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NCLEX PN Prep: Pharmacology {ALREADY
GRADED A+ } NEWEST VERSION TESTBANK
QUESTION 1
A client with fibromyalgia refuses to take the prescribed drug duloxetine. When the nurse asks, why, the client responds, "Because I'm not depressed!" What is the nurse's most appropriate response?
- "Depression is common with fibromyalgia, but a low dose of this drug can prevent it."
- "It can relieve your chronic pain and help you sleep better at night."
- "It helps to relieve the adverse effects of your other prescribed drugs."
- "You have the right to refuse. I will notify your health care provider (HCP)."
Correct Answer: B
QUESTION 2
The home health hospice nurse visits a client who is newly prescribed extended-release oxycodone 40 mg orally, scheduled every 12 hours to treat severe chronic cancer pain.Which information is most important to reinforce to the client's caregiver?
- Administer the medication around the clock even if the client denies having pain
- Avoid administering with immediate-release opioids to prevent respiratory depression
- Change the dosage and frequency to 20 mg every 6 hours if breakthrough pain occurs
- Request a tapered dose from the health care provider if pain decreases to prevent
tolerance
Correct Answer: A
QUESTION 3
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The nurse reinforces teaching about methotrexate to a 28-year-old client with rheumatoid arthritis. Which client statement indicates the need for further instruction regarding this drug?
- "I should get a flu shot this year as my resistance to germs will be lower."
- "I should not get pregnant while taking this medicine."
- "I will make sure I have my eyes checked every 6 months."
- "It will be difficult, but I will not have wine with my dinner."
Correct Answer: C
QUESTION 4
A client diagnosed with trigeminal neuralgia is given a prescription of carbamazepine by the health care provider. Which intervention does the nurse anticipate in this client's care plan?
- Encourage client to drink cold beverages
- Encourage client to eat a high-fiber diet
- Encourage client to perform facial massage
- Encourage client to report any fever or sore throat
Correct Answer: D
QUESTION 5
The nurse is conducting intake interviews at the clinic. Which client situations would require the nurse to intervene? Select all that apply.
- Client with iron deficiency anemia takes iron supplements with milk
- Client takes levothyroxine early in the morning on an empty stomach
- Client taking phenazopyridine for urine infection states that the urine has turned orange
- Client taking metronidazole mentions going to a wine-tasting party tonight
- Client with closed-angle glaucoma takes over-the-counter diphenhydramine for a cold
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Correct Answers: A, D, and E
QUESTION 6
After receiving shift report, the nurse is assessing a client started on trimethoprim- sulfamethoxazole 2 days ago for treatment of a urinary tract infection. The client reports itching, and the nurse notices a diffuse maculopapular rash on the client's face. What should the nurse do first?
- Administer diphenhydramine
- Administer injectable epinephrine
- Examine the client's trunk and limbs
- Reassess the client's allergy history
Correct Answer: D
QUESTION 7
The nurse administers the prescribed dose of hydromorphone 2 mg to a client who is 2 days postoperative from a colostomy. Which assessment finding is most important for the nurse to follow-up?
- Client has 1 emesis of green fluid
- Client has had no bowel movement for 2 days
- Client falls asleep while talking to the nurse
- Client reports experiencing pruritus
Correct Answer: C
QUESTION 8
The nurse is assessing a client with rheumatoid arthritis who is being considered for adalimumab therapy. Which statement made by the client needs further investigation?
- "I am taking an antibiotic for a urinary tract infection."
- "I had a negative tuberculosis skin test 2 weeks ago."
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- "I just received my yearly flu shot a week ago."
- "I will continue taking naproxen at night to help with pain."
Correct Answer: A
QUESTION 9
A client at 9 weeks gestation arrives at the clinic for an initial obstetric appointment. The nurse reviews the client's medical history and obtains a list of current medications. The nurse recognizes that which of the following medications should be clarified with the health care provider immediately? Select all that apply.
- Albuterol
- Doxycycline
- Isulin aspart
- Isotretinoin
- Levothyroxine
- Lisinopril
Correct Answers: B, D, and F
QUESTION 10
The clinic nurse is preparing to administer an allergy immunotherapy injection to a client recently initiated on the therapy. Which statement by the client indicates a need for further teaching?
- "I can leave right after the shot as I didn't have a reaction last time."
- "I will be back in a week for my next allergy shot."
- "I will let the doctor know if I get any itchy hives tonight."
- "It is okay if I have some redness at the injection site tonight."
