PN Pharm practice A 2023 Questions with Correct
Answers
A nurse is performing the third check before administering
hydromorphone to a client. After opening the unit-dose packet, the client
tells the nurse they do not want to take the medication now. Which of
the following actions should the nurse take? Correct Answer-Dispose of
the medication with a second nurse as a witness
The nurse is legally required to have a witness when disposing of a
controlled substance
A nurse is reinforcing teaching with a newly licensed nurse about using
metoprolol to treat hypertension. which of the following conditions
should the nurse include as a contraindication for this medication?
Correct Answer-Bradycardia
Metoprolol is a beta blocker that slows the conduction through the AV
node. Therefore, it is contraindicated for clients who have bradycardia,
or a heart rate that is consistently less than 60/min
A nurse is reinforcing teaching about immunizations with a client who is
pregnant. which of the following vaccines should the nurse include in
the teaching as a safe to administer during pregnancy? Correct Answer-
Tetanus and Diphtheria(td)
,The nurse should include that either the Td vaccine or the tetanus,
diphtheria, and pertussis(Tdap) vaccine is safe for administration during
pregnancy. Tdap is the preferred vaccine
A nurse is assisting in the care of a client who has a history of psychosis
and is taking chlorpromazine. which of the following actions should the
nurse take to contract the adverse effects of this medication? Correct
Answer-Inform the client to apply sunblock before going outside
counter act photosensitivity. Chlorpromazine increases skin's sensitivity
to UV light = temporary pigmentation changes and increase risk of
sunburn
A nurse is instilling timolol eyedrops for a client who has glaucoma.
which of the following actions should the nurse take after instilling the
eyedrops? Correct Answer-Press the nasolacrimal duct
to prevent the medication from absorbing into systemic circulation
A nurse is reinforcing teaching with a client who is receiving Enalapril
20mg PO daily. the nurse should instruct the client to monitor for which
of the following adverse effects of this medication? Correct Answer-Dry
cough
persistent fry of nonproductive cough is an adverse effect of enalapril.
underlying cause of the dry cough is the accumulation of bradykinin
, from the medication. client should notify the provider of this adverse
effects.
A nurse is caring for a client who is taking phenylephrine. The nurse
should plan to monitor the client for which of the following
manifestations as an adverse effect of this medication? Correct Answer-
Increase Heart rate
due to cardiac effects, can cause tachycardia and other cardiac
dysrhythmias
A nurse is caring for a client who has multiple sclerosis and a new
prescription for baclofen. which of the following findings indicates to
the nurse that the medication is having a therapeutic effects? Correct
Answer-Decreased muscle spasticity
baclofen is a antispasmodic that decrease muscle spasticity in a client
who has MS
A nurse is caring for a client who is reeceiving methylprednisolone.
which of the following laboratory values should the nurse plan to
monitor? (SATA) Correct Answer-WBC
Serum K
blood glucose
increase risk for infection = leukocytosis
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