PHARMACOLOGY SAMPLE TEST

1. A client with bacterial pneumonia is to be started on intravenous antibiotics. Which of the following diagnostic tests must be completed before antibiotic therapy begins? a.) urinalysis b.) sputum culture c.) chest radiograph d.) red blood cell count

2. Which of the following anti-tuberculosis drugs can cause damage to the eight cranial nerve? a. streptomycin b. isoniazid (INH) c. para-aminosalicylic acids (PAS) d. ethambutol hydrochloride (myambutol) 3. What is the rationale that supports multi-drug treatment for clients with tuberculosis? a) multiple drug potentiate the drug's actions b) multiple drugs reduce undesirable drug side effects c) multiple drugs allow reduced drug dosages to be given d) multiple drugs reduce development of resistant strains of bacteria 4. The nurse should caution sexually active female clients taking INH that the drug has which of the following effects? a) increases the risk of vaginal infection b) has mutagenic effects on ova c) decreases the effectiveness of oral contraceptives d) inhibits ovulation 5. Isoniazid (INH) and Rifamficin (Rifadin) have been prescribed for a client with tuberculosis. A nurse reviews the medical record of the client. Which of the following, if noted in the client's history, would require physician notification? a) heart disease b) allergy to penicillin c) hepatitis B d) rheumatic fever 6. Digoxin is administered intravenously to a client with heart failure, primarily because the drug acts to: a) dilate coronary artery b) increase myocardial contractility

c) decrease cardiac dysrhytmias d) decrease electrical conductivity in the heart 7. The nurse teaches the client with angina about the common expected side effects of nitroglycerin, including: a) headache b) high blood pressure c) shortness of breath d) stomach cramps 8. Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How should the nurse instruct the client to use the drug when chest pain occurs? a) take one tablet every 2 to 5 minutes until chest pain stops b) take one tablet and rest for 10 minutes. Call the physician if pain persists after 10 minutes c) take one tablet, then an additional tablet every 5 minutes for a total of three tablets. Call the physician if pain persists after three tablets d) take one tablet. If the pain persists after 5 minutes, take two tablets. If pain still persists 5 minutes later, call the physician 9. Because smoking cessation is a critical strategy for the client diagnosed with Buerger's disease, the nurse anticipates that the client will go home with a prescription for which of the following medications? a) nicotine ( nicontrol) b) nitroglycerin c) furosimide ( lasix) d) ibuprofen 10. A client with leukemia is receiving busulfan (myleran). Allopurinol (zyloprim) is prescribed for the client. The purpose of the allopurinol is to: a) prevent gouty arthritis b) prevent hyperuricemia c) prevent diarrhea d) prevent stomatitis 11. Epidural analgesia is administered to woman for pain relief following a CS birth. The nurse assigned to care for the woman ensures that which medication is readily available if respiratory depression occurs? a) Bethamethasone (celestone) b) Morphine sulfate c) Meperidine hydrochloride (demelor) d) Nalaxone (narcan) 12. Methylerogonovine (methergine) is prescribed for a postpartum woman to treat postpartum hemorrhage. Before administration, the priority nursing assessment is to check the:

a) Amount if lochia b) BP c) Deep tendon reflexes d) uterine tone 13. A nurse is caring for the patient who is receiving pitocin (oxytocin) for the induction of labor. The nurse discontinues the pitocin infusion if which one of the following is noted on the assessment of the client? a) drowsiness b) fatigue c) early decelerations of fetal heart rate d) uterine hyperstimulation 14. A pregnant client is magnesium sulfate for the management of preeclamsia. A nurse determines that the client experiencing toxicity from the medication if which of the following is noted on assessment? a) presence of deep tendon reflexes b) serum magnesium level of 6 mEq/L c) proteinuria +3 d) respirations of 10 per minute

15. A woman with pre-eclampsia is receiving magnesium sulfate. The nurse assigned to care for the client determines that the magnesium sulfate therapy is effective if? a) ankle clonus is noted b) BP decreases c) seizure do not occur d) scotomas are present 16. Methylergonovine (metthergine) is prescribed for a client with postpartum hemorrhage. Prior to administering the medication, a nurse contacts the health care provider who prescribed the medication if which of the following conditions is documented? a) perpheral vascular disease b) hypothyroidism c) hypotension d) diabetes mellitus 17. Vitamin K ( Aquamephyton) is prescribed for a neonate. Nurse Jarell prepares the medication and selects which muscle site to administer the medication? a) deltoid b) dorso gluteal c) vastuslateralis d) biceps

