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xxx Term 4: NUR 252 Pharmacology II > Student NCLEX Questions > Flashcards

Student NCLEX Questions Flashcards

1
Q

Ashley Ahlgrim

Nifedipine

A

Ashley Ahlgrim

Nifedipine

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2
Q

Ashley Ahlgrim

Nifedipine

A

Ashley Ahlgrim

Nifedipine

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3
Q

Ashley Ahlgrim

Nifedipine

A

Ashley Ahlgrim

Nifedipine

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4
Q

Adriana Brennan

Statins

A

Adriana Brennan

Statins

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5
Q

Adriana Brennan

Statins

A

Adriana Brennan

Statins

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6
Q

Adriana Brennan

Statins

A

Adriana Brennan

Statins

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7
Q
  1. The client is receiving doxazosin (Cardura) for hypertension. He asks the nurse how the medication works. What is the nurse’s best response?

A) “It works by making your blood vessels expand?”

B) “It works by decreasing the release of your stress hormones.”

C) “It works by making your heart work more efficiently.”

D) “It works by causing your kidneys to excrete more urine”

A

A) “It works by making your blood vessels expand?”

Doxazosin (Cardura) is selective for blocking alpha1-receptors in vascular smooth muscle, which results in dilation of arteries and veins. Excreting more urine is an effect of diuretic medications. Increasing the efficiency of the heart is not an effect of Cardura. Decreasing the release of stress hormones is not an effect of Cardura.

Deborah Burke
Doxazosin

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8
Q
  1. A patient is taking doxazosin mesylate (Cardura) 1 mg per day to treat hypertension. The nurse notes a blood per day to treat hypertension. The nurse notes a blood pressure of 110/72 mm Hg and a heart rate of 92 beats pressure of 110/72 mm Hg and a heart rate of 92 beats per minute. The nurse will contact the provider to discuss per minute. The nurse will contact the provider to discuss which change to the drug regimen?

A) Changing to a beta-adrenergic blocker.

B) Decreasing the drug dose.

C) Increasing the dose.

D) Adding a diuretic.

A

A) Changing to a beta-adrenergic blocker.

Alpha-adrenergic blockers can cause orthostatic hypotension and reflex tachycardia. Beta blockers do not cause reflex tachycardia. Decreasing or increasing the drug dose is not recommended. Diuretics are added if blood pressure is not well-controlled.

Deborah Burke
Doxazosin

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9
Q
  1. The client is taking atenolol (Tenormin) and doxazosin (Cardura). What is the rationale for combining two anti-hypertensive drugs?

A) The blood pressure will decrease faster.

B) Lower doses of both drugs may be given with fewer adverse effects.adverse effects.

C) There is less daily medication dosing.

D) Combination therapy will treat the patient’s other medical conditions. medical conditions.

A

B) Lower doses of both drugs may be given with fewer adverse effects.adverse effects.

The advantage of using a combination of two drugs such as atenolol (Tenormin; a beta blocker) and doxazosin (Cardura; an alpha-1 antagonist) is that lower doses of each may be used, resulting in fewer side effects. Options 1,3, and 4 are incorrect. With careful dosing, the blood pressure should be gradually lowered to a safe limit. The number of doses per day is dependent on the half-life of the drug, not the combination. Other conditions may be treated but the primary reason to combine antihypertensives is not in the treatment of additional conditions.

Deborah Burke
Doxazosin

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10
Q
  1. A nurse is monitoring a client with diabetes insipidus and desmopressin acetate (DDAVP) has been prescribed for the client. Which of the following outcomes reflects a therapeutic effect of this medication?
    a) decreased urine output
    b) decreased blood pressure
    c) urine osmolality lower than 100 mOsm/kg
    d) serum osmolality higher than 320 mOsm/kg
A

A. decreased urine output

Desmopressin acetate (DDAVP) is a synthetic form of antidiuretic hormone that causes increased reabsorption of water, with a resultant decrease in urine output. The therapeutic response to DDAVP would be a decrease in serum osmolality, because more fluid is retained,
and an increase in urine osmolality, because less fluid is excreted. Hypotension may be apparent with diabetes insipidus and blood pressure may increase as extracellular fluid volume is restored.

