pharmacology nclex questions
SETS
The nurse is administering the drug los…
What pharmacokinetic property makes it…
The nurse administering an acidic drug…
A client with cirrhosis of the liver ex…
Reduction in the desired effect
blood-brain barrier
b
a
The nurse is administering the drug los…
Reduction in the desired effect
What pharmacokinetic property makes it…
blood-brain barrier
A diabetic client is prescribed metoclo…
Tardive Dyskinesia symptoms
An elderly client w/depression, diabete…
Creatinine levels
1. Excess blinking of eyes... 2. Lip smaking... 3. Puffing of cheeks…
caused from: Metoclopramide (Reglan) and antipsychotic drugs... -…
Serum creatinine is 2.3
0.6-1.3
A diabetic client is prescribed metoclo…
1. Excess blinking of eyes... 2. Lip smaking... 3. Puffing of cheeks…
Tardive Dyskinesia symptoms
caused from: Metoclopramide (Reglan) and antipsychotic drugs... -…
b. 0.5 to 2.0 ng/mL
a. It is in the high (elevated) range.
d. Pulse below 60 beats/min and irregul…
a. Increase the serum digoxin sensitivi…
A newly admitted client takes digoxin 0.25 mg/day. The nurse k…
The client's serum digoxin level is 3.0 ng/mL. What does the n…
The nurse is assessing the client for possible evidence of dig…
The client is also taking a diuretic that decreases her potass…
b. 0.5 to 2.0 ng/mL
A newly admitted client takes digoxin 0.25 mg/day. The nurse k…
a. It is in the high (elevated) range.
The client's serum digoxin level is 3.0 ng/mL. What does the n…
A nurse is reviewing a patient's medica…
A nurse is reviewing a patient's PMH. T…
A patient tells you that her urine is s…
You are responsible for reviewing the n…
(A) and (B) are both contraindicated with pregnancy.
(F) All of the others have can cause photosensitivity reaction…
(D) All of the others can cause urine discoloration.
(A) Corgard could be removed from the refigerator.
A nurse is reviewing a patient's medica…
(A) and (B) are both contraindicated with pregnancy.
A nurse is reviewing a patient's PMH. T…
(F) All of the others have can cause photosensitivity reaction…
Beta blockers end with what?
What classification is metoprolol? What…
What do calcium channel blockers end wi…
What are verapamil, diltiazem, and nica…
-olol
Beta blocker... Lowers HR and force of contraction... Used for HTN a…
-dipine or -pine... May have other names including verapamil or d…
Calcium channel blockers... Decrease the force of contraction... Use…
Beta blockers end with what?
-olol
What classification is metoprolol? What…
Beta blocker... Lowers HR and force of contraction... Used for HTN a…
A client is in the eighth month of preg…
During her fourth clinic visit, a clien…
A client and her spouse, both 25 years…
When evaluating a pregnant client's fun…
Left lateral
No. Because the live viral vaccine is contraindicated during p…
inability to conceive after 1year of unprotected attempts.
from symphysis pubis notch to highest level of fundus.
A client is in the eighth month of preg…
Left lateral
During her fourth clinic visit, a clien…
No. Because the live viral vaccine is contraindicated during p…
b. 0.5 to 2.0 ng/mL
a. It is in the high (elevated) range.
d. Pulse below 60 beats/min and irregul…
a. Increase the serum digoxin sensitivi…
A newly admitted client takes digoxin 0.25 mg/day. The nurse k…
The client's serum digoxin level is 3.0 ng/mL. What does the n…
The nurse is assessing the client for possible evidence of dig…
The client is also taking a diuretic that decreases her potass…
b. 0.5 to 2.0 ng/mL
A newly admitted client takes digoxin 0.25 mg/day. The nurse k…
a. It is in the high (elevated) range.
