly.”
“I can stop this medication if I feel dizzy.”
“I will report any shortness of breath to my provider.”
A patient on warfarin therapy asks about dietary restrictions. Which food should the nurse advise the patient to consume consistently?
Foods high in vitamin K, such as leafy green vegetables
Foods high in calcium, such as dairy products
Foods high in sodium, such as processed meats
Foods high in iron, such as red meat
A patient is prescribed furosemide. Which instruction should the nurse include in the patient education?
Change positions slowly to prevent dizziness
Avoid all potassium-rich foods
Take the medication at night
Restrict all fluids
A patient is prescribed ciprofloxacin. Which symptom should prompt the patient to contact their healthcare provider immediately?
Mild headache
Sudden pain or swelling in the Achilles tendon
Mild nausea
Increased appetite
A patient with a history of peptic ulcer disease is prescribed an NSAID. What is the most appropriate nursing intervention?
Instruct the patient to take the NSAID with food
Suggest switching to acetaminophen
Encourage increased fluid intake
Advise taking the NSAID on an empty stomach
A patient on opioid therapy develops respiratory depression. Which medication should the nurse anticipate administering?
Naloxone
Flumazenil
Protamine sulfate
Vitamin K
A patient with atrial fibrillation is started on warfarin. Which finding indicates the medication is effective?
INR is within the therapeutic range
Platelet count is elevated
Blood pressure is decreased
Heart rate is regular
A patient taking a loop diuretic reports muscle weakness and cramping. What is the most likely cause?
Hypercalcemia
Hypokalemia
Hypernatremia
Hyperglycemia
A patient with hypertension is prescribed a beta blocker. Which comorbidity would require the nurse to question the order?
Diabetes mellitus
Asthma
Osteoarthritis
Hyperlipidemia
A patient on heparin therapy develops a sudden drop in platelet count. What is the nurse’s priority action?
Notify the healthcare provider immediately
Increase the heparin dose
Encourage ambulation
Administer vitamin K
A patient is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor to prevent complications?
Serum potassium
Blood glucose
Serum calcium
White blood cell count
A patient with a history of deep vein thrombosis is prescribed warfarin. The patient’s INR is 5.0. What is the most appropriate nursing action?
Hold the next dose and notify the healthcare provider
Administer an extra dose of warfarin
Encourage the patient to eat more leafy greens
Continue the current dose
A patient on opioid analgesics is at risk for falls. Which nursing intervention is most appropriate to reduce this risk?
Keep the bed in the lowest position and ensure call light is within reach
Encourage the patient to ambulate independently
Restrict all fluids
Place the patient in a room far from the nurse’s station
A patient is prescribed a beta blocker and reports new onset of wheezing and shortness of breath. What should the nurse do first?
Hold the medication and notify the healthcare provider
Encourage deep breathing exercises
Administer the next dose as scheduled
Advise the patient to drink more fluids
A patient on anticoagulant therapy is scheduled for surgery. What is the nurse’s priority action regarding the medication?
Notify the healthcare provider to discuss holding the anticoagulant before surgery
Double the dose before surgery
Continue the medication as usual
Switch to a beta blocker
A patient taking a diuretic develops signs of dehydration. Which assessment finding supports this diagnosis?
Dry mucous membranes and decreased skin turgor
Bradycardia and hypertension
Edema and weight gain
Increased urine output and moist skin
Joshua is receiving furosemide and Digoxin, which laboratory data would be the most important to assess in planning the care for the client?
Sodium level
Magnesium level
Calcium level
Potassium level
Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte imbalance?
Intake and output
Skin turgor
Cardiac rate and rhythm
Osmotic pressure
Which of the following findings would the nurse expect to assess in a patient with hypokalemia?
Muscle cramps
pH below 7.35
Hypoglycemia
Hypertension
The nurse is caring for a client with a blood K+ of 5.4 mEq/L. The nurse should monitor for which of the following manifestations?
ECG changes
Constipation
Polyuria
Muscle hypertonicity
A patient with a low normal potassium level has 40 mg IV furosemide due, what should the nurse do?
Notify the physician
Recheck potassium in 4 hours
Administer as ordered
Encourage pt to eat a banana with lunch
A patient's K+ is 6.4, what should the nurse do first?
Administer 1 gram Mg IVPB
Place patient on cardiac monitor
Turn on bed alarm
Call for stat dialysis
Which of the following is an anticoagulant medication?
Metoprolol
Warfarin
Lisinopril
Amlodipine
Which of the following medications is a beta blocker?
Diltiazem
Enalapril
Atenolol
Losartan
Which class of medications is commonly used to prevent blood clots?
Anticoagulants
Antiarrhythmics
Beta Blockers
Calcium Channel Blockers
A patient who has been taking a thiazide diuretic is hypokalemic. The nurse should instruct the patient to increase dietary intake of which foods?
green leafy vegetables.
canned vegetables
low fat dairy products
bananas and citrus fruits.
A geriatric patient with a history of kidney disease develops increasing bilateral edema in the legs and feet. The health care provider has ordered a potassium-sparing diuretic. Select the diurectic action of this medication.
The medication should increase reabsorption of sodium and potassium.
The medication should decrease sodium transport and increase potassium.
The medication should excrete water and sodium but save potassium.
The medication should excrete potassium and save water and sodium.
When administering loop diuretic, what electrolyte replacement should be supplemented?
Vitamins
Minerals
Calcium
Potassium
Which medication is a potassium-sparing diuretic?
acetazolamide (Diamox)
spironolactone (Aldactone)
furosemide (Lasix)
bumetanide (Bumex)
The nurse has provided patient teaching about potassium-sparing diuretic therapy. Which statement by the patient indicates a need for further teaching?
“I will take my medication in the morning.”
“I will report a weight gain of 2 pounds in 2 days.”
“I will rise slowly when I get up from a sitting position.”
“I will use a salt substitute because I limit my salt intake.”
Which patient assessment would alert the nurse to withhold a loop diuretic?
Crackles in the lung bases
+2 pitting peripheral edema
Serum potassium of 2.6 mEq/L
Weight gain of 2 pounds in 2 days
Beta blockers can mask which condition?
Hypoglycemia
Hypercalcemia
Hypokalemia
Hypernatremia
A patient with which condition should avoid non-selective beta blockers?
Heart Failure
COPD
Stroke
A-fib
A 56 year old male patient is prescribed Ciprofloxacin, a quinolone, for a complicated UTI. The nurse reviews patient education, which includes the following:
You may discontinue the antibiotic once your symptoms have resolved
Avoid strenuous activity while on the prescribed antibiotic therapy
Monitor your blood sugars daily
You may take the antibiotic at the same time with OTC calcium supplements
