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FINAL PHARM EXAM WITH 100%
CORRECT ANSWERS EXAM 1 EXAM
QUESTIONS | 100% CORRECT ANSWERS
| VERIFIED | LATEST 2025/2026 VERSION
Which of the following is a potassium-sparing diuretic? - CORRECT ANSWERS Spironolactone
When assessing a client receiving metoprolol, the nurse should expect to find: - CORRECT ANSWERS decreased pulse rate
The nurse is administering hydrochlorothiazide. Which specific lab value should the nurse monito - CORRECT ANSWERS Potassium
The patient receives hydrochlorothiazide (HydroDIURIL). He tells the nurse he is urinating more frequently and questions how this drug affects his blood pressure. What is the nurse's best response? - CORRECT ANSWERS "Hydrochlorothiazide HydroDIURIL decreases the fluid in your bloodstream and this lowers your blood pressure."
A patient is taking spironolactone. Which condition is a contraindication? - CORRECT ANSWERS hyperkalemia
What is a priority nursing intervention for a patient who has just begun antihypertensive treatment with captopril? - CORRECT ANSWERS Take the patient's blood pressure.
The nurse is providing care to a patient who has experienced several episodes of angina. What is the primary outcome for this patient? - CORRECT ANSWERS The patient will experience relief of chest pain with nitrate therapy.
The nurse is teaching the patient about lifestyle modifications to help manage the patient's hypertension. The nurse determines that teaching has been effective when the patient makes which statement? - CORRECT ANSWERS "I know I need to give up my cigarettes and alcohol."
One of the nonselective beta-adrenergic blockers is metoprolol (Lopressor). This drug blocks - CORRECT ANSWERS Beta 1 and beta 2 receptors
The client is to take atorvastatin (Lipitor) to lower a high serum cholesterol level. What would the nurse include in the teaching for this drug? - CORRECT ANSWERS report muscle pain, tenderness or weakness right away
Metoprolol is a nonselective beta-adrenergic blocker, and is contraindicated for a client with asthma because it may cause - CORRECT ANSWERS bronchial constriction
Before administering digoxin (Lanoxin), what must the nurse assess? - CORRECT ANSWERS Apical pulse rate
When monitoring for the therapeutic effects of diltiazem, the nurse should assess for: - CORRECT ANSWERS decreased blood pressure
Blood work needs to be drawn on the client who is on warfarin (Coumadin). The nurse should expect that the health care provider will order which lab test? - CORRECT ANSWERS PT/INR
Which of the following blood test(s) does NOT indicate an increased risk for coronary artery disease? - CORRECT ANSWERS HDL: high-density lipoprotein
A patient is concerned about the body changes that have resulted from long-term prednisone therapy for the treatment of asthma. Which effect of this drug therapy would be present to support the nursing diagnosis of disturbed body image? - CORRECT ANSWERS weight gain
A patient has been receiving atenolol. The nurse will be concerned if the patient should demonstrate which of the following effects? - CORRECT ANSWERS hypertension
A 74-year-old patient is in congestive heart failure (CHF) and digoxin was prescribed. The nurse assesses the patient for adverse effects which include the following EXCEPT - CORRECT ANSWERS Increased urination
What is the priority goal when taking care of a client who is on anticoagulant therapy? - CORRECT ANSWERS PREVENT INJURY DUE TO BLEEDING
The three types of antianginal drugs include the following EXCEPT: - CORRECT ANSWERS Cardiac glycosides
Diphenhydramine is from which drug classification - CORRECT ANSWERS antihistamine
Which is the most common adverse effect of diphenhydramine? - CORRECT ANSWERS drowsiness
Which of the following drug classifications may be given to reduce the effects of sodium retention? - CORRECT ANSWERS diuretics
The community health nurse visits a patient who has been prescribed atorvastatin (Lipitor). Which of the following statements, if made by the patient, indicates that further teaching is necessary concerning this drug therapy? - CORRECT ANSWERS Most patients with lipid disorders have chest pain or shortness of breath
The nurse is preparing to administer guaifenesin and is looking up the mechanism of action. Which of the following indicates the mechanism of action for guaifenesin? - CORRECT ANSWERS Loosens and thins respiratory secretions
A patient has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing? - CORRECT ANSWERS chronic pain
A patient is taking cyclobenzaprine (Flexeril). Based on this finding, the nurse interprets that the patient has which disorder? - CORRECT ANSWERS A musculoskeletal injury