The client's serum digoxin level is 3.0 ng/mL. What does the n…
Atorvastatin (Lipitor)
Aspirin (ASA)
Antiplatelet Therapy
Benztropine (Cogentin)
Antihyperlipidemic - HMG CoA reductase inhibitor... - Avoid drin…
- Increased risk for GI bleeding (coffee ground emesis, black…
Aspirin,... Clopidogrel (Plavix), prasugrel, ticagrelor given to…
Tx: Parkinson's disease... Class: anticholinergic ... AE: TACHYCARDI…
Atorvastatin (Lipitor)
Antihyperlipidemic - HMG CoA reductase inhibitor... - Avoid drin…
Aspirin (ASA)
- Increased risk for GI bleeding (coffee ground emesis, black…
CHAPTER 1 INTRODUCTION TO PHARMACOLOGY
The nurse is caring for a woman who has…
The nurse is taking care of a man who i…
In understanding the use of controlled…
CHAPTER 1 INTRODUCTION TO PHARMACOLOGY
natural products derived from plant... Historically, drugs came…
A prototype drug is the standard by which similar drugs are co…
scheduled according to medical use and potential for abuse
CHAPTER 1 INTRODUCTION TO PHARMACOLOGY
CHAPTER 1 INTRODUCTION TO PHARMACOLOGY
The nurse is caring for a woman who has…
natural products derived from plant... Historically, drugs came…
The nurse is administering the drug los…
What pharmacokinetic property makes it…
The nurse administering an acidic drug…
A client with cirrhosis of the liver ex…
Reduction in the desired effect
blood-brain barrier
b
a
The nurse is administering the drug los…
Reduction in the desired effect
What pharmacokinetic property makes it…
blood-brain barrier
27.) Sildenafil (Viagra) is prescribed…
54.) A nurse reinforces discharge instr…
55.) A client who is receiving digoxin…
56.) Heparin sodium is prescribed for t…
3. Use of nitroglycerin... Rationale:... Sildenafil (Viagra) enhance…
4. "I will take Ecotrin (enteric-coated aspirin) for my headac…
2.) 0.5 to 2 ng/mL... Rationale:... Therapeutic levels for digoxin r…
4. Activated partial thromboplastin time (aPTT)... Rationale:... The…
27.) Sildenafil (Viagra) is prescribed…
3. Use of nitroglycerin... Rationale:... Sildenafil (Viagra) enhance…
54.) A nurse reinforces discharge instr…
4. "I will take Ecotrin (enteric-coated aspirin) for my headac…
An antimicrobial medication that has se…
The development of a new infection as a…
A microbe acquires antibiotic resistanc…
The nurse identifies which host factor…
C. Ability to avoid injuring host cells... Selective toxicity re…
B. Superinfection... Antibiotic therapy can destroy the normal f…
D. Transfer of DNA coding to another bacteria... All alterations…
B. Competent immune function... Two factors—host defenses and th…
An antimicrobial medication that has se…
C. Ability to avoid injuring host cells... Selective toxicity re…
The development of a new infection as a…
B. Superinfection... Antibiotic therapy can destroy the normal f…
Captopril, ... Enalapril, ... Lisinopril
Losartan, ... Irbesartan, ... Valsartan
Nifedipine, ... Amiodipine, ... Verapamil, ... D…
Clonidine, ... Guanfacine, ... Methyldopa
ACE inhibitors... Block conversion of Angiotensin I reducing peri…
ARBs (Angiotension Receptor Blockers)... Blocks vasoconstriction…
Calcium Channel Blocker... Results in arterial dilation decreased…
Centrally Acting Alpha Agonists... Reduces peripheral Vascular Re…
Captopril, ... Enalapril, ... Lisinopril
ACE inhibitors... Block conversion of Angiotensin I reducing peri…
Losartan, ... Irbesartan, ... Valsartan
ARBs (Angiotension Receptor Blockers)... Blocks vasoconstriction…
The parent of a preschooler with chicke…
A client is to have an epidural block t…
The physician prescribes penicillin pot…
The nurse must irrigate a gaping abdomi…
Correct Answer: 3... RATIONALES: Research shows a correlation be…
Correct Answer: 3... RATIONALES: For an epidural block, the nurs…
Correct Answer: 14... RATIONALES: To determine the total daily d…
Correct Answer: 1... RATIONALES: To wash away tissue debris and…
The parent of a preschooler with chicke…
Correct Answer: 3... RATIONALES: Research shows a correlation be…
A client is to have an epidural block t…
Correct Answer: 3... RATIONALES: For an epidural block, the nurs…
27.) Sildenafil (Viagra) is prescribed…
54.) A nurse reinforces discharge instr…
55.) A client who is receiving digoxin…
56.) Heparin sodium is prescribed for t…
3. Use of nitroglycerin... Rationale:... Sildenafil (Viagra) enhance…
4. "I will take Ecotrin (enteric-coated aspirin) for my headac…
2.) 0.5 to 2 ng/mL... Rationale:... Therapeutic levels for digoxin r…
4. Activated partial thromboplastin time (aPTT)... Rationale:... The…
27.) Sildenafil (Viagra) is prescribed…
3. Use of nitroglycerin... Rationale:... Sildenafil (Viagra) enhance…
54.) A nurse reinforces discharge instr…
4. "I will take Ecotrin (enteric-coated aspirin) for my headac…
Head Injury Medication
MAOI's
Nursing Interventions for Digoxin
Amphojel
