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WorksheetsMedSurg PHARM 2
Total questions: 91
Worksheet time: 46mins
A nurse is preparing to administer brimonidine (Alphagan) ophthalmic drops to a client with open-angle glaucoma. The nurse should recognize this medication is used primarily to:
Lower intraocular pressure
Treat bacterial conjunctivitis
Prevent cataract formation
Lubricate the cornea for dry eyes
A provider prescribes timolol (Timoptic) eye drops for a client with glaucoma. The nurse should recognize this medication is used to:
Dilate the pupil for an exam
Decrease intraocular pressure by reducing aqueous humor production
Treat allergic conjunctivitis
Relax ciliary muscle to reduce eye pain
A nurse is teaching a client about pilocarpine (Isopto Carpine) for glaucoma. The nurse should identify the purpose of this medication as:
Preventing retinal detachment
Treating bacterial eye infection
Increasing aqueous humor outflow to lower intraocular pressure
Drying up watery eyes
A client with wet age-related macular degeneration is scheduled to receive ranibizumab (Lucentis). The nurse should recognize this medication is used to:
Improve tear production
Prevent cataracts
Treat glaucoma
Slow abnormal blood vessel growth and leakage in the retina
A nurse is preparing acetazolamide (Diamox) for a client with glaucoma. The nurse should recognize this medication is used to:
Decrease intraocular pressure by reducing aqueous humor production
Treat corneal abrasion pain
Cure bacterial conjunctivitis
Dilate pupils for eye exam
A client receives atropine ophthalmic (Isopto Atropine) prior to an eye procedure. The nurse should recognize this medication is used to:
Lower intraocular pressure
Dilate the pupil and paralyze accommodation
Treat dry eye syndrome
Reduce eye inflammation by steroid action
A nurse prepares tropicamide (Mydriacyl) before a fundoscopic exam. The nurse should recognize this medication is used to:
Treat glaucoma long-term
Reduce retinal swelling
Dilate the pupil for diagnostic examination
Decrease eye pain by numbing the cornea
A client is prescribed meclizine (Antivert) for dizziness. The nurse should recognize this medication is used to:
Treat bacterial sinusitis
Lower intraocular pressure
Stop active bleeding
Manage vertigo and motion sickness
A nurse applies a transdermal patch of scopolamine (Transderm Scop) for a client going on a cruise. The nurse should recognize this medication is used to:
Prevent motion sickness and nausea
Treat migraine headaches
Reduce airway inflammation
Lower blood pressure quickly
A nurse provides a topical oral gel containing benzocaine (Orajel) for a client with mouth pain. The nurse should recognize this medication is used to:
Treat oral fungal infection
Provide local anesthesia to numb mucous membranes
Heal ulcers by coating the stomach lining
Decrease stomach acid production
A nurse administers potassium chloride (Klor-Con/K-Dur) to a client with hypokalemia. The nurse should recognize this medication is used to:
Treat hypernatremia
Prevent constipation
Replace potassium to prevent muscle weakness and dysrhythmias
Break down blood clots
A client is receiving sodium chloride 0.9% (Normal Saline, NS) IV for dehydration. The nurse should recognize this fluid is used to:
Shift fluid out of cells rapidly (hypertonic effect)
Provide free water for cellular rehydration (hypotonic effect)
Provide calories and nutrition
Expand intravascular volume with an isotonic solution
A nurse prepares magnesium sulfate (MgSO4) for a client with severe hypomagnesemia. The nurse should recognize this medication is used to:
Replace magnesium to stabilize neuromuscular and cardiac function
Treat severe hypercalcemia
Increase platelet production
Lower blood glucose quickly
A client with chronic kidney disease is prescribed calcium acetate (PhosLo). The nurse should recognize this medication is used to:
Treat iron-deficiency anemia
Bind dietary phosphate to lower serum phosphate levels
Reverse warfarin anticoagulation
Treat acute hypokalemia
A nurse administers calcium gluconate (Kalcinate/Calcium Gluconate) IV to a client with hyperkalemia and ECG changes. The nurse should recognize this medication is used to:
Remove potassium through the GI tract
Shift potassium into cells permanently
Stabilize the cardiac membrane to reduce dysrhythmia risk
Increase urine output rapidly
A nurse hangs 0.9% sodium chloride (Normal Saline, NS) for a client with hypovolemia. The nurse should recognize this fluid is used to:
Provide hypotonic free water replacement
Provide a hypertonic osmotic pull
Provide IV fat calories
Expand circulating volume with an isotonic crystalloid
