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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 1 of 5)

  1. Before giving digoxin 0.125 mg PO, the nurse counts an apical pulse of 54/min in an adult client. What should the nurse do?Multiple choiceEasy
  2. Which statements belong in teaching for a client starting warfarin? Select all that apply.Select all that applyMedium
  3. A client receiving a continuous heparin infusion develops significant bleeding. Which medication should the nurse anticipate?Multiple choiceEasy
  4. The provider prescribes digoxin 0.25 mg PO. Available: 0.125 mg tablets. How many tablets should the nurse give? (number only)Fill in the blankEasy
  5. A heparin infusion of 25,000 units in 250 mL D5W runs at 10 mL/hr. How many units per hour is the client receiving? (number only)Fill in the blankMedium
  6. For each medication, choose the laboratory value that is the nurse's priority to monitor.Matrix / gridMedium
  7. A 72-year-old client in a long-term care facility is being evaluated for continuous IV fluid therapy. Assessment data include the client reports dizziness,…Multiple choiceHard
  8. A 45-year-old client in the emergency department is being evaluated for subcutaneous insulin therapy. Assessment data include the barcode scanner shows a…Multiple choiceMedium
  9. A client on warfarin has INR 4.8 and no active bleeding. What is the nurse's best action?Multiple choiceMedium
  10. A 34-year-old client on a telemetry unit is being evaluated for heart failure and diuretic therapy. Assessment data include the client has potassium 5.8 mEq/L…Multiple choiceMedium
  11. A 34-year-old client on a telemetry unit is being evaluated for intravenous antibiotic therapy. Assessment data include the client has respiratory rate 10/min…Multiple choiceEasy
  12. A 45-year-old client in the emergency department is being evaluated for intravenous antibiotic therapy. Assessment data include blood glucose 54 mg/dL with…Multiple choiceEasy
  13. 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
  14. A 55-year-old client in postanesthesia care is being evaluated for subcutaneous insulin therapy. Assessment data include the client has potassium 5.8 mEq/L…Multiple choiceMedium
  15. A 55-year-old client in postanesthesia care is being evaluated for intravenous antibiotic therapy. Assessment data include the client develops urticaria and…Multiple choiceEasy
  16. 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
  17. A 72-year-old client in a long-term care facility is being evaluated for continuous IV fluid therapy. Assessment data include the client has respiratory rate…Multiple choiceHard
  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 client has new facial…Multiple choiceMedium
  19. A 45-year-old client in the emergency department is being evaluated for heart failure and diuretic therapy. Assessment data include the client has respiratory…Multiple choiceMedium
  20. 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
  21. A 34-year-old client on a telemetry unit is being evaluated for intravenous antibiotic therapy. Assessment data include the client reports dizziness, blood…Multiple choiceEasy
  22. A 68-year-old client on a medical-surgical unit is being evaluated for warfarin anticoagulation. Assessment data include bleeding from the IV site and…Multiple choiceMedium
  23. A 55-year-old client in postanesthesia care is being evaluated for intravenous antibiotic therapy. Assessment data include the client develops urticaria and…Multiple choiceEasy
  24. 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
  25. 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
  26. A 68-year-old client on a medical-surgical unit is being evaluated for continuous IV fluid therapy. Assessment data include the client has potassium 5.8 mEq/L…Multiple choiceHard
  27. A 45-year-old client in the emergency department is being evaluated for subcutaneous insulin therapy. Assessment data include the barcode scanner shows a…Multiple choiceMedium
  28. A 34-year-old client on a telemetry unit is being evaluated for heart failure and diuretic therapy. Assessment data include the client has potassium 5.8 mEq/L…Multiple choiceEasy
  29. A 45-year-old client in the emergency department is being evaluated for continuous IV fluid therapy. Assessment data include bleeding from the IV site and…Multiple choiceHard
  30. A 68-year-old client on a medical-surgical unit is being evaluated for warfarin anticoagulation. Assessment data include bleeding from the IV site and…Multiple choiceMedium
  31. A 72-year-old client in a long-term care facility is being evaluated for heart failure and diuretic therapy. Assessment data include the client has new facial…Multiple choiceEasy
  32. A 34-year-old client on a telemetry unit is being evaluated for intravenous antibiotic therapy. Assessment data include the client reports dizziness, blood…Multiple choiceEasy
  33. 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 choiceEasy
  34. 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
  35. A 45-year-old client in the emergency department is being evaluated for intravenous antibiotic therapy. Assessment data include blood glucose 54 mg/dL with…Multiple choiceEasy
  36. A 45-year-old client in the emergency department is being evaluated for intravenous antibiotic therapy. Assessment data include the client reports nausea and…Multiple choiceEasy
  37. The RN is caring for a stable client who needs routine assistance related to intravenous antibiotic therapy. Which task may be delegated to UAP?Multiple choiceEasy
  38. A 34-year-old client on a telemetry unit is being evaluated for intravenous antibiotic therapy. Assessment data include the client has respiratory rate 10/min…Multiple choiceEasy
  39. A 34-year-old client on a telemetry unit is being evaluated for continuous IV fluid therapy. Assessment data include blood glucose 54 mg/dL with diaphoresis…Multiple choiceHard
  40. The RN is caring for a stable client who needs routine assistance related to warfarin anticoagulation. Which task may be delegated to UAP?Multiple choiceMedium
  41. 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
  42. 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 choiceMedium
  43. After nursing care for heart failure and diuretic therapy, the nurse evaluates the client response. Which action best demonstrates evaluation?Multiple choiceEasy
  44. A 55-year-old client in postanesthesia care is being evaluated for continuous IV fluid therapy. Assessment data include the client has new facial swelling and…Multiple choiceHard
  45. A 55-year-old client in postanesthesia care is being evaluated for subcutaneous insulin therapy. Assessment data include the client has potassium 5.8 mEq/L…Multiple choiceMedium
  46. 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
  47. 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 choiceEasy
  48. A client with type 1 diabetes has blood glucose 58 mg/dL, diaphoresis, and confusion. What is the priority nursing action?Multiple choiceMedium
  49. A 68-year-old client on a medical-surgical unit is being evaluated for heart failure and diuretic therapy. Assessment data include bleeding from the IV site…Multiple choiceEasy
  50. 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