Ariel Caine
Desmopressin

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11
Q
  1. Which is a priority nursing diagnosis for a patient receiving desmopressin?
    a. Risk for injury
    b. Acute pain
    c. Excess fluid volume

d Deficient knowledge regarding medication

A

C. Excess fluid volume

Desmopressin is a form of antidiuretic hormone, which increases sodium and water retention, leading to an alteration in fluid volume. Although the other nursing diagnoses may be appropriate, they are not a priority using Maslow’s hierarchy of needs.

Ariel Caine
Desmopressin

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12
Q
  1. When teaching a patient regarding desmopressin (DDAVP), the
    nurse will inform the patient to monitor for which potential side effects? (Select all that
    apply.)

a. Headache
b. Weight gain
c. Nasal irritation
d. Hyperglycemia
e. Hypotension

A

A. Headache, B. Weight gain, C. Nasal irritation

Desmopressin works to decrease urine output; thus the patient would retain fluid and gain weight. Headache may also occur as a sequela of fluid retention.

Because it is administered intranasally, it can be irritating; thus nostrils should be rotated. Desmopressin does not affect serum glucose levels.

Ariel Caine
Desmopressin

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13
Q
  1. The therapeutic effects of NSAIDS include
    (Select all that apply)

a. Fever reduction
b. Heals cystic acne
c. Reduce swelling
d. Relieves mild to moderate pain

A

A. Fever reduction

C. Reduce swelling

D. Relieves mild to moderate pain

Rosalynn Cardenas
Ibuprofen/ASA

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14
Q

A patient is prescribed low dose aspirin following a heart attack. Upon discharge, he tells the RN,
“I’ll just take that when I take my ibuprofen for my arthritis!” What should the RN’s response be?

a. “That’s great! That way you won’t forget!”

b. “No! Stop taking ibuprofen.
You take aspirin now.”

c. “You should not take aspirin and ibuprofen at the same time because the ibuprofen will stop the
Therapeutic effect you need with the aspirin.”

d. “No! You should not take them together because you can die!”

A

c. “You should not take aspirin and ibuprofen at the same time because the ibuprofen will stop the
Therapeutic effect you need with the aspirin.”

Rosalynn Cardenas
Ibuprofen/ASA

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15
Q

A patient is taking aspirin for arthritis. Which adverse reaction should the RN teach the patient to report to the healthcare provider?

a. Tinnitus
b. Seizures
c. Sinusitis
d. Palpitations

A

a. Tinnitus

Rosalynn Cardenas
Ibuprofen/ASA

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16
Q

Cassidy Carnes

Phenytoin

A

Cassidy Carnes

Phenytoin

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17
Q

Cassidy Carnes

Phenytoin

A

Cassidy Carnes

Phenytoin

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18
Q

Cassidy Carnes

Phenytoin

A

Cassidy Carnes

Phenytoin

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19
Q
  1. The nurse is preparing to administer a scheduled dose of insulin to the patient with Type 1 Diabetes. The patient is diaphoretic and appears to be anxious. The nurse should:
    a. Administer the dose.
    b. Hold the dose and check the CBG.
    c. Wait half an hour and come back.
A

b. Hold the dose and check the CBG.

Regan Clayton
Metformin/Insulin

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20
Q
  1. The patient on Metformin for his Type 2 Diabetes asks the nurse, “Will I need to eat a small snack after I take this medication so my blood sugar doesn’t drop?” The best response by the nurse is:
    a. “No, this medication does not cause hypoglycemia.”
    b. “Yes, this medication does cause hypoglycemia.”
    c. “Yes, a small snack will keep your blood sugars from getting too low.”
A

a. “No, this medication does not cause hypoglycemia.”

Regan Clayton
Metformin/Insulin

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21
Q
  1. The nurse is providing patient education for the patient on intermediate-acting insulin NPH. What response by the patient requires further teaching by the nurse?
    a. “This medication will start to work within 1 – 2 hours.”
    b. “I can mix this medication with a long-acting insulin if I need to.”
    c. “If I am to mix this insulin, I will have to draw it up second.”
A

b. “I can mix this medication with a long-acting insulin if I need to.”