A provider orders sodium bicarbonate (Neut) IV for severe metabolic acidosis. The nurse should recognize this medication is used to:
Buffer excess acid and raise blood pH
Bind phosphate in the gut
Replace potassium
Treat hypoglycemia
A client with severe hypoalbuminemia and third-spacing is prescribed albumin (Albuminar). The nurse should recognize this medication is used to:
Provide long-term nutrition
Pull fluid into the intravascular space to expand volume (colloid effect)
Treat hyperkalemia by binding potassium
Prevent nausea after surgery
A nurse administers lactated Ringer’s (LR) after surgery. The nurse should recognize this fluid is used to:
Treat hypernatremia with free water
Provide parenteral glucose calories
Replace fluid losses with an isotonic balanced crystalloid
Rapidly raise serum potassium
A nurse administers sodium polystyrene sulfonate (Kayexalate) for hyperkalemia. The nurse should recognize this medication is used to:
Stabilize cardiac membranes
Shift potassium into cells quickly
Replace sodium deficits
Remove potassium via the gastrointestinal tract
A client requests an oral decongestant containing pseudoephedrine (Sudafed). The nurse should recognize this medication is used to:
Relieve nasal congestion by vasoconstricting nasal mucosa
Treat influenza A
Prevent bronchospasm long-term
Treat bacterial pneumonia
A provider prescribes phenylephrine (Neo-Synephrine) nasal spray. The nurse should recognize this medication is used to:
Treat chronic allergic asthma
Reduce nasal congestion via vasoconstriction
Treat fever by lowering temperature set point
Reduce nausea by blocking serotonin receptors
A nurse administers amoxicillin (Amoxil) to a client with a bacterial infection. The nurse should recognize this medication is used to:
Treat viral infections
Reduce inflammation in asthma
Treat susceptible bacterial infections
Prevent motion sickness
A client with influenza A is prescribed rimantadine (Flumadine) when appropriate. The nurse should recognize this medication is used to:
Treat bacterial sinusitis
Treat fungal infections
Treat COPD exacerbations
Treat influenza A infection/prophylaxis (older antiviral)
A nurse administers albuterol (Ventolin) for wheezing. The nurse should recognize this medication is used to:
Provide rapid relief of acute bronchospasm
Prevent airway inflammation long-term
Treat pulmonary edema
Suppress the cough reflex
A nurse reviews salmeterol (Serevent) for a client with asthma. The nurse should recognize this medication is used to:
Stop an acute asthma attack immediately
Provide long-acting bronchodilation for maintenance therapy
Treat bacterial pneumonia
Break down mucus secretions
A client with COPD is prescribed ipratropium (Atrovent). The nurse should recognize this medication is used to:
Treat acute allergic reaction
Treat fungal lung infection
Bronchodilate by blocking muscarinic receptors (anticholinergic)
Reduce fever and pain
A nurse teaches a client to rinse the mouth after fluticasone (Flovent). The nurse should recognize this medication is used to:
Provide immediate rescue bronchodilation
Treat bacterial infection
Thin bronchial secretions
Decrease airway inflammation for long-term control
A client with moderate-to-severe allergic asthma is prescribed omalizumab (Xolair). The nurse should recognize this medication is used to:
Reduce asthma symptoms by decreasing IgE activity
Treat acute bronchospasm immediately
Cure bacterial pneumonia
Treat influenza infection
A nurse reviews cromolyn (Intal) for asthma prevention. The nurse should recognize this medication is used to:
Treat status asthmaticus immediately
Prevent asthma symptoms by stabilizing mast cells
Treat pulmonary edema
Treat bacterial sinusitis
A nurse administers lisinopril (Prinivil/Zestril) for hypertension. The nurse should recognize this medication is used to:
Lower blood pressure and reduce heart workload (ACE inhibitor)
Increase urine output rapidly
Treat acute chest pain
Raise heart rate
A client with heart failure is prescribed spironolactone (Aldactone). The nurse should recognize this medication is used to:
Stop an acute asthma attack
Reduce fluid overload while sparing potassium
Treat bacterial UTI
Dissolve kidney stones
A nurse prepares metoprolol (Lopressor/Toprol-XL) for a client with hypertension. The nurse should recognize this medication is used to:
Treat seizures
Prevent nausea post-op
Lower heart rate and blood pressure (beta-blocker)
Increase gastric emptying
A nurse administers nifedipine (Procardia) for hypertension. The nurse should recognize this medication is used to:
Prevent blood clots
Lower LDL cholesterol
Increase urine output
Relax vascular smooth muscle to lower blood pressure (calcium channel blocker)