18. Ms. Nanette, a clinical instructor, asks a nursing student to describe the procedure of administering erythromycin ointment to the eyes of a neonate. The instructor determines that student needs further teaching if she states; a) " I will cleanse the neonate's eyes before instilling ointment" b) " I will flush the eyes after instilling the ointment" c) I will instill the eye ointment into each of the neonate's conjunctival sacs within 1 hour after birth d) "administration of the eye ointment may be delayed until an hour or so after birth so that eye contact and parent-infant bonding can occur 19. Dr. Garcia has prescribed Phenobartal sodium (luminal sodium), 25 mg PO bid, for a child with febrile seizures. The medication label reads: Phenobartal sodium, 20 mg per 5ml. Nurse Kris has determined that the dosage prescribed is a safe for a child. The nurse prepares to administer how many milliliters per dose to the child? a) 4.7 ml b) 4.5 ml c) 6.25 ml d) 7 ml 20. Cloxacillin (tegopen), 100 mg PO every 8 hours, is prescribed for a child with an elevated remperature who is suspected of having a respiratory tract infection. The child weighs 17 lbs. the safe pediatric dosage is 50 mg/kg/day. The nurse determines that: a) the dose is too high b) the dose is too low c) the dose is safe d) there is not enough information to determine safe dose 21. Diphenhydramine ydrochloride (Benadryl), 25mg PO every 6 hours, is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg/day. The nurse determines that: a) the dose is to high b) the ose is too low c) the dose is safe d) there is not enough information to determine safe dose 22.Morphine sulfate, 2.5mg, IV piggyback, in 10ml of normal saline, is prescribed for a child postoperatively. The medication label reads: 1/15gr/ml. The nurse prepares to add how many ml of morphine sulfate to the 10ml NSS? a) 0.62ml b) 0.82ml c) 0.72ml d) 0.92ml 23. Dr.Lauzon's order reads: Ampicillin (omnipen), 125 mg IV per 6 hour. The medication label reads: 1g and reconstitute with 7.4ml of bacteriostatic water. A nurse prepares to draw up how many ml to administer one dose?

a) 0.54ml b) 0.92ml c) 1.1ml d) 7.4ml 24. Salicylic acid is prescribed for MangMacario, client diagnosed with psoriasis. A nurse monitors him, knowing that which of the following would indicate the presence of systemic toxicity from this medication? a) decrease RR b) diarrhea c) constipation d) tinnitus 25. Nurse Arlene is monitoring the lab reuslts for a client receiving an antineoplastic medication by the IV route. The nurse prepares to initiate bleeding precautions if which lab results is noted? a) WBC count of 5000 cells/ml b) platelet of 50,000 cells/ml c) clotting time of 10 minutes d) ammonia level of 20mg/dL 26. A nurse is providing medication instructions to a client with breast cancer who is taking cyclophosphamide (cytoxan), the nurse tells the client to: a) take the medication with food b) increase fluid intake to 2000 to 3000 ml per day c) decrease sodium intake while taking the medication d) increase potassium intake while taking the medication 27. A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse tells the client to: a) take aspirin (ASA) as needed for headache b) drink beverages containing alcohol in moderate amounts c) consult with the physician before receiving immunizations d) be sure to receive flu and pneumonia vaccines 28. A client with ovarian cancer is being rteated with vincristine (Oncovin). A nurse monitors the client, knowing that which of the following is a side effect specific to this medication? a) diarrhea b) numbness and tingling in the fingers and toes c) chest pain d) hair loss 29. A client with metastatic breast cancer is receiving Tamoxifen (Nolvadex). A nurse specifically monitors which of the following laboratory values while the client is taking this medication?

