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NREMT Exam Prep: Pharmacology Questions and Answers, Exams of Nursing

A series of multiple-choice questions and answers focused on pharmacology relevant to the nremt exam. it covers various medications, their uses, contraindications, and potential side effects, offering valuable practice for nursing students preparing for the exam. The questions test knowledge of drug interactions, patient education, and safe medication administration.

Typology: Exams

2024/2025

Available from 05/10/2025

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NREMT EXAM PREP LATEST UPDATE 2025
TEST BANK| COMPLETE ACCURATE
QUESTIONS WITH ACCURATE DETAILS
ANSWERS: (ACCURATE ANSWERS WITH
RATIONALES): EXAM ALREADY GRADED
A+
A nurse is teaching a client who has a new prescription for Omeprazole
for management of heartburn. Which of the following information
should the nurse include in the teaching?
A. Take this medication at bedtime.
B. This medication decreases the production of gastric acid.
C. Take this medication 2 hr after eating.
D. This medication can cause hyperkalemia - --<<ANSWER IS>>---B
(Omeprazole reduces gastric acid secretion by inhibiting the enzyme
that produces gastric acid)
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Download NREMT Exam Prep: Pharmacology Questions and Answers and more Exams Nursing in PDF only on Docsity!

NREMT EXAM PREP LATEST UPDATE 2025

TEST BANK| COMPLETE ACCURATE

QUESTIONS WITH ACCURATE DETAILS

ANSWERS: (ACCURATE ANSWERS WITH

RATIONALES): EXAM ALREADY GRADED

A+

A nurse is teaching a client who has a new prescription for Omeprazole for management of heartburn. Which of the following information should the nurse include in the teaching? A. Take this medication at bedtime. B. This medication decreases the production of gastric acid. C. Take this medication 2 hr after eating. D. This medication can cause hyperkalemia - -- <> ---B (Omeprazole reduces gastric acid secretion by inhibiting the enzyme that produces gastric acid)

A nurse is teaching a client who is taking Sucralfate PO for Peptic Ulcer Disease has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include? A. Take an antacid with the sucralfate. B. Take sucralfate with a glass of milk. C. Allow a 2-hr interval between these medications. D. Chew the sucralfate thoroughly before swallowing - -- <> ---C (Sucralfate can interfere with the absorption of phenytoin, so the client should allow a 2-hr interval between the sucralfate and phenytoin.) A nurse is caring for four clients who have Peptic Ulcer Disease. The nurse should recognize Misoprostol is contraindicated for which of the following clients? A. A client who is pregnant B. A client who has osteoarthritis C. A client who has a kidney stone D. A client who has a urinary tract infection - -- <> ---A (misoprostol can induce labor and is contraindicated in pregnancy.)

muscles in the face, neck, and tongue. Diphenhydramine is used to suppress extrapyramidal effects of prochlorperazin) A nurse is planning to administer Ondansetron IV for an older adult client who has a history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for cancer. For which of the following adverse effects of ondansetron should the nurse monitor? (Select all that apply.) A. Headache B. Diarrhea C. Shortened PR interval D. Hyperglycemia E. Prolonged QT interval - -- <> ---a, b, e (A.headache is a common adverse effect of ondansetron. B. Diarrhea or constipation are both adverse effects of ondansetron E. A prolonged QT interval is a possible adverse effect of ondansetron that can lead to torsades de pointes, a serious dysrhythmia.)

A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client he should avoid which of the following laxatives? A. Sodium phosphate B. Psyllium C. Bisacodyl D. Polyethylene glycol - -- <> ---A (Typically, clients who have heart failure are on a sodium-restricted diet. Absorption of sodium from sodium phosphate causes fluid retention and is contraindicated for clients who have heart failure.) A nurse is caring for a client who has Diabetes and is experiencing Nausea due to Gastroparesis. The nurse should anticipate a prescription for which of the following medications? A. Lubiprostone B. Metoclopramide C. Bisacodyl D. Loperamide - -- <> ---B (Metoclopramide is a dopamine antagonist that is used to treat nausea and also increases gastric motility. It can relieve the bloating and nausea of diabetic gastroparesis.)