A client is prescribed losartan (Cozaar) for hypertension. The nurse should recognize this medication is used to:
Lower blood pressure by blocking angiotensin II receptors (ARB)
Treat acute angina pain
Treat bacterial pneumonia
Increase potassium excretion
A nurse checks the apical pulse before giving digoxin (Lanoxin) to a client with heart failure. The nurse should recognize this medication is used to:
Reduce gastric acid secretion
Improve cardiac contractility and control certain dysrhythmias
Dissolve blood clots
Reduce cholesterol absorption
A client is prescribed atorvastatin (Lipitor). The nurse should recognize this medication is used to:
Prevent seizures
Treat acute pain
Lower LDL cholesterol to reduce cardiovascular risk
Treat hyperkalemia
A client is prescribed warfarin (Coumadin). The nurse should recognize this medication is used to:
Treat acute angina pain
Lower blood pressure quickly
Increase urine output
Prevent and treat thromboembolic disorders (oral anticoagulant)
A nurse administers furosemide (Lasix) to a client with crackles and edema. The nurse should recognize this medication is used to:
Reduce fluid volume overload by increasing urine output
Increase potassium levels
Treat bacterial infection
Raise hemoglobin levels
A nurse administers nitroglycerin (Nitrostat) for chest pain. The nurse should recognize this medication is used to:
Treat heart failure by increasing contractility
Relieve angina by vasodilation and reducing cardiac workload
Prevent nausea/vomiting
Treat hypertension long-term
A provider prescribes heparin (Hep-Lock/Heparin Sodium) for a client with DVT risk. The nurse should recognize this medication is used to:
Lower cholesterol
Treat seizures
Prevent and treat clot formation (anticoagulation)
Reverse bleeding immediately
A nurse prepares insulin aspart (NovoLog) for a client with diabetes. The nurse should recognize this medication is used to:
Provide long-acting basal control
Prevent infection
Treat hypoglycemia
Cover blood glucose spikes around meals (rapid-acting)
A nurse prepares regular insulin (Humulin R/Novolin R) IV for diabetic ketoacidosis. The nurse should recognize this medication is used to:
Lower blood glucose and stop ketosis in DKA (IV short-acting insulin)
Provide long-term basal coverage only
Treat bacterial infection
Treat asthma exacerbation
A nurse teaches a client about NPH insulin (Humulin N/Novolin N). The nurse should recognize this medication is used to:
Treat acute hypoglycemia
Provide intermediate-acting basal insulin coverage
Treat nausea and vomiting
Lower LDL cholesterol
A client is prescribed insulin glargine (Lantus). The nurse should recognize this medication is used to:
Treat acute hyperglycemia immediately after meals
Treat DKA by IV infusion
Provide long-acting basal glucose control
Reverse hypoglycemia quickly
A nurse prepares insulin degludec (Tresiba). The nurse should recognize this medication is used to:
Cover mealtime spikes only
Provide ultra–long-acting basal glucose control
Treat infections in diabetics
Treat nausea and vomiting
A client with type 2 diabetes is prescribed metformin (Glucophage). The nurse should recognize this medication is used to:
Lower blood glucose by decreasing hepatic glucose production and improving insulin sensitivity
Stimulate immediate insulin release from the pancreas only
Treat hypoglycemia episodes
Replace insulin in type 1 diabetes
A nurse reviews glipizide (Glucotrol) for a client with type 2 diabetes. The nurse should recognize this medication is used to:
Prevent carbohydrate absorption in the gut
Increase insulin secretion from the pancreas
Provide basal insulin coverage
Treat diabetic neuropathy directly
A client is prescribed repaglinide (Prandin). The nurse should recognize this medication is used to:
Treat diabetic ketoacidosis
Treat hypoglycemia
Stimulate short-term insulin release around meals
Decrease glucose absorption in the intestine only
A nurse reviews pioglitazone (Actos). The nurse should recognize this medication is used to:
Treat acute hypoglycemia
Provide rapid mealtime insulin coverage
Treat DKA
Improve insulin sensitivity in type 2 diabetes
A client is prescribed acarbose (Precose). The nurse should recognize this medication is used to:
Slow carbohydrate absorption in the intestine to reduce post-meal glucose spikes
Increase insulin secretion immediately
Replace long-acting insulin
Treat acute hypoglycemia
A nurse administers ferrous sulfate (Feosol) to a client with iron-deficiency anemia. The nurse should recognize this medication is used to:
Treat vitamin B12 deficiency
Replace iron to improve hemoglobin production
Prevent blood clots
Increase white blood cell count