a) potassium level b) glucose level c) calcium level d) prothrombin time 30. Megestrol acetate (Megace), an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. A nurse reviews the client's history and contacts the physician if which of the following is documented in the client's history? a) asthma b) myocardial infarction c) thrombophlebitis d) gout 31. Marissa has a breast cancer and is admitted to a hospital for treatment with IV vincristine (Oncovin). She tells the nurse that she has been told by friends that she is going to loose all her hair. The most appropriate response in which of the following? a) you will not lose your hair b) your friends are connect c) hair loss may occur, but it will grow back just it is now d) hair loss may occur, and it will grow back, but it may have a different color and texture 32. A client with acute leukemia is being treated with busulfan (Myeleran). Which of the following laboratory values would a nurse specifically monitor during treatment with this medication? a) blood glucose b) uric acid level c) potassium level d) cltting time 33. Vasopressin ( Pitressin) is oredered for a client with diabetes insipidus. A nurse is particularly cautious in monitoring the client receiving this medication if the client has which o the following preexisting condition? a) depreression b) endometriosis c) coronary artery disease d) phechromocytoma 34. Nurse Christian provides teaching to a client who is taking levothyroxine (Synthroid). The nurse tells the client to take the medication: a) with food b) on an empty stomach c) at bedtime with snack d) at lunchtime 35. A nurse provides medication instructions to a client who is taking Synthroid. The nurse instructs the

client to notify the physician if which of the following occurs? a) cold intolerance b) tremors c) excessively dry skin d) fatigue 36. A nurse performs an admission assessment on Marina who visits the clinic for the first time. The client tells that she is taking propylthiouracil (PTU) daily. The nurse continues to collect data from the client, suspecting that the client has history of: a) cushing's syndrome b) addison's disease c) myxedema d) grave's disease 37. A client is receiving somatropin (Humatrope). the nurse monitors which significant laboratory study during therapy with this medication? a) amylase b) lipase c) BUN d) TSH 38. A client is scheduled for a subtotal thyroidectomy. Iodine solution (lugol solution) is prescribed. A nurse prepares to administer the medication, knowing the therapeutic effect of this medication to: a) increase thyroid hormone production b) supresses thyroid hormone production c) replace thyroid hormone d) prevent the oxidation of iodine 39. Calcium carbonate is prescribed for a client with hypocalcemia. Nurse Billy should instruct the client to take the medication: a) with meals b) one hour after meals c) just aftr meals d) evry 4 hours 40. A daily dose of prednisone (Deltasone) is prescribed for a client. A nurse provides instruction to the client regarding medication. The nurse is correct to say that the best time to take the medication is: a) at bedtime b) at noon c) early morning d) anytime, but must be on the same time, each day

41. Prednisone (Deltasone) is prescribed for a client with diabetes mellitus who is aking NPH insulin daily. Which of the following prescriptions does the nurse anticipate during the therapy with the prednisone? a) a decreased amount of daily NPH insulin b) an increased amount of daily NPH insulin c) an additional dose of prednisone daily d) an additional OHA daily 42. A nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the client, needs further teaching? a) injects air into NPH insulin vial first b) injects an amount of air equal to the desired dose of insulin to the vial c) withdraws the NPH insulin first d) withdraws the regular insulin first 43. A home care nurse visits a client recently diagnosed with diabetes mellitus. The client is taking NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse tells the client to: a) freeze the insulin b) refrigerate the insulin c) keep the insulin at room temperature d) store the insulin in a dark, dry place 44. Sildenafil citrate (Viagra) is prescribed to treat a client with erectile dysfunction. A nurse reviews the clients medical record and would question the prescription if which of the following is noted in clients history? a) neuralgia b) use of NTG c) use of multivitamins d) insomnia 46.A client taking Bisacodyl (Dulcolax) wants to achieve rapid effect from the medication. A nurse tells the client to take the medication: a) with a large meal b) on an empty stomach c) at bedtime d) with two glasses of juice 47. A client has RPN order for Loperamide( Immodium). A nurse should plan to administer this medication if the client has: a) hematest-positive NGT drainage b) abdominal pain c) constipation d) an episode of diarrhea