A nurse is teaching a client who has Anemia and a new prescription for a liquid Iron supplement. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. "Add foods that are high in fiber to your diet." B. "Rinse your mouth after taking the medication." C. "Expect stools to be green or black in color." D. "Take the medication with a glass of milk." E. "Add red meat to your diet." - -- <> ---a, b, c, e (A. Foods high in fiber can prevent constipation, which can occur when taking iron supplements. B. Iron supplements can stain teeth when taken in a liquid form. The client should rinse orally after taking the medication. C. Dark green or black stools can occur when taking iron supplements. The client should anticipate this effect. E. Red meats are high in iron and recommended for a client to improve anemia when taken concurrently with iron supplements.)

A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. Which of the following herbal supplements should the nurse report to the provider? A. Glucosamine B. Saw palmetto C. Kava D. St. John's wort - -- <> ---C (Chronic use or high doses of kava can cause liver damage, including severe liver failure) A nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. Which of the following clients require folic acid therapy? (Select all that apply.) A.12-year-old child who has iron deficiency anemia B.24-year-old female who has no health problems C.44-year-old male who has hypertension D.55-year-old female who has alcohol use disorder E.35-year-old male who has type 2 diabetes mellitus - -- <> ---b, d (B. The female client of childbearing age should take folic acid to prevent neural tube defects in the fetus

A nurse is caring for a client who requests information on the use of Feverfew. Which of the following responses should the nurse make? A. "It is used to treat skin infections." B. "It can decrease the frequency of migraine headaches." C. "It can lessen the nasal congestion in the common cold." D. "It can relieve nausea of morning sickness during pregnancy." - -- <> ---B (Feverfew is used to decrease the frequency of migraine headaches, but it has not been proven to relieve an existing migraine headache.) A nurse is completing an assessment of a client's current medications. The client states she also takes Gingko Biloba. Which of the following medications is contraindicated for a client taking Gingko Biloba? A. Acetaminophen B. Warfarin C. Digoxin D. Lisinopri - -- <> ---B (Warfarin is contraindicated for a client taking gingko biloba because ginkgo biloba can suppress coagulation and increase the risk of bleeding or hemorrhage)

A nurse is reviewing the health care record of a client who is asking about conjugated equine estrogens. The nurse should inform the client this medication is contraindicated in which of the following conditions? A. Atrophic vaginitis B. Dysfunctional uterine bleeding C. Osteoporosis D. Thrombophlebitis - -- <> ---D (Estrogen increases the risk of thrombolytic events. Estrogen use is contraindicated for a client who has a history of thrombophlebitis) A nurse is providing teaching to a female client who is taking Testosterone to treat advanced breast cancer. The nurse should tell the client that which of the following are adverse effects of this medication? (Select all that apply.) A. Deepening voice B. Weight gain C. Low blood pressure D. Dry mouth E. Facial hair - -- <> ---a, b, e

D. Oral contraceptives alter the lining of the endometrium, which inhibits implantation of the fertilized egg. E. Oral contraceptives prevent pregnancy by inhibiting ovulation.) A nurse is providing teaching to a client who will start Alfuzosin for treatment of Benign Prostatic Hyperplasia. The nurse should instruct the client that which of the following is an adverse effect of this medication? A.Bradycardia B. Edema C. Hypotension D. Tremor - -- <> ---C (Alfuzosin relaxes muscle tone in veins and cardiac output decreases, which leads to hypotension. Clients taking this medication are advised to rise slowly from a sitting or lying position.) A nurse is caring for a client who has angina and asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated with Sildenafil? A. Aspirin