A client with anemia due to chronic kidney disease is prescribed epoetin alfa (Epogen/Procrit). The nurse should recognize this medication is used to:
Treat acute blood loss immediately
Prevent platelet aggregation
Stimulate red blood cell production
Dissolve existing clots
A nurse administers cyanocobalamin (Nascobal) for pernicious anemia. The nurse should recognize this medication is used to:
Treat iron-deficiency anemia
Treat folate deficiency
Treat hemorrhage
Replace vitamin B12
A client with erectile dysfunction is prescribed alprostadil (Caverject). The nurse should recognize this medication is used to:
Promote erection by vasodilation of penile arteries
Treat benign prostatic hyperplasia
Prevent urinary tract infections
Dissolve kidney stones
A nurse administers argatroban (Acova) for a client with suspected heparin-induced thrombocytopenia (HIT). The nurse should recognize this medication is used to:
Reverse warfarin effects
Provide anticoagulation when heparin cannot be used (direct thrombin inhibitor)
Treat hyperkalemia
Lower cholesterol
A client with HIV is prescribed atazanavir (Reyataz). The nurse should recognize this medication is used to:
Treat bacterial pneumonia
Treat influenza A
Manage HIV infection as an antiretroviral (protease inhibitor)
Treat fungal infections
A client receiving cancer therapy is prescribed interleukin (Proleukin/aldesleukin). The nurse should recognize this medication is used to:
Treat anemia
Prevent nausea
Treat bacterial infection
Stimulate immune response in certain cancers (immunotherapy)
A pregnant client with HIV is prescribed zidovudine (Retrovir). The nurse should recognize this medication is used to:
Reduce HIV viral replication and lower transmission risk
Treat gonorrhea
Treat bacterial vaginosis
Treat influenza A
A client with hormone-sensitive conditions is prescribed leuprolide (Lupron). The nurse should recognize this medication is used to:
Treat acute pain
Suppress gonadotropin release to lower estrogen/testosterone effects
Treat bacterial UTI
Raise blood pressure
A client with estrogen-receptor positive breast cancer is prescribed tamoxifen (Nolvadex). The nurse should recognize this medication is used to:
Treat hyperthyroidism
Treat prostate infection
Block estrogen receptors to slow breast cancer growth/recurrence
Treat acute asthma attack
A nurse administers trimethoprim/sulfamethoxazole (Bactrim/Septra) for a UTI. The nurse should recognize this medication is used to:
Treat fungal infections
Treat viral infections
Treat inflammatory bowel disease
Treat susceptible bacterial infections (including UTIs)
A client is prescribed nitrofurantoin (Macrobid/Macrodantin). The nurse should recognize this medication is used to:
Treat uncomplicated urinary tract infection
Treat kidney failure
Treat gout flares
Treat erectile dysfunction
A nurse administers cephalexin (Keflex). The nurse should recognize this medication is used to:
Treat viral infections
Treat susceptible bacterial infections (skin, respiratory, UTIs, etc.)
Treat fungal infections
Treat nausea and vomiting
A provider prescribes fosfomycin (Monurol) for a client with an uncomplicated UTI. The nurse should recognize this medication is used to:
Treat kidney stones
Treat BPH
Treat uncomplicated UTI (often single-dose therapy)
Treat overactive bladder spasms
A client is prescribed fluconazole (Diflucan). The nurse should recognize this medication is used to:
Treat bacterial sinusitis
Treat influenza
Treat asthma inflammation
Treat fungal infections (e.g., candidiasis)
A client reports severe dysuria and is prescribed phenazopyridine (Pyridium). The nurse should recognize this medication is used to:
Provide urinary tract analgesia (relieve burning/pain)
Cure the bacterial infection
Increase urine output
Dissolve kidney stones
A provider prescribes tamsulosin (Flomax) for urinary hesitancy related to BPH. The nurse should recognize this medication is used to:
Treat urinary tract infection
Relax smooth muscle in the prostate and bladder neck to improve urine flow
Dissolve calcium oxalate stones
Reduce bladder spasms directly
A client with gout is prescribed allopurinol (Zyloprim). The nurse should recognize this medication is used to:
Treat acute gout pain immediately
Treat bacterial infection
Lower uric acid production to prevent gout attacks
Increase uric acid excretion rapidly
A client is prescribed tadalafil (Cialis). The nurse should recognize this medication is used to:
Treat hypertension as first-line therapy
Treat bacterial prostatitis
Treat nausea
Treat erectile dysfunction (and can improve BPH symptoms)
A nurse administers levofloxacin (Levaquin). The nurse should recognize this medication is used to:
Treat susceptible bacterial infections (respiratory, urinary, etc.)
