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Pharmacology practice questions

High-alert drugs, monitoring, antidotes, dosage calculation.

206 questions with answers and explanations · 205 flashcards

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Key ideas

  • Digoxin: check the apical pulse for a full minute; hold for HR under 60 in adults and report. Hypokalemia increases toxicity risk.
  • Warfarin: monitor INR (commonly 2–3); keep vitamin K intake consistent; antidote vitamin K. Heparin: monitor aPTT; antidote protamine sulfate.
  • Loop diuretics (furosemide): watch potassium, weight, intake and output, and orthostatic BP.
  • Dosage calculation: desired ÷ have × quantity. Always check units.

Questions (page 2 of 5)

  1. A client prescribed IV vancomycin has ordered trough level due before the next dose. The nurse notes flushing and hypotension during the prior infusion. What…Multiple choiceEasy
  2. A 34-year-old client on a telemetry unit is being evaluated for warfarin anticoagulation. Assessment data include the client has potassium 5.8 mEq/L with…Multiple choiceMedium
  3. A 72-year-old client in a long-term care facility is being evaluated for intravenous antibiotic therapy. Assessment data include the client has potassium 5.8…Multiple choiceEasy
  4. A 34-year-old client on a telemetry unit is being evaluated for subcutaneous insulin therapy. Assessment data include the client develops urticaria and…Multiple choiceMedium
  5. The RN is caring for a stable client who needs routine assistance related to continuous IV fluid therapy. Which task may be delegated to UAP?Multiple choiceHard
  6. A 55-year-old client in postanesthesia care is being evaluated for heart failure and diuretic therapy. Assessment data include the client reports nausea and…Multiple choiceMedium
  7. The RN is caring for a stable client who needs routine assistance related to subcutaneous insulin therapy. Which task may be delegated to UAP?Multiple choiceMedium
  8. After nursing care for intravenous antibiotic therapy, the nurse evaluates the client response. Which action best demonstrates evaluation?Multiple choiceEasy
  9. After nursing care for warfarin anticoagulation, the nurse evaluates the client response. Which action best demonstrates evaluation?Multiple choiceMedium
  10. A 34-year-old client on a telemetry unit is being evaluated for heart failure and diuretic therapy. Assessment data include INR 4.6 without active bleeding…Multiple choiceMedium
  11. A 68-year-old client on a medical-surgical unit is being evaluated for warfarin anticoagulation. The nurse reviews this trend: respiratory rate decreased from…Multiple choiceMedium
  12. A 68-year-old client on a medical-surgical unit is being evaluated for heart failure and diuretic therapy. Assessment data include the client develops…Multiple choiceMedium
  13. A 45-year-old client in the emergency department is being evaluated for warfarin anticoagulation. Assessment data include the client reports dizziness, blood…Multiple choiceMedium
  14. A 55-year-old client in postanesthesia care is being evaluated for subcutaneous insulin therapy. Assessment data include INR 4.6 without active bleeding but…Multiple choiceMedium
  15. A 72-year-old client in a long-term care facility is being evaluated for subcutaneous insulin therapy. Assessment data include the client reports nausea and…Multiple choiceMedium
  16. A 68-year-old client on a medical-surgical unit is being evaluated for heart failure and diuretic therapy. Assessment data include the client develops…Multiple choiceEasy
  17. A 72-year-old client in a long-term care facility is being evaluated for warfarin anticoagulation. Assessment data include the barcode scanner shows a…Multiple choiceMedium
  18. A 72-year-old client in a long-term care facility is being evaluated for heart failure and diuretic therapy. Assessment data include the barcode scanner shows…Multiple choiceEasy
  19. A 72-year-old client in a long-term care facility is being evaluated for intravenous antibiotic therapy. Assessment data include INR 4.6 without active…Multiple choiceEasy
  20. A 45-year-old client in the emergency department is being evaluated for heart failure and diuretic therapy. Assessment data include the client reports…Multiple choiceMedium
  21. A 45-year-old client in the emergency department is being evaluated for subcutaneous insulin therapy. Assessment data include the client has new facial…Multiple choiceMedium
  22. A 68-year-old client on a medical-surgical unit is being evaluated for subcutaneous insulin therapy. Assessment data include the client reports dizziness,…Multiple choiceMedium
  23. A 34-year-old client on a telemetry unit is being evaluated for subcutaneous insulin therapy. Assessment data include bleeding from the IV site and platelets…Multiple choiceMedium