48. A nurse teaches a client taking metochlopromide (Reglan) to discontinue the medication immediately and call the physician if which of the following side effects occurs with long- term use? a) anxiety or irritability b) dry mouth not minimized by the use of sugar-free hard candy c) excessive drowsiness and excitability d) uncontrolled rhythmic movements 49. A client begun medication therapy pancre-lipase. A nurse would conclude that the medication is having the optimal intended benefit if which of the following effects is observed? a) reduction of steatorrhea b) absence o abdominal pain c) relief and heartburn d) weight loss 50. A client with history of duodenal ulcer is taking calcium carbonate chewable tablets. A nurse would conclude that the client is experiencing optimal effects of the medication if: a) muscles twitching stops b) heartburn is relieved c) serum calcium level rice d) serum phosphorus level decrease 51. A hospitalized client asks a nurse for sodium bicarbonate to relieve heartburn following meal. The nurse interprets that this client could not receive this medication if the client did not experience which of the following condition? a) urinary calculi b) chronic bronchitis c) metabolic alkalosis d) respiratory acidosis 52. A client who chronically uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol (Cytotec). A nurse would conclude that the medication was having the intended therapeutic effect if the client did not experience which of the following symptoms? a) decreased platelet count b) decreased WBC c) epigastric pain d) diarrhea 53. Dr.Sy has written an order for ranitidine (Zantac), 300 mg once daily. A nurse would schedule the medication for which of the following times? a) before breakfast b) after lunch c) with supper

d) at bedtime 54. A client has been prescribed a cough formula containing codeinsulfate. A nurse has given the client instructions for its use. The nurse concludes that the client understands the instruction if the client verbalizes to self-assess for: a) excitability b) constipation c) rapid pulse d) excessive urination 55. Mang Tomas has been taking Isoniazid (INH) for six weeks now. The client complains to a nurse about numbness, paresthesias and tingling in the extremities. The nurse interprets that the client is experiencing: a) small blood vessel spasm b) impaired peripheral circulation c) hypercalcemia d) peripheral neuritis 56. Carina is newly diagnosed TB patient and is about to begin with Isoniazid therapy. The nurse plans to teach the client to: a) use alcohol in small amounts only b) report yellow eyes or skin immediately c) increase intake of Swiss or aged cheese d) avoid vitamin supplements during therapy 57. Aling Sonia has been started on a long term therapy with rifampin (Rifadin). A nurse teaches the client that the medication: a) should be double dosed if one dose is forgotten b) may be discontinued independently if symptoms are gone in 3 months c) causes orange discoloration of sweat, tears, urine and feces d) should always be taken with foods or antacids 58. A nurse has given a client taking ethambutol (myambutol) information about the medication. The nurse evaluates that the client understands the instructions if the client states to immediately report: a) GI side effects b) Impaired sense of hearing c) Orange-red discoloration of body secretions d) Difficulty in discriminating the color red from green 59. Conrado is diagnosed with TB and is being treated with Isoniazid. Before giving the client the first dose a nurse assesses that which of the following baseline studies has been completed? a) coagulation times b) electrolytes

c) serum creatinine d) liver enzymes 60. A nurse provides discharge instructions to a post-op client who is taking warfarin sodium (coumadin). Which statement, if made by the client, reflects the need for further teaching? a) I will take aspirin for my headache b) I will be certain to limit my alcohol consumption c) I will take my pills every day at the same time d) I have already called my family to pick up a Medic-Alert bracelet 61. A client has serum potassium of 3.0 mEq/L and is complaining of anorexia. A physician orders a digitalis level to rule out digitalis toxicity. A nurse checks the results, knowing that which of the following is the therapeutic serum level of digitals? a) 0.5 to 2.0 ng/ml b) 1.2 to 2.8 ng/ml c) 3.0 ng/ml d) 3.5 ng/ml 62. A nurse is monitoring a client who is taking propranolol (Inderal). Which of the following assessment data would indicate a potential serous complication associated with Propranolol? a) Baseline BP of 150/80 mmHg followed by a BP of 138/72mmHg after 2 doses of medication b) Baseline resting heart rate of 88bpm followed by a resting heart rate of 73bpm after 2 doses of medication c) Development of audible expiratory wheels d) Complaints of insomnia 63 A home health care nurse is visiting an elderly client at home. Furosemide (Lasix) is prescribed for the client. The nurse teaches the client about medication. Which of the following statements, if made by the client, indicates the need for further teaching? a) I will take my medication every morning with breakfast b)I will call my doctor if my ankle swell or my rings get tight c)I need to drink lots of coffee and tea to keep myself healthy d)I will sit up slowly before standing each morning 64. A nurse is caring for a client receiving a heparin IV infusion. The nurse anticipates that which lab study will be prescribed to monitor its therapeutic effect? a) Prothrombin time (PT) b) Activated partial thromboplastin time (APTT) c) Hematocrit (Hct) d) Hemoglobin (Hgb) 65. A home health nurse instructs a client about the use of nitrate patch. The nurse tells the client which of the following that will prevent client tolerance to nitrates?