Regan Clayton
Metformin/Insulin

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22
Q

Adria De La Garza

Tetracycline

A

Adria De La Garza

Tetracycline

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23
Q

Adria De La Garza

Tetracycline

A

Adria De La Garza

Tetracycline

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24
Q

Adria De La Garza

Tetracycline

A

Adria De La Garza

Tetracycline

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25
Q

Nathaniel Delgado

Diphenhydramine

A

Nathaniel Delgado

Diphenhydramine

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26
Q

Nathaniel Delgado

Diphenhydramine

A

Nathaniel Delgado

Diphenhydramine

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27
Q

Nathaniel Delgado

Diphenhydramine

A

Nathaniel Delgado

Diphenhydramine

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28
Q
  1. Both IV ampicillin/sulbactam (Unasyn) and gentamicin (Diogent) are ordered for a patient. When administering these medications, the nurse will do what?
    a. Ensure that separate IV solutions are used.
    b. Use two different peripheral IV sites.
    c. Administer the gentamicin first.
    d. There are no necessary precautions.
A

a. Ensure that separate IV solutions are used.

When penicillins are present in high concentrations, they
interact chemically with aminoglycosides, causing inactivation of the
aminoglycoside. Therefore, penicillins and aminoglycosides should not
be mixed in the same IV solution. Rather, these drugs should be administered separately. Two different
peripheral IV sites are not necessary. Administering the gentamicin first
does not ensure separation of the two medications.

Jeffrey Ellis
Aminoglycosides

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29
Q
  1. A nurse monitors a patient who is receiving an aminoglycoside (gentamicin) for symptoms of vestibular damage. Which finding should the nurse expect the patient to have first?
    a. Unsteadiness
    b. Vertigo
    c. Persistent headache
    d. Dizziness
A

c. Persistent headache

Gentamicin causes irreversible ototoxicity, which results in both impaired hearing and disruption of balance. Headache is the first
sign of impending vestibular damage (balance) and may last 1 to 2 days.
Unsteadiness, vertigo, and dizziness appear after headache.

Jeffrey Ellis
Aminoglycosides

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30
Q
  1. A patient is receiving an aminoglycoside (gentamicin) antibiotic. A nurse asks the patient to choose daily meal selections, to which the patient responds, “Oh, dear, I don’t want another IV.” The nurse makes which assessment about the patient’s response?
    a. Some hearing loss may have occurred.
    b. The confusion is due to the hospital stay.
    c. A nutrition consult most likely is needed.
    d. The patient has a family history of dementia.
A

a. Some hearing loss may have occurred.

The patient’s comment suggests that the person did not hear the instructions. Aminoglycoside antibiotics can cause ototoxicity. The first sign may be tinnitus (ringing in the ears), progressing to loss of
high-frequency sounds. Audiometric testing is needed to detect it. Nutrition, confusion, and a family history of dementia do not address the problem of possible hearing loss associated with aminoglycosides.

Jeffrey Ellis
Aminoglycosides

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31
Q

Elizabeth Epenesa

Warfarin

A

Elizabeth Epenesa

Warfarin

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32
Q

Elizabeth Epenesa

Warfarin

A

Elizabeth Epenesa

Warfarin

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33
Q

Elizabeth Epenesa

Warfarin

A

Elizabeth Epenesa

Warfarin

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34
Q

Kaitlin Garcia

Milrinone

A

Kaitlin Garcia

Milrinone

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35
Q

Kaitlin Garcia

Milrinone

A

Kaitlin Garcia

Milrinone

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36
Q

Kaitlin Garcia

Milrinone

A

Kaitlin Garcia

Milrinone

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37
Q

Leslie Garcia

Spironolactone

A

Leslie Garcia

Spironolactone

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38
Q

Leslie Garcia

Spironolactone

A

Leslie Garcia

Spironolactone

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39
Q

Leslie Garcia

Spironolactone

A

Leslie Garcia

Spironolactone

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40
Q
  1. What is the priority assessment data for a client prescribed antibiotic therapy?