  24. A 72-year-old client in a long-term care facility is being evaluated for warfarin anticoagulation. Assessment data include the client has new facial swelling…Multiple choiceMedium
  25. A 55-year-old client in postanesthesia care is being evaluated for warfarin anticoagulation. Assessment data include the client reports nausea and vomiting…Multiple choiceMedium
  26. A 72-year-old client in a long-term care facility is being evaluated for subcutaneous insulin therapy. Assessment data include blood glucose 54 mg/dL with…Multiple choiceMedium
  27. A 68-year-old client on a medical-surgical unit is being evaluated for intravenous antibiotic therapy. Assessment data include the barcode scanner shows a…Multiple choiceEasy
  28. A 34-year-old client on a telemetry unit is being evaluated for warfarin anticoagulation. Assessment data include INR 4.6 without active bleeding but with…Multiple choiceMedium
  29. A 68-year-old client on a medical-surgical unit is being evaluated for subcutaneous insulin therapy. The nurse reviews this trend: INR increased from 2.1 to…Multiple choiceMedium
  30. After nursing care for subcutaneous insulin therapy, the nurse evaluates the client response. Which action best demonstrates evaluation?Multiple choiceMedium
  31. A 68-year-old client on a medical-surgical unit is being evaluated for heart failure and diuretic therapy. The nurse reviews this trend: vancomycin trough is…Multiple choiceMedium
  32. A 34-year-old client on a telemetry unit is being evaluated for subcutaneous insulin therapy. Assessment data include the client develops urticaria and…Multiple choiceMedium
  33. A 68-year-old client on a medical-surgical unit is being evaluated for continuous IV fluid therapy. Assessment data include INR 4.6 without active bleeding…Multiple choiceHard
  34. A 68-year-old client on a medical-surgical unit is being evaluated for intravenous antibiotic therapy. The nurse reviews this trend: potassium increased from…Multiple choiceEasy
  35. The RN is caring for a stable client who needs routine assistance related to heart failure and diuretic therapy. Which task may be delegated to UAP?Multiple choiceEasy
  36. A 55-year-old client in postanesthesia care is being evaluated for heart failure and diuretic therapy. Assessment data include blood glucose 54 mg/dL with…Multiple choiceEasy
  37. A 72-year-old client in a long-term care facility is being evaluated for warfarin anticoagulation. Assessment data include the client has new facial swelling…Multiple choiceMedium
  38. A 55-year-old client in postanesthesia care is being evaluated for warfarin anticoagulation. Assessment data include blood glucose 54 mg/dL with diaphoresis…Multiple choiceMedium
  39. A 55-year-old client in postanesthesia care is being evaluated for intravenous antibiotic therapy. Assessment data include bleeding from the IV site and…Multiple choiceEasy
  40. A 34-year-old client on a telemetry unit is being evaluated for warfarin anticoagulation. Assessment data include INR 4.6 without active bleeding but with…Multiple choiceMedium
  41. A 68-year-old client on a medical-surgical unit is being evaluated for subcutaneous insulin therapy. Assessment data include the client reports dizziness,…Multiple choiceMedium
  42. A 72-year-old client in a long-term care facility is being evaluated for heart failure and diuretic therapy. Assessment data include the barcode scanner shows…Multiple choiceMedium
  43. A 72-year-old client in a long-term care facility is being evaluated for warfarin anticoagulation. Assessment data include the barcode scanner shows a…Multiple choiceMedium
  44. A 45-year-old client in the emergency department is being evaluated for warfarin anticoagulation. Assessment data include the client has respiratory rate…Multiple choiceMedium
  45. A 55-year-old client in postanesthesia care is being evaluated for scheduled medications. Assessment data include the client has respiratory rate 10/min and…Multiple choiceEasy
  46. A 45-year-old client in the emergency department is being evaluated for scheduled medications. Assessment data include INR 4.6 without active bleeding but…Multiple choiceEasy
  47. A 55-year-old client in postanesthesia care is being evaluated for a newly prescribed medication regimen. Assessment data include bleeding from the IV site…Multiple choiceEasy
  48. A 34-year-old client on a telemetry unit is being evaluated for a newly prescribed medication regimen. Assessment data include the client reports dizziness,…Multiple choiceEasy
  49. A 34-year-old client on a telemetry unit is being evaluated for a new antipsychotic prescription. Assessment data include INR 4.6 without active bleeding but…Multiple choiceHard
  50. The RN is caring for a stable client who needs routine assistance related to opioid analgesia after surgery. Which task may be delegated to UAP?Multiple choiceMedium