a) do not remove the patches b)have a 12 hour no nitrate time c) have a 24 hour no nitrate time d)keep nitrates on 24 hours,then off 24 hours 66. A client is admitted to a medical unit with nausea and bradycardia. The family hands nurse a small white envelope labeled :hearth pill. The envelope is sent to a pharmacy and reveals digoxin (Lanoxin). A family member states, That doctor doesnt know how to take care of my family. The most therapeutic response by the nurse would be: a)Youre concerned your love one receives the best care b)Youre right! Ive never seen a doctor put pills in an envelope c)I think youre wrong. The physician has been in practice for over 30 year d)Dont worry about this. Ill take car of everything 67. A nurse is caring for a client receiving dopamine (Intropine). Which of the following potential nursing diagnoses is appropriate for this client? a)increased cardiac output b)fluid volume excess c)impaired tissue perfusion d)altered sensory perception 68. A client with CHF is on 1g sodium diet. A nurse understands that which medication prescribed for the client promotes sodium excretion while conserving potassium? a)spinorolactone (Aldactone) b)furosemide (Lasix) c)ethacrynic acid (edecrin) d)hydrochlorotiazide (hydrodiuril) 69. A client has developed paroxysmal nocturaldyspnea (PND). Which of the following medications does a nurse anticipate will be prescribed by the physician? a)lidocaine (xylocaine) b)propranolol (inderal) c)bumetanide (bumex) d)urokinase (abbokinase) 70. A client arrives in the ER complaining of unrelieved chest pain for 2 days. The pain has subsided slightly but never disappeared. When the nurse approaches the client with a 0.4 NTG sublingual tablet, the client states, I dont need that. My dad takes that for his heart. Theres nothing wrong with my heart. The nurse interprets that the client is exhibiting which type of reaction? a)obsessive-compulsive b)denial c)projection d)angry

71. Aling Coring, 66 yrs old, is complaining of not feeling well is being seen in clinic. She is taking several medications for the control of heart disease and hypertension. The medications include atenolol (Tenormin), digoxin (Lanoxin), and chlorothiazide (Diuril). A tentative diagnosis of digoxin toxicity is made. Which of the following assessment data will support this diagnosis? a)chest pain, hypotension and paresthesias b)constipation, dry mouth and sleep disorder c)double vision, loss of appetite, and nausea d)dyspnea, edema and palpitations 72. A client with diagnosis of CHF is seen in a clinic. The client is being is being treated with a variety of medications including digoxin (Lanoxin) and furosimide (Lasix). Which of the following assessment findings would lead the nurse to suspect that the client is hypokalemic? a)diarrhea b)intermittent intestinal colic c)muscle weakness with leg cramps d)tingling of the fingers and toes 73. A client is being discharged with a prescription for propranolol hcl (Inderal). In developing a medication teaching plan, a nurse would include which of the following instructions? a)exercise will prevent orthostatic hypotension b)hot baths and showers are advised to increase vasodilation c)medication should be taken on an empty stomach to enhance absorption d)medication should be withheld if the pulse rate drops below 60 bpm 74. Cotrimoxazole (Bactrim) is prescribed to be administered by IV infusion to a client with recurrent UTI. A nurse would plan to administer this medication: a)over 60 to 90 minutes b)over a period of 90 minutes c) piggybacked into existing infusion of normal saline and potassium chloride d)piggybacked into the peripheral line containing TPN 75. Following a kidney transplant, cyclosporine (Sandimmune) is prescribed for a client. Which of the following laboratory results would indicate an adverse effect of the use of this medication? a)decreased WBC count b)decreased Hgb c)elevated BUN d)decreased creatinine 76.A public health nurse visits a client at home and instructs the client in administration of the prescribed eye drops. Which of the following statements by the client indicates a need for further teaching? a)I cant tilt my head back, pull down on the lower lid, and place the drop on the lower lid b)I can lie down, pull down on he lower lid and place the drop on the lower lid c)I can lie down, pull up the upper lid, and place the drop on the lower lid

