Student NCLEX Questions Flashcards Preview

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

Flashcards in Student NCLEX Questions Deck (106):
1

Ashley Ahlgrim
Nifedipine

Ashley Ahlgrim
Nifedipine

2

Ashley Ahlgrim
Nifedipine

Ashley Ahlgrim
Nifedipine

3

Ashley Ahlgrim
Nifedipine

Ashley Ahlgrim
Nifedipine

4

Adriana Brennan
Statins

Adriana Brennan
Statins

5

Adriana Brennan
Statins

Adriana Brennan
Statins

6

Adriana Brennan
Statins

Adriana Brennan
Statins

7

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) “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

8

2. 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) 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

9

3. 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.

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

10

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. 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

11

2. 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

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

12

3. 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. 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

13

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. Fever reduction

C. Reduce swelling

D. Relieves mild to moderate pain

Rosalynn Cardenas
Ibuprofen/ASA

14

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!"

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

15

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. Tinnitus

Rosalynn Cardenas
Ibuprofen/ASA

16

Cassidy Carnes
Phenytoin

Cassidy Carnes
Phenytoin

17

Cassidy Carnes
Phenytoin

Cassidy Carnes
Phenytoin

18

Cassidy Carnes
Phenytoin

Cassidy Carnes
Phenytoin

19

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.

b. Hold the dose and check the CBG.

Regan Clayton
Metformin/Insulin

20

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

Regan Clayton
Metformin/Insulin

21

3. 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.”

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

Regan Clayton
Metformin/Insulin

22

Adria De La Garza
Tetracycline

Adria De La Garza
Tetracycline

23

Adria De La Garza
Tetracycline

Adria De La Garza
Tetracycline

24

Adria De La Garza
Tetracycline

Adria De La Garza
Tetracycline

25

Nathaniel Delgado
Diphenhydramine

Nathaniel Delgado
Diphenhydramine

26

Nathaniel Delgado
Diphenhydramine

Nathaniel Delgado
Diphenhydramine

27

Nathaniel Delgado
Diphenhydramine

Nathaniel Delgado
Diphenhydramine

28

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. 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

29

2. 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

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

30

3. 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. 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

31

Elizabeth Epenesa
Warfarin

Elizabeth Epenesa
Warfarin

32

Elizabeth Epenesa
Warfarin

Elizabeth Epenesa
Warfarin

33

Elizabeth Epenesa
Warfarin

Elizabeth Epenesa
Warfarin

34

Kaitlin Garcia
Milrinone

Kaitlin Garcia
Milrinone

35

Kaitlin Garcia
Milrinone

Kaitlin Garcia
Milrinone

36

Kaitlin Garcia
Milrinone

Kaitlin Garcia
Milrinone

37

Leslie Garcia
Spironolactone

Leslie Garcia
Spironolactone

38

Leslie Garcia
Spironolactone

Leslie Garcia
Spironolactone

39

Leslie Garcia
Spironolactone

Leslie Garcia
Spironolactone

40

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. Allergies

Brandy Gaylor
Cephalosporin

41

2. 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

C. Cefazolin sodium

Brandy Gaylor
Cephalosporin

42

3. 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

B. Superinfection

Brandy Gaylor
Cephalosporin

43

Cecilia Gonzales
Prednisone

Cecilia Gonzales
Prednisone

44

Cecilia Gonzales
Prednisone

Cecilia Gonzales
Prednisone

45

Cecilia Gonzales
Prednisone

Cecilia Gonzales
Prednisone

46

Irma Gonzalez
Acyclovir

Irma Gonzalez
Acyclovir

47

Irma Gonzalez
Acyclovir

Irma Gonzalez
Acyclovir

48

Irma Gonzalez
Acyclovir

Irma Gonzalez
Acyclovir

49

Darlena Hay
Enalapril

Darlena Hay
Enalapril

50

Darlena Hay
Enalapril

Darlena Hay
Enalapril

51

Darlena Hay
Enalapril

Darlena Hay
Enalapril

52

Kristina Jacques
Diltiazem

Kristina Jacques
Diltiazem

53

Kristina Jacques
Diltiazem

Kristina Jacques
Diltiazem

54

Kristina Jacques
Diltiazem

Kristina Jacques
Diltiazem

55

Benoit Jefferson
Milrinone/Digoxin

Benoit Jefferson
Milrinone/Digoxin

56

Benoit Jefferson
Milrinone/Digoxin

Benoit Jefferson
Milrinone/Digoxin

57

Benoit Jefferson
Milrinone/Digoxin

Benoit Jefferson
Milrinone/Digoxin

58

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.

d. Determine the latest creatinine clearance result.