A. Allergies

B. Immunizations

C. History of seizures

D. Cardiac dysrhythmias

A

A. Allergies

Brandy Gaylor
Cephalosporin

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41
Q
  1. A client who is allergic to penicillin is at risk for an allergy to which of the following drugs?

A. Erythomycin

B. Gentamicin

C. Cefazolin sodium

D. Demeclocycline

A

C. Cefazolin sodium

Brandy Gaylor
Cephalosporin

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42
Q
  1. During antibiotic therapy, the nurse will assess the client for a condition that may occur because of the disruption of normal flora. The nurse knows that this is what condition?

A. Organ toxicity

B. Superinfection

C. Hypersensitivity

D. Allergic reaction

A

B. Superinfection

Brandy Gaylor
Cephalosporin

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43
Q

Cecilia Gonzales

Prednisone

A

Cecilia Gonzales

Prednisone

44
Q

Cecilia Gonzales

Prednisone

A

Cecilia Gonzales

Prednisone

45
Q

Cecilia Gonzales

Prednisone

A

Cecilia Gonzales

Prednisone

46
Q

Irma Gonzalez

Acyclovir

A

Irma Gonzalez

Acyclovir

47
Q

Irma Gonzalez

Acyclovir

A

Irma Gonzalez

Acyclovir

48
Q

Irma Gonzalez

Acyclovir

A

Irma Gonzalez

Acyclovir

49
Q

Darlena Hay

Enalapril

A

Darlena Hay

Enalapril

50
Q

Darlena Hay

Enalapril

A

Darlena Hay

Enalapril

51
Q

Darlena Hay

Enalapril

A

Darlena Hay

Enalapril

52
Q

Kristina Jacques

Diltiazem

A

Kristina Jacques

Diltiazem

53
Q

Kristina Jacques

Diltiazem

A

Kristina Jacques

Diltiazem

54
Q

Kristina Jacques

Diltiazem

A

Kristina Jacques

Diltiazem

55
Q

Benoit Jefferson

Milrinone/Digoxin

A

Benoit Jefferson

Milrinone/Digoxin

56
Q

Benoit Jefferson

Milrinone/Digoxin

A

Benoit Jefferson

Milrinone/Digoxin

57
Q

Benoit Jefferson

Milrinone/Digoxin

A

Benoit Jefferson

Milrinone/Digoxin

58
Q
  1. Before administrating intravenous (IV) penicillin, the nurse should do what?
    a. Flush the IV site with normal saline.
    b. Assess the patient for allergies.
    c. Review the patient’s intake and output record.
    d. Determine the latest creatinine clearance result.
A

d. Determine the latest creatinine clearance result.

Marjolein Kotschwar
Penicillins

59
Q
  1. Thirty minutes after an intramuscular (IM) injection of penicillin G, a patient reports itching and redness at the injection site. Which action should the nurse take first?
    a. Elevate the lower legs.
    b. Place an ice pack on the site.
    c. Make sure the patient stays calm.
    d. Administer subcutaneous epinephrine.
A

d. Administer subcutaneous epinephrine.

Marjolein Kotschwar
Penicillins

60
Q
  1. The nurse identifies which statements about penciling as true?
    Select all that apply.

a. Administer subcutaneous epinephrine.
b. The principle adverse effect of penicillins is allergic reaction.
c. A patient who is allergic to penicillin always has a cross-allergy to cephalosporins.
d. A patient who is allergic to penicillin is also allergic to vancomycin, erythromycin, and clindamycin.
e. Penicillins are normally eliminated rapidly by the kidneys but can accumulate to harmful levels if renal function is severely impaired.

A

a. Administer subcutaneous epinephrine.
b. The principle adverse effect of penicillins is allergic reaction.
e. Penicillins are normally eliminated rapidly by the kidneys but can accumulate to harmful levels if renal function is severely impaired.

