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Pharmacology for Nurses

Review Questions

Pharmacology for NursesReview Questions
1.
A client accidentally took double their dose of metoprolol when confused about the directions. The nurse expects which of the following to occur?
  1. The client will experience tachycardia.
  2. The client will experience a long QT interval.
  3. The client will experience bradycardia.
  4. The client will experience torsade de pointes.
2.
A nurse has an order to administer verapamil to a client with atrial fibrillation. The client has a past medical history of hyperlipidemia, type 2 diabetes, myasthenia gravis, and congestive heart failure. Which disease state may be exacerbated by administration of verapamil?
  1. Hyperlipidemia
  2. Myasthenia gravis
  3. Congestive heart failure
  4. Type 2 diabetes
3.
A nurse is creating a monitoring protocol for drugs that require special monitoring of the QT interval. Which drug will be included?
  1. Lidocaine
  2. Procainamide
  3. Mexiletine
  4. Flecainide
4.
A nurse provided education to a client who will be taking quinidine long term. Which response from the client indicates the teaching was effective?
  1. “I should start taking a laxative to prevent the most common side effect, constipation.”
  2. “Quinine is another name for quinidine and may be on my prescription bottle.”
  3. “I should drink grapefruit juice to ensure my vitamin levels are adequate.”
  4. “If I experience excessive diarrhea, I should alert my provider.”
5.
Which of the following is an adverse effect of metoprolol?
  1. Torsade de pointes
  2. Fatigue
  3. Tachycardia
  4. Edema
6.
Which arrhythmia is associated with potassium channel blockers?
  1. Torsade de pointes
  2. Sinus tachycardia
  3. Supraventricular tachycardia
  4. Atrioventricular block
7.
A client is admitted to the emergency department with symptoms of dizziness and hypotension after returning from a beach vacation. The nurse notices a bluish-gray color to their skin. Which medication does the nurse suspect the client takes?
  1. Diltiazem
  2. Amiodarone
  3. Flecainide
  4. Dofetilide
8.
A client is discussing chronic medication options to treat their atrial fibrillation with rapid ventricular response. The client prefers to avoid hospitalization overnight for initiation. Which of the following medications would be the best option?
  1. Dofetilide
  2. Metoprolol tartrate
  3. Sotalol
  4. Mexiletine
9.
Which antidysrhythmic medication would increase the risk for statin-related adverse effects in a client who takes simvastatin?
  1. Dofetilide
  2. Metoprolol
  3. Diltiazem
  4. Mexiletine
10.
An 85-year-old client takes digoxin for atrial fibrillation and is admitted to the hospital with acute kidney injury. What signs and symptoms does the nurse expect the client to be experiencing?
  1. Stomach upset, vision changes, confusion
  2. Constipation, photosensitivity, confusion
  3. Vision changes, QT interval prolongation, photosensitivity
  4. Hyperthyroidism, stomach upset, muscle pain
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