Mannitol (osmotic diuretic) - crystallizes at room temp so ALW…
antidepressants... ex. parnate, marplan, nardil
Check pulse, less than 60 hold!, check dig levels and K+ levels
Tx of GERD and kidney stones...watch out for constipation
Head Injury Medication
Mannitol (osmotic diuretic) - crystallizes at room temp so ALW…
MAOI's
antidepressants... ex. parnate, marplan, nardil
27.) Sildenafil (Viagra) is prescribed…
54.) A nurse reinforces discharge instr…
55.) A client who is receiving digoxin…
56.) Heparin sodium is prescribed for t…
3. Use of nitroglycerin... Rationale:... Sildenafil (Viagra) enhance…
4. "I will take Ecotrin (enteric-coated aspirin) for my headac…
2.) 0.5 to 2 ng/mL... Rationale:... Therapeutic levels for digoxin r…
4. Activated partial thromboplastin time (aPTT)... Rationale:... The…
27.) Sildenafil (Viagra) is prescribed…
3. Use of nitroglycerin... Rationale:... Sildenafil (Viagra) enhance…
54.) A nurse reinforces discharge instr…
4. "I will take Ecotrin (enteric-coated aspirin) for my headac…
what lab values should be monitored wit…
cef-
ceph-
cort-
PT/INR... therapeutic INR range = 2.0 - 3.0
cephalosporins - antibiotics
cephalosporins - antibiotics
corticosteroids - anti-inflammatory
what lab values should be monitored wit…
PT/INR... therapeutic INR range = 2.0 - 3.0
cef-
cephalosporins - antibiotics
Anticoagulant
Antiplatelets
Thrombolytics
SSRI
Prevents new venous clots from forming... Parenteral: heparin, en…
prevent new clots from forming in arteries ... Ex: Aspirin, Clopi…
Dissolve active blood clots ... Ex: Alteplase, Teneceplase, Retep…
antidepressant/anxiolytic... Ex: Citalopram, Fluoxetine, Paroxeti…
Anticoagulant
Prevents new venous clots from forming... Parenteral: heparin, en…
Antiplatelets
prevent new clots from forming in arteries ... Ex: Aspirin, Clopi…
Phenothiazines, like chlorpromazine, ar…
A1 Blockers have __________ as an adver…
Which drug works on the hypothalamus to…
Which drugs work to reduce symptoms of…
Psychosis
Hypotension (They work too well)
acetaminophen (Tylenol)
A1 Blockers such as tamsulosin (Flomax) and 5-Alpha Reductase…
Phenothiazines, like chlorpromazine, ar…
Psychosis
A1 Blockers have __________ as an adver…
Hypotension (They work too well)
1. An agitated, confused female client…
2. A female adult client with a history…
3. Nurse John is assigned to care for a…
4. During a class on exercise for diabe…
B. ... To reverse hypoglycemia, the American Diabetes Association…
A. ... Poorly controlled hyperparathyroidism may cause an elevate…
D.... The nurse should refer this client to a sex counselor or o…
B. ... Diabetic clients must exercise at least three times a week…
1. An agitated, confused female client…
B. ... To reverse hypoglycemia, the American Diabetes Association…
2. A female adult client with a history…
A. ... Poorly controlled hyperparathyroidism may cause an elevate…
Which of the following are most likely…
A patient has been diagnosed with Right…
It is important that the nurse be knowl…
Nurses can best help older clients prev…
Mental status changes... Agitation... Frequent falls... Rationale: Ma…
Right atrium... Rationale: The right atrium is a thin-walled stru…
Evaluate blood flow to peripheral tissues.... ... Rationale: Blood…
How to maintain a normal blood pressure.... ... Rationale: Hyperten…
Which of the following are most likely…
Mental status changes... Agitation... Frequent falls... Rationale: Ma…
A patient has been diagnosed with Right…
Right atrium... Rationale: The right atrium is a thin-walled stru…
The spouse of a phobic client confides…
The nurse cares for a client 24 hours p…
The nurse evaluates care for an elderly…
The nurse completes postop teaching for…
1) should acknowledge wife's concerns... 2) do not attempt to re…
Strategy: "Immediate intervention" indicates a complication.…
Strategy: Think about each answer.... 1) appropriate action; dis…
Strategy: "Further teaching needed" indicates an incorrect res…
The spouse of a phobic client confides…
1) should acknowledge wife's concerns... 2) do not attempt to re…
The nurse cares for a client 24 hours p…
Strategy: "Immediate intervention" indicates a complication.…
What is infection of the middle ear cal…
For getting a pulse, which artery is us…
What are common clinical findings for h…
What are common clinical findings for p…
otitis media
Radial
Hx of constipation, frank blood on the stool, painful anal les…
Rebound tenderness and rigidity over the abdominal wall. Decre…
What is infection of the middle ear cal…
otitis media
For getting a pulse, which artery is us…
Radial
Pain scales - CRIES
Pain scales PEPPS
Pain scales FLACC
Pain scale FACES
0-6 months
Toddlers preverbal/early verbal
2 mo - 3 yr face, legs, activity, crying, consolability
Over 3 yrs
Pain scales - CRIES
0-6 months
Pain scales PEPPS
Toddlers preverbal/early verbal