Marjolein Kotschwar
Penicillins

61
Q
  1. What receptors does morphine stimulate?
    Select all that apply.

a. Mu
b. Kappa
c. Sigma
d. Delta

A

a. Mu
b. Kappa

Tiana Louis
Morphine

62
Q
  1. Which of the following should be the priority adverse effect of morphine the RN should be aware of?
    a. Hypotension
    b. Decreased GI motility
    c. Respiratory depression
    d. Nausea/ Vomiting
A

c. Respiratory depression

Tiana Louis
Morphine

63
Q
  1. What is the rescue medication for respiratory depression caused by morphine?
    a. Naloxone
    b. Aspirin
    c. Acetaminophen
    d. Vitamin K
A

a. Naloxone

Tiana Louis
Morphine

64
Q

Martinika Maestas

Ranitidine/Omeprazole

A

Martinika Maestas

Ranitidine/Omeprazole

65
Q

Martinika Maestas

Ranitidine/Omeprazole

A

Martinika Maestas

Ranitidine/Omeprazole

66
Q

Martinika Maestas

Ranitidine/Omeprazole

A

Martinika Maestas

Ranitidine/Omeprazole

67
Q

Daina Martiny

Levodopa/Carbid/

A

Daina Martiny

Levodopa/Carbid/

68
Q

Daina Martiny

Levodopa/Carbid/

A

Daina Martiny

Levodopa/Carbid/

69
Q

Daina Martiny

Levodopa/Carbid/

A

Daina Martiny

Levodopa/Carbid/

70
Q

Bethany Metzger

Furosemide/HCTZ

A

Bethany Metzger

Furosemide/HCTZ

71
Q

Bethany Metzger

Furosemide/HCTZ

A

Bethany Metzger

Furosemide/HCTZ

72
Q

Bethany Metzger

Furosemide/HCTZ

A

Bethany Metzger

Furosemide/HCTZ

73
Q

Chelsea Northup

Cyclobenzaprine/Dantrolene

A

Chelsea Northup

Cyclobenzaprine/Dantrolene

74
Q

Chelsea Northup

Cyclobenzaprine/Dantrolene

A

Chelsea Northup

Cyclobenzaprine/Dantrolene

75
Q

Chelsea Northup

Cyclobenzaprine/Dantrolene

A

Chelsea Northup

Cyclobenzaprine/Dantrolene

76
Q

Kathryn Pike

Hydralazine

A

Kathryn Pike

Hydralazine

77
Q

Kathryn Pike

Hydralazine

A

Kathryn Pike

Hydralazine

78
Q

Kathryn Pike

Hydralazine

A

Kathryn Pike

Hydralazine

79
Q

Amy Salazar

Propylthiouracil (PTU)

A

Amy Salazar

Propylthiouracil (PTU)

80
Q

Amy Salazar

Propylthiouracil (PTU)

A

Amy Salazar

Propylthiouracil (PTU)

81
Q

Amy Salazar

Propylthiouracil (PTU)

A

Amy Salazar

Propylthiouracil (PTU)

82
Q
  1. A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective?
    a. Blood pressure 120/80 mm Hg
    b. Heart rate 70 beats per minute
    c. ECG without evidence of ST changes
    d. Client stating that pain is 0 out of 10
A

d. Client stating that pain is 0 out of 10*

Ashley Silva
Nitroglycerin

83
Q
  1. Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin?
    a. “If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief.”
    b. “I should keep my nitroglycerin in a cool, dry place.”
    c. “I should change positions slowly to avoid getting dizzy.”
    d. “I can take up to five tablets at 3-minute intervals for chest pain if necessary.”
A

d. “I can take up to five tablets at 3-minute intervals for chest pain if necessary.”

Ashley Silva
Nitroglycerin

84
Q
  1. A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client’s teaching plan?
    a. “Apply the patch to a non-hairy area of the upper torso or arm.”
    b. “Apply the patch to the same site each day.”
    c. “If you have a headache, remove the patch for 4 hours and then reapply.”
    d. “If you have chest pain, apply a second patch next to the first patch.”
A

a. “Apply the patch to a non-hairy area of the upper torso or arm.”