Marjolein Kotschwar
Penicillins

59

2. 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.

d. Administer subcutaneous epinephrine.

Marjolein Kotschwar
Penicillins

60

3. 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. 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

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

a. Mu

b. Kappa

c. Sigma

d. Delta

a. Mu
b. Kappa

Tiana Louis
Morphine

62

2. 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

c. Respiratory depression

Tiana Louis
Morphine

63

3. What is the rescue medication for respiratory depression caused by morphine?

a. Naloxone

b. Aspirin

c. Acetaminophen

d. Vitamin K

a. Naloxone

Tiana Louis
Morphine

64

Martinika Maestas
Ranitidine/Omeprazole

Martinika Maestas
Ranitidine/Omeprazole

65

Martinika Maestas
Ranitidine/Omeprazole

Martinika Maestas
Ranitidine/Omeprazole

66

Martinika Maestas
Ranitidine/Omeprazole

Martinika Maestas
Ranitidine/Omeprazole

67

Daina Martiny
Levodopa/Carbid/

Daina Martiny
Levodopa/Carbid/

68

Daina Martiny
Levodopa/Carbid/

Daina Martiny
Levodopa/Carbid/

69

Daina Martiny
Levodopa/Carbid/

Daina Martiny
Levodopa/Carbid/

70

Bethany Metzger
Furosemide/HCTZ

Bethany Metzger
Furosemide/HCTZ

71

Bethany Metzger
Furosemide/HCTZ

Bethany Metzger
Furosemide/HCTZ

72

Bethany Metzger
Furosemide/HCTZ

Bethany Metzger
Furosemide/HCTZ

73

Chelsea Northup
Cyclobenzaprine/Dantrolene

Chelsea Northup
Cyclobenzaprine/Dantrolene

74

Chelsea Northup
Cyclobenzaprine/Dantrolene

Chelsea Northup
Cyclobenzaprine/Dantrolene

75

Chelsea Northup
Cyclobenzaprine/Dantrolene

Chelsea Northup
Cyclobenzaprine/Dantrolene

76

Kathryn Pike
Hydralazine

Kathryn Pike
Hydralazine

77

Kathryn Pike
Hydralazine

Kathryn Pike
Hydralazine

78

Kathryn Pike
Hydralazine

Kathryn Pike
Hydralazine

79

Amy Salazar
Propylthiouracil (PTU)

Amy Salazar
Propylthiouracil (PTU)

80

Amy Salazar
Propylthiouracil (PTU)

Amy Salazar
Propylthiouracil (PTU)

81

Amy Salazar
Propylthiouracil (PTU)

Amy Salazar
Propylthiouracil (PTU)

82

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

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

Ashley Silva
Nitroglycerin

83

2. 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.”

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

Ashley Silva
Nitroglycerin

84

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

Ashley Silva
Nitroglycerin

85

Jennah Skrondahl
B-Blockers

Jennah Skrondahl
B-Blockers

86

Jennah Skrondahl
B-Blockers

Jennah Skrondahl
B-Blockers

87

Jennah Skrondahl
B-Blockers

Jennah Skrondahl
B-Blockers

88

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

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

2. 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. 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

3. 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

b. Hyperthyroidism

Huyen Tran
Levothyroxine

91

Amanda Truelock
Heparin/Warfarin

Amanda Truelock
Heparin/Warfarin

92

Amanda Truelock
Heparin/Warfarin

Amanda Truelock
Heparin/Warfarin

93

Amanda Truelock
Heparin/Warfarin

Amanda Truelock
Heparin/Warfarin

94

Monique Trujillo
Retaplase/Alteplase

Monique Trujillo
Retaplase/Alteplase

95

Monique Trujillo
Retaplase/Alteplase

Monique Trujillo
Retaplase/Alteplase

96

Monique Trujillo
Retaplase/Alteplase

Monique Trujillo
Retaplase/Alteplase

97

Jennifer Walker
Acetaminophen

Jennifer Walker
Acetaminophen

98

Jennifer Walker
Acetaminophen

Jennifer Walker
Acetaminophen

99

Jennifer Walker
Acetaminophen

Jennifer Walker
Acetaminophen

100

Summer Walters
Nitroglycerin

Summer Walters
Nitroglycerin

101

Summer Walters
Nitroglycerin

Summer Walters
Nitroglycerin

102

Summer Walters
Nitroglycerin

Summer Walters
Nitroglycerin

103

Amanda Zellner
Amphotericin

Amanda Zellner
Amphotericin

104

Amanda Zellner
Amphotericin

Amanda Zellner
Amphotericin

105

Amanda Zellner
Amphotericin

Amanda Zellner
Amphotericin

106

4. 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

d. Chest pain

Ashley Silva
Nitroglycerin