d)I can lie on my side opposite to the eye I am going to place the drop. Put the drop in the corner of my lid nearest my nose, and then slowly turn my other side while blinking 77. Ear drops are prescribed for an infant with otitis media. The most appropriate method to administer the ear drops to the infant is: a)pull up and back on the pinna and direct the solution onto the eardrum b)pull down and back on the pinna and direct the solution onto the eardrum c)pull down and back on the ear and direct the solution toward the wall of the canal d)pull up and back on the ear and direct the solution toward the wall of the canal 78. A nurse is providing instructions to a client who will self-administering eye drops. To minimize the systemic effects that eye drops can produce, the nurse instructs the client to: a)eat prior to installing the drops b)swallow several times after instilling the drops c)blink vigorously to encourage tearing instilling drops d)occlude nasolacrimal duct with a finger for several minutes after instilling the drops 79. A nurse is caring for Mrs. Lansing who is suffering from glaucoma. Which of the following medications, if prescribed for the client, would the nurse question? a)carbacol (Miostat) b)pilocarpineHCl (Isoptocarpine) c)pilocarpine nitrate d)atropine sulfate 80. A miotic medication has been prescribed for a client with glaucoma. The client asks the nurse about the purpose of the medication. The nurse tells the client a)the medication will lower the pressure in the eye and increase the blood flow in the retina b)the medication will help dilate the eye to prevent pressure from occurring c)the medication will relax the muscles of the eyes and prevent blurred vision d)the medication will help to block the responses that are set to the muscles in the eye

81. Pilocarpine Hydrochloride is prescribed for a client with glaucoma. Which of the following medication does the nurse plan to have available in the event of systemic toxicity? a) naloxone HCl (narcan) b) pindolol (Visken) c) AtSO4 d) Mesoridazinebesylate (Serentil) 82. A nurse prepares for a client for irrigation as prescribed by a physician. In performing the procedure, the nurse: a) positions the client to turn her head so that the ear to be irrigated is facing upward

b) warms the solution to 100F c) directs a slow steady stream of irrigation solution toward the eardrum d) positions the client with affected side up following the irrigation 83. In the ER, a nurse is caring for a client diagnosed with Bells palsy. The client has been taking acetaminophen (Tylenol), and Tylenol overdose is suspected. The nurse anticipates that the antidote to be prescribed is: a) auranofin b) atropine sulfate c) diazepam d) acetylcysteine 84. A client with trigeminal neuralgia tells the nurse that he or she takes acetaminophen (Tylenol) on a frequent daily basis for the relief of generalized discomfort. Which of the following laboratory values would indicate toxicity associated with this medication? a) platelet count of 400,000 cells/mL b) direct bilirubin level of 2mg/dL c) prothrombin time of 12 seconds d) sodium of 140 mEq/L 85. A client is suspected of having myasthenia gravis. Edrophonium (Tensilon) 2 mg IV administered to determine the diagnosis. Which of the following indicates that the client has myasthenia gravis? a) an increase in muscle strength within 1 to 3 minutes following administration of the medication b) a decrease in muscle strength within 1 to 3 minutes following administration of the medication c) joint pain swelling following administration of the medication d) feelings of faintness, dizziness, hypotension, and signs of flushing in the client 86. A client with myasthenia gravis becomes increasingly weaker. The physician prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or an increasing severity of the disease (myasthenic crisis). An injection of edrophonium (tensilon) is administered. Which of the following would indicate that the client is in cholinergic crisis? a) an improvement of weakness b) a temporary worsening of the weakness c) no change in the condition d) complaints of muscle spasm 87. A client with myasthenia gravis verbalizes complaints of feeling much weaker than normal. The physician plans to implement a diagnosis test to determine if the client is experiencing myasthenic crisis. The physician administeradrophonium (Tensilon). Which of the following would indicate that the client is experiencing a myasthenic crisis? a) increasing weakness b) a temporary improvement in the condition c) an increase in muscle spasm d) no change in the condition