Treat fungal infections
Treat viral infections
Treat asthma inflammation
A nurse gives calcium carbonate (Tums) for heartburn. The nurse should recognize this medication is used to:
Treat diarrhea
Neutralize stomach acid as an antacid (and supplement calcium)
Prevent nausea after surgery
Treat bacterial ulcer infection
A client with constipation is prescribed psyllium (Metamucil). The nurse should recognize this medication is used to:
Stop diarrhea immediately
Stimulate intestinal cramping laxation
Increase stool bulk as a fiber-forming laxative
Coat ulcers in the stomach
A provider prescribes pantoprazole (Protonix) for GERD. The nurse should recognize this medication is used to:
Coat the stomach lining
Treat nausea by blocking serotonin
Treat diarrhea
Decrease gastric acid secretion (proton pump inhibitor)
A nurse administers famotidine (Pepcid). The nurse should recognize this medication is used to:
Decrease stomach acid secretion (H2 blocker)
Treat constipation
Treat seizures
Increase gastric emptying
A nurse administers metoclopramide (Reglan) for a client with nausea and delayed gastric emptying. The nurse should recognize this medication is used to:
Treat diarrhea
Increase gastric motility and reduce nausea
Neutralize stomach acid directly
Coat ulcer sites
A client with a duodenal ulcer is prescribed sucralfate (Carafate). The nurse should recognize this medication is used to:
Treat nausea and vomiting
Lower cholesterol absorption
Coat and protect ulcer sites in the GI tract
Stimulate bowel evacuation
A nurse administers loperamide (Imodium). The nurse should recognize this medication is used to:
Treat constipation
Treat nausea by blocking serotonin
Treat heartburn
Reduce diarrhea by slowing intestinal motility
A client receiving chemotherapy is prescribed ondansetron (Zofran). The nurse should recognize this medication is used to:
Prevent and treat nausea/vomiting (antiemetic)
Treat diarrhea
Treat constipation
Treat gastric ulcers by coating them
A nurse teaches a client about docusate sodium (Colace). The nurse should recognize this medication is used to:
Treat diarrhea
Soften stool to prevent straining
Neutralize stomach acid
Stimulate gastric emptying
A client taking NSAIDs is prescribed misoprostol (Cytotec). The nurse should recognize this medication is used to:
Treat nausea
Treat diarrhea
Prevent NSAID-induced gastric ulcers (mucosal protection)
Treat bacterial ulcers directly
A nurse administers levodopa/carbidopa (Sinemet). The nurse should recognize this medication is used to:
Treat seizures
Treat acute migraine pain
Treat muscle spasms
Improve Parkinson’s symptoms by increasing dopamine effects
A client with multiple sclerosis-related spasticity is prescribed baclofen (Lioresal). The nurse should recognize this medication is used to:
Reduce muscle spasticity (muscle relaxant)
Treat osteoporosis
Treat bacterial meningitis
Treat glaucoma
A nurse reviews selegiline (Eldepryl) for Parkinson’s disease. The nurse should recognize this medication is used to:
Treat seizures
Help manage Parkinson’s symptoms by inhibiting MAO-B (slows dopamine breakdown)
Treat acute migraine attacks
Treat bacterial infection
A client with osteoporosis is prescribed calcitonin (Miacalcin). The nurse should recognize this medication is used to:
Treat gout
Treat hyperkalemia
Reduce bone resorption (and can lower calcium levels)
Treat diabetes
A client with Parkinson’s disease is prescribed pramipexole (Mirapex). The nurse should recognize this medication is used to:
Treat seizures
Stimulate dopamine receptors to improve motor symptoms
Treat acute bronchospasm
Treat bacterial infection
A nurse teaches a client to take alendronate (Fosamax) with water and stay upright. The nurse should recognize this medication is used to:
Prevent and treat osteoporosis by inhibiting bone resorption
Treat acute pain
Treat nausea
Treat asthma inflammation
A client with Parkinsonism is prescribed benztropine (Cogentin). The nurse should recognize this medication is used to:
Treat acute migraine
Treat seizures
Treat bacterial meningitis
Reduce tremor and rigidity (anticholinergic for Parkinsonism)
A client with an acute migraine is prescribed sumatriptan (Imitrex). The nurse should recognize this medication is used to:
Abort acute migraine attacks
Prevent seizures long-term
Treat glaucoma
Treat bacterial infections
A nurse administers phenytoin (Dilantin). The nurse should recognize this medication is used to:
Treat acute pain
Prevent and control seizures (anticonvulsant)
Treat nausea and vomiting
Treat muscle spasticity
A client is prescribed prednisone (Deltasone) for an inflammatory condition. The nurse should recognize this medication is used to:
Treat bacterial infection
Treat acute chest pain
Decrease inflammation and suppress immune response (corticosteroid)
Treat hypoglycemia