Ashley Silva
Nitroglycerin

85
Q

Jennah Skrondahl

B-Blockers

A

Jennah Skrondahl

B-Blockers

86
Q

Jennah Skrondahl

B-Blockers

A

Jennah Skrondahl

B-Blockers

87
Q

Jennah Skrondahl

B-Blockers

A

Jennah Skrondahl

B-Blockers

88
Q
  1. In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client:
    a. That therapy typically lasts about 6 months
    b. That weekly laboratory tests for T4 levels will be required
    c. To report weight loss, anxiety, insomnia and palpitations
    d. That the drug may be taken every other day if diarrhea occurs
A

c. To report weight loss, anxiety, insomnia and palpitations

Weight loss, anxiety, insomnia and palpitations are signs of hyperthyroidism. An adjustment in dose would need to be obtained in order to reach a therapeutic level of levothyroxine (Synthroid) in the patient with hypothyroidism.

Huyen Tran
Levothyroxine

89
Q
  1. A physician prescribes levothyroxine (Synthroid), 50mcg P.O. daily, for a client with hypothyroidism. The nurse will prepare to administer this medication:
    a. in the morning to prevent insomnia
    b. only when the client complains of fatigue and cold intolerance
    c. at various times during the day to prevent tolerance from occurring
    d. three times daily in equal doses of 0.5 mg each to ensure consistent serum drug levels
A

a. in the morning to prevent insomnia

Levothyroxine (Synthroid) is a synthetic thyroid hormone that increases cellular metabolism. Levothyroxine should be given in the morning in a single dose to prevent insomnia and should be given at the same time each day to maintain an adequate drug level. Therefore, options b, c, and d are incorrect.

Huyen Tran
Levothyroxine

90
Q
  1. A client who is taking levothyroxine (Synthroid) begins to develop weight loss, diarrhea, and heat intolerance. The nurse should be aware that this might be an indication of what hormonal condition?
    a. Addison’s disease
    b. Hyperthyroidism
    c. Cushing’s syndrome
    d. Development of acromegaly
A

b. Hyperthyroidism

Huyen Tran
Levothyroxine

91
Q

Amanda Truelock

Heparin/Warfarin

A

Amanda Truelock

Heparin/Warfarin

92
Q

Amanda Truelock

Heparin/Warfarin

A

Amanda Truelock

Heparin/Warfarin

93
Q

Amanda Truelock

Heparin/Warfarin

A

Amanda Truelock

Heparin/Warfarin

94
Q

Monique Trujillo

Retaplase/Alteplase

A

Monique Trujillo

Retaplase/Alteplase

95
Q

Monique Trujillo

Retaplase/Alteplase

A

Monique Trujillo

Retaplase/Alteplase

96
Q

Monique Trujillo

Retaplase/Alteplase

A

Monique Trujillo

Retaplase/Alteplase

97
Q

Jennifer Walker

Acetaminophen

A

Jennifer Walker

Acetaminophen

98
Q

Jennifer Walker

Acetaminophen

A

Jennifer Walker

Acetaminophen

99
Q

Jennifer Walker

Acetaminophen

A

Jennifer Walker

Acetaminophen

100
Q

Summer Walters

Nitroglycerin

A

Summer Walters

Nitroglycerin

101
Q

Summer Walters

Nitroglycerin

A

Summer Walters

Nitroglycerin

102
Q

Summer Walters

Nitroglycerin

A

Summer Walters

Nitroglycerin

103
Q

Amanda Zellner

Amphotericin

A

Amanda Zellner

Amphotericin

104
Q

Amanda Zellner

Amphotericin

A

Amanda Zellner

Amphotericin

105
Q

Amanda Zellner

Amphotericin

A

Amanda Zellner

Amphotericin

106
Q
  1. The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action?
    a. Blood pressure 110/90 mm Hg
    b. Flushing
    c. Headache
    d. Chest pain
A

d. Chest pain

Ashley Silva
Nitroglycerin

xxx Term 4: NUR 252 Pharmacology II (2 decks)

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