88. Levodopa (Carbidopa) is prescribed for a client with Parkinsons disease. The nurse monitors the client for adverse reactions to the medication. Which of he following would indicate that the client is experiencing an adverse reaction? a) pruritus b) hypertension c) tachycardia d) impaired voluntary movements 89. Phenytoin (Dilantin), 100 mg PO three times daily, has been prescribed for a client for seizure control. The community health nurse visits the client and provides teaching about the medication. Which of the following statements, if made by client, would indicate effective teaching? a) Its OK to break the capsules to make it easier for me to swallow them b) I will use a soft toothbrush for my teeth c) If I forgot to take my medication, I can wait until the next dose and eliminate that dose d) If my throat becomes sore, its normal effect of the medication 90. Rosalinda is taking Phenythoin for seizure control. A blood specimen for serum drug level is drawn and the nurse reviews the result. Which of the following indicate a therapeutic serum drug range? a) 5 to 10 ug/mL b) 10 to 20 ug/mL c) 20 to 30 ug/mL d) 30 to 40 ug/mL 91. A nurse is caring for a client receiving morphine sulfate, 10 mg SC every hours for pain. Because this medication ha been prescribed for the client, which nursing action would be included in the plan of care? a) monitor clients temperature b) force fluids c) maintain the client in supine position d) encourage the client to cough and deep-breathe 92. Meperidene hydrochloride (Demerol) is ordered for a client with pain. Which of the following would the nurse monitor for as a side effect of this medication? a) hypertension b) bradycardia c) diarrhea d) urinary retention 93. A nurse is caring for a client with severe back pain. Codeine sulfate has been prescribed. Which of the following does the nurse specifically include in the plan of care while taking his medication? a) monitor for hypertension b) monitor fluid imbalance c) monitor bowel activity

d) monitor peripheral pulses 94. Mannitol (Osmitrol) is prescribed for a client with increased ICP after a head injury. The nurse prepares to administer this medication, knowing that the therapeutic action is to: a) induce diuresis by raising the osmotic pressure of glomelular filtrate, thereby inhibiting the tubular absorption of water and solutes b) induce diuresis by promoting the reabsorption of sodium and water in the loop of Henle c) prevent the filtration of sodium and water through the kidneys d) prevent the filtration of sodium and potassium through the kidneys 95. Gina arrives at the ER complaining of back spasms. The client states I have been taking 2 to 3 aspirins every 4 hours for the last week and it hasnt helped my back. Aspirin intoxication is suspected and the nurse assesses the client for which of the following? a) diarrhea b) constipation c) tinnitus d) photosensitivity 96. A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which of the following, if noted during the assessment of the client would indicate that the client is experiencing a side effect related to this medication? a) headache b) increased salivation c) urinary retention d) drowsiness 97. Allopurinol (Zylorim) has been prescribed for a client. The nurse prepares to administer this medication knowing that which of the following information is accurate about this medication? a) it is used for the lysis of thrombi obstructing coronary arteries b) it prevents calcium ion entry across cell membranes of cardiac smooth muscle c) it decreases sympathetic outflow from the CNS d) it decreases uric acid production and produces uric acid concentrations in both the serum and urine 98. Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the clients record knowing that this medication would be contraindicated in which of the following disorders? a) renal failure b) hypothyroidism c) diabetes mellitus d) myxedema 99. Diclofenac is prescribed for a client with osteoarthritis. Which of the following medications, if noted on the clients record, would alert the nurse to consult with the physician? a) warfarin sodium

b) serentil c) primidone (mysoline) d) stelazine 100. Baclofen (Lioresal) is prescribed for a client with multiple sclerosis. The nurse monitors the client, knowing that the primary therapeutic effect of this medication is which of the following? a) increased muscle tone b) decreased muscle spasms c) decreased local pain and tenderness d) increased range of motion