Which drug is used for the treatment of insomnia? - CORRECT ANSWERS Eszopiclone (Lunesta), a nonbenzodiazepine sleep aid
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining of severe pain around his incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient? - CORRECT ANSWERS His respiratory rate
Within 10 minutes after receiving a dose of morphine sulfate, the patient is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for which priority action? - CORRECT ANSWERS Administration of naloxone (Narcan)
The nurse is assessing a patient for contraindications to drug therapy with acetaminophen. Which patient should not receive acetaminophen? - CORRECT ANSWERS A patient with a history of liver disease
A patient who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation? - CORRECT ANSWERS Diazepam (Valium)
Temazepam (Restoril) is prescribed for a patient with anxiety. The nurse checks the patient's medical history, knowing that this medication is contraindicated in which disorder? - CORRECT ANSWERS narrow angle glaucoma
The nurse is developing a care plan for a patient who is taking a newly prescribed anticholinergic drug. Which nursing diagnosis would be appropriate for this patient? - CORRECT ANSWERS Knowledge deficit
The nurse reads in the patient's medication history that the patient is taking bupropion. The nurse interprets that the patient may have which disorder? - CORRECT ANSWERS depression
A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel "normal" again. Which statement by the nurse is correct? - CORRECT ANSWERS "These cravings may persist for several months."
A 29-year-old male patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic and euphoria, tachycardia, and fever. The nurse suspects that he may be experiencing the effects of taking which substance? - CORRECT ANSWERS stimulants
A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment? - CORRECT ANSWERS Methadone
When a patient is taking an adrenergic drug, the nurse expects to observe which therapeutic effect? - CORRECT ANSWERS increased heart rate
The nurse is teaching a patient about the possible adverse effects of donepezil (Aricept) for Alzheimer's disease. Which of the following is a possible adverse effect of this medication? - CORRECT ANSWERS bradycardia
A patient is asking the nurse what the adverse effects are of caffeine. Which of the following is an adverse effect of caffeine? - CORRECT ANSWERS Warmth and flushing
The nurse is reviewing the use of bethanechol in a patient who is experiencing urinary retention. Which statement best describes the mechanism of action of bethanechol? - CORRECT ANSWERS It causes increased bladder tone and motility.
The nurse is administering phenobarbital to a patient. The nurse explains that phenobarbital is used for:
The nurse recognizes zolpidem belongs to which classification: - CORRECT ANSWERS Nonbenzodiazepine
The nurse is administering diazepam to a patient and the patient asks why he is taking the medication. The nurse explains that diazepam is used for - CORRECT ANSWERS Anxiety
The nurse is administering acetaminophen to a patient. While reviewing the use of acetaminophen, the nurse recognizes that this medication is used for - CORRECT ANSWERS pain
The nurse is teaching a patient about the adverse effects of opioids. Which of the following is an adverse effect - CORRECT ANSWERS Decreased respirations
The nurse is administering methylphenidate to a patient and teaches the patient adverse effects. Which of the following is an adverse effect of methylphenidate? - CORRECT ANSWERS tremors
The nurse working in a preoperative admitting unit administers an anticholinergic medication to a patient before surgery. What is the purpose of this drug in the preoperative setting? - CORRECT ANSWERS Reduce oral and gastrointestinal secretions
The nurse will monitor for which adverse effect when administering an anticholinergic drug? - CORRECT ANSWERS hypertension
Which of the following is a serious adverse effect of diuretic therapy - CORRECT ANSWERS Electrolyte imbalance
A common adverse effect of bronchodilators is: - CORRECT ANSWERS tachycardia
A patient was prescribed Dextromethorphan (Delsym, Robitussin) and the nurse is explaining that the use of the drug is: - CORRECT ANSWERS Antitussive
Which medication is given for asthma prophylaxis? - CORRECT ANSWERS montelukast
Beta 2 adrenergic agonist is an effective drug group to control asthma. The action of beta 2 adrenergic is to: - CORRECT ANSWERS enhance bronchodilation
The client receives a non-steroidal anti-inflammatory drug (NSAID, Advil, Motrin) for the treatment of arthritis. What is a priority for the nurse to include when doing medication education? - CORRECT ANSWERS "Drink at least eight glasses of water a day."