B. Isosorbide C. Clopidogrel D. Atorvastatin - -- <> ---B (Isosorbide is an organic nitrate that manages pain from angina. Concurrent use of it is contraindicated because fatal hypotension can occur. The client should avoid taking a nitrate medication for 24 hr after taking isosorbide.) A nurse is teaching a client about Terbutaline. Which of the following statements by the client indicates understanding of the teaching? A. "This medication will stop my contractions." B. "This medication will prevent vaginal bleeding." C. "This medication will promote blood flow to my baby." D. "This medication will increase my prostaglandin production - -- <> ---A (Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle relaxation) A nurse is caring for a client who has Preeclampsia and is receiving Magnesium Sulfate IV continuous infusion. Which of the following findings should the nurse report to the provider? A. 2+ deep tendon reflexes B. 2+ pedal edema

A nurse is caring for a client who is in labor and receiving IV Opioid analgesics. Which of the following actions should the nurse take? A. Instruct the client to self-ambulate every 2 hr. B. Offer oral hygiene every 2 hr. C. Anticipate medication administration 2 hr prior to delivery. D. Monitor fetal heart rate every 2 hr - -- <> ---B (Oral hygiene should be offered on a regular basis to a client receiving opioid analgesics due to the adverse effects of dry mouth, nausea, and vomiting) A nurse is reviewing a new prescription for Terbutaline with a client who has a history of preterm labor. Which of the following client statements indicates understanding of the teaching? A. "I can increase my activity now that I've started on this medication." B. "I will increase my daily fluid intake to 3 quarts." C. "I will report increasing intensity of contractions to my doctor." D. "I am glad this will prevent preterm labor." - -- <> ---C (The client should report increasing intensity, frequency, or duration of contractions to the provider because these are manifestations of preterm labor)

A nurse is providing teaching for a client who has gout and a new prescription for Allopurinol. For which of the following adverse effects should the client be taught to monitor? (Select all that apply.) A. Stomatitis B. Insomnia C. Nausea D. Rash E. Increased gout pain - -- <> ---c, d, e (C. Nausea and vomiting are adverse effects that can be caused by allopurinol. D. Rash and other hypersensitivity reactions can be caused by allopurinol. The client should be taught to contact the provider for any manifestation of hypersensitivity so that the medication can be discontinued. E. An increase in gout attacks can occur during the first few months in a client who is taking allopurinol.) A nurse is caring for a client who has a new prescription for Adalimumab for Rheumatoid Arthritis. Based on the route of

A nurse is caring for a client who has a new diagnosis of Fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client? A. Colchicine B. Hydroxychloroquine C. Auranofin D. Duloxetine - -- <> ---D (Duloxetine is a serotonin-norepinephrine reuptake inhibitor used to treat fibromyalgia. Other uses for this medication include treating depression and diabetic peripheral neuropathy) A nurse is evaluating teaching for a client who has Rheumatoid Arthritis and a new prescription for Methotrexate. Which of the following statements by the client indicates understanding of the teaching? A. "I will be sure to return to the clinic at least once a year to have my blood drawn while I'm taking methotrexate." B. "I will take this medication on an empty stomach." C. "I'll let the doctor know if I develop sores in my mouth while taking this medication. D. "I should stop taking oral contraceptives while I'm

taking methotrexate." - -- <> ---C (Ulcerations in the mouth, tongue, or throat are often the first signs of methotrexate toxicity and should be reported to the provider immediately) A nurse is providing teaching to a client who is taking Raloxifene to prevent Postmenopausal Osteoporosis. The nurse should advise the client that which of the following are adverse effects of this medication? (Select all that apply.) A. Hot flashes B. Lump in breast C. Swelling or redness in calf D. Shortness of breath E. Difficulty swallowing - -- <> ---a, c, d (A. Raloxifene can cause hot flashes or increase existing hot flashes. C. Raloxifene increases the risk for thrombophlebitis, which can cause swelling or redness in the calf. D. Raloxifene increases the risk for pulmonary embolism, which can cause shortness of breath.)