The nurse is teaching a patient about the adverse effects of fertility drugs such as clomiphene (Clomid). Which is a potential adverse effect of this drug? - CORRECT ANSWERS tachycardia
A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy? - CORRECT ANSWERS pregnancy test
The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax). Which statement by the patient indicates a good understanding of when this drug should be taken? - CORRECT ANSWERS "I will take it in the morning with an 8-ounce glass of water."
A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse will tell him that a possible adverse effect of this medication is: - CORRECT ANSWERS reduced libido
During the administration of finasteride (Proscar), the nurse must remember which important precaution? - CORRECT ANSWERS blood clots
During the administration of finasteride (Proscar), the nurse must remember which important precaution? - CORRECT ANSWERS It must not be handled by pregnant women.
A common adverse effect of NSAIDs (Motrin) is: - CORRECT ANSWERS gastrointestinal upset or distress
NSAIDs (Advil, Motrin) are frequently taken to decrease inflammation; however, these agents may also be taken for the following purposes EXCEPT - CORRECT ANSWERS decrease blood pressure (antihypertensive)
Which of the following conditions is effectively treated with acyclovir (Zovirax)? - CORRECT ANSWERS herpes virus
Which of the following is essential to teach a client who is on antibiotic therapy? - CORRECT ANSWERS Take the full prescription as ordered, even if symptoms are improved.
Trough serum levels for gentamicin (Garamycin) should be drawn: - CORRECT ANSWERS 30- minutes before the next dose is given
Which factor is most responsible for noncompliance in taking medications to treat AIDS? - CORRECT ANSWERS Unpleasant side effects
Which of the following medication can be classified as an aminoglycoside? - CORRECT ANSWERS Gentamycin
Isoniazid (INH) is used in the treatment of tuberculosis. Which of the following can be classified as an adverse effect: - CORRECT ANSWERS liver toxicity
Anti-inflammatories are commonly used to treat which of the following conditions? - CORRECT ANSWERS pain and inflammation
A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect? - CORRECT ANSWERS Decreased uric acid levels
A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy? - CORRECT ANSWERS Burning when applied
A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections? - CORRECT ANSWERS Sulfonamides
The nurse is preparing to educate her patient on adverse effects for the drug propylthiouracil. The nurse recognizes which of the following adverse effects for propylthiouracil - CORRECT ANSWERS Liver and bone marrow toxicity, leukopenia
Which action is most appropriate regarding the nurse administration of rapid-acting insulin to a hospitalized patient? - CORRECT ANSWERS Give it within 15 minutes of mealtime.
The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within: - CORRECT ANSWERS 15 minutes
Mom reports that her eight-year-old child has not been growing and she is worried about her child's height. the nurse will monitor for which expected outcome? - CORRECT ANSWERS increased growth
When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response? - CORRECT ANSWERS decreased urinary output
The nurse is preparing to administer propylthiouracil to a patient. Before administration the nurse explains that propylthiouracil: - CORRECT ANSWERS Impedes formation of thyroid hormone; treats hyperthyroidism
After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a follow-up examination. Which laboratory test to evaluate the patient's adherence to the antidiabetic therapy over the past few months? - CORRECT ANSWERS Hemoglobin A1C leve
The nurse is administering oxytocin (Pitocin), which situation is an indication for the use of oxytocin? - CORRECT ANSWERS Stimulation of contractions during labor
A 73-year-old man taking nitrate for angina asks for Viagra. What problem may occur? - CORRECT ANSWERS significant decrease in blood pressure
A patient newly diagnosed with hypothyroidism receives a prescription for a thyroid hormone replacement.. the nurse assesses for which potential contraindication to this drug? - CORRECT ANSWERS recent myocardial infraction
A 21-year-old male athlete admits to using androgenic steroids. The nurse advises of which adverse effect these drugs? - CORRECT ANSWERS Blood clots
The nurse recognizes that use of estrogen drugs is contraindicated in which patient? - CORRECT ANSWERS A woman with a history of pulmonary embolism.
A patient newly diagnosed with hypothyroidism has received a prescription for thyroid replacement therapy the nurse teaches the patient to take this medication at time of day? - CORRECT ANSWERS